How the multi-disciplinary group is helping to develop and shape breast cancer services in the NHS for patients in England.

The Breast Cancer Clinical Expert Group (CEG) is a multi-disciplinary group that brings together expert doctors, nurses, commissioners and patients from across England to advise the NHS in England on best practice for breast cancer diagnosis, treatment and care. 

The CEG aims to help develop and shape services in the NHS in England for people affected by breast cancer. It ensures that developments, as well as areas of potential concerns, are on the national breast cancer agenda by: 

  • Collecting and promoting best practice in breast cancer 
  • Responding to official consultations on issues regarding breast cancer 
  • Advising the Common Cancers Clinical Steering Group at NHS England on breast cancer priorities 

Who sits on the group?

The Breast Cancer CEG has a wide geographical and disciplinary representation from the full range of professionals involved in delivering breast cancer services to patient representatives and groups.

  • Chair – Professor Ian Smith, Consultant Medical Oncologist, Royal Marsden Hospital 
  • Vice Chair - Professor Chris Holcombe, Consultant Oncoplastic surgeon, Royal Liverpool Hospital

Breast Cancer Now sits on the Breast Cancer Clinical Expert Group and provides its secretariat.  If you have any questions, please contact the secretariat email

Clinical Advice for the Provision of Breast Cancer Services

In August 2017 the group produced Clinical Advice to Cancer Alliances for the Provision of Breast Cancer Services to support the commissioning of clinical breast cancer services at national and local level. 

The advice gives a summary of current best practice across essential services for patients with early, and recurrent (local/regional and metastatic) breast cancer. It highlights best practice across the breast cancer pathway, from diagnosis to post-treatment recommendations.

This guidance is hugely important to reduce variation in how breast cancer patients are diagnosed, treated and cared for in England. It can be used as a checklist to measure local service, to be used by commissioners, acute trusts, Cancer Alliances and patients. 

Read the Clinical Advice (PDF) 

Produced by the NHS England Breast Cancer Clinical Expert Group, the document had input from all areas of breast cancer services, including surgeons, oncologists, nurses, radiologists, pathologists, geneticists and commissioners, as well as patient representatives and groups from across the UK. The chemotherapy and radiotherapy Clinical Reference Groups, the Association of Breast Surgeons and the UK Breast Cancer Group also advised on the Clinical Advice.

The Clinical Advice was disseminated through Cancer Alliances, 19 networks in place to ensure cancer services across England are delivered, and improved upon, based on local need. It has also been shared with commissioners in the devolved nations.

This advice will be reviewed in full in May 2019.


How you can use the advice to ensure you get the best treatment and care 

It is important for patients to know that they are receiving the best treatment and care they can where they live.

Why not ask your local Cancer Alliance how they have implemented the Clinical Advice for the Provision of Breast Cancer Services? We can provide a template and help you with the contact details.

Please contact for more information.