Breast screening service models
Updated 29 July 2025
Applies to England
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The following examples of possible breast screening service models show:
- where accountability of the screening director lies
- who is responsible for reporting performance
This includes where elements of diagnosis or therapeutic surgery are provided by both internal and external organisations.
Blue boxes indicate areas where the screening director is responsible for service delivery.
Orange boxes indicate where a local organisation or external provider is responsible for oversight of performance and reporting performance to a professional lead.
1. Organisation A: simple screening pathway within a single trust
2. Organisation B: simple screening pathway referring to multiple external treatment centres
3. Organisation C: simple screening pathway with external outsourced pathology provision
4. Organisation D: simple screening pathway with separate assessment centres and MDTs
