The Service Pledge is an innovative programme dedicated to delivering lasting positive change to everyone’s experience of breast cancer. It brings patients, healthcare professionals and cancer alliances together to work in partnership to design and deliver improvements in a concrete action plan.

Breast Cancer Now draws on 15 years’ experience of improving breast cancer services across the country, to create an approach that’s centrally organised but owned by the people on the frontline. With great opportunity for scale, it provides the chance to ingrain a culture of continuous improvement into teams and hospitals across the NHS.

By sharing best practice at a regional and national level, we’re working to deliver consistently high-quality services for both breast cancer patients and the professionals dedicated to giving their support.

Read our blogs

If you would like to read more about how patients are helping us improve services, take a look at our guest blogs:

Read Breast Clinical Nurse Specialist Karen Ives-Smith’s blog on her experiences as Pledge Lead

Long-time supporter Karen Gannon shares her experience of being a Patient Advocate

Patient Advocate Anna Sarphie shares her experience of working with Breast Cancer Now and Sandwell and West Birmingham Hospitals

Read how Patient Representative Flora Sheringham has been working with the Service Pledge to improve services at Hinchingbrooke Hospital


I have found being involved on the project both interesting, and I hope useful for future treatment procedures. My experience at Ipswich Hospital overall was very good and I was treated both promptly and professionally, but I appreciated this may not be the case for everyone.

It has been helpful to feel that my experiences were considered important enough to be discussed, and reassuring to know that I was not the only one with perhaps a particular problem. It kept me focussed and feeling of use while recovering.

Joan Thomason, Patient Representative at Ipswich Hospital, 2015

For more information

If you’d like to find out more about the Service Pledge, please contact Catherine Wood, Health Advocacy Manager, on 020 7025 0082 or email service.pledge@breastcancernow.org