There have been many changes in the breast screening programme over the past few years. The most significant locally is probably the introduction of two-view mammography at all rounds since April 2003. We also introduced a formal weekly arbitration meeting in December 2001 where borderline patients are discussed and a collective decision taken regarding the need for assessment. All those who read screening films attend this meeting.
We perceived there had been a change in outcomes, procedures performed in the clinic, and overall pick-up rate. This could be an indicator of change at a national level. Hence, this study to compare the assessment clinics was undertaken.