Unneeded organ removals and cancer oversights occurred in significant numbers at major hospitals, according to statements by the National Health Service (NHS).
County Durham and Darlington NHS Foundation Trust is currently addressing concerns regarding sub-standard breast cancer care, following an investigation by the Royal College of Surgeons (RCS) and multiple reviews.
The review process, which remains ongoing, has identified several issues, including inappropriate surgical decisions, outdated clinical practices, and problems with multidisciplinary teams (MDTs). As a result, some patients underwent more extensive surgery than clinically necessary, and some had mastectomies that may not have been necessary.
The investigation found cases where chemotherapy was not offered to patients, despite it being clinically indicated. In some instances, patients received the wrong kind of biopsy, leading to a small breast cancer being missed and subsequent delays in diagnosis and treatment. Thousands of cases dating back to 2019 could come to light, and a number of deaths are being looked into.
The RCS report, published in April 2025, revealed 200 cases where errors in care might have occurred. It made 21 recommendations for improvements, including strengthening MDT processes and clinical governance, and investing in modern equipment.
Kathryn, from the trust, stated that they are looking at the investigation "from a clinical urgency perspective." Over 80 patients have been spoken to about their care, discussing elements that could have been done differently and improved.
In response to the findings, the Trust has taken several steps to address the issues. They have appointed two new consultant breast surgeons, strengthened MDT processes and clinical governance, and invested in modern equipment. These changes were already underway before the publication of the RCS report.
Patients with questions or concerns about their care can call 0191 333 2126 or email [email protected]. The trust is conducting a "look back exercise" into breast cancer care at its hospitals, which is still ongoing, with patient notes still being reviewed.
Kathryn also mentioned that the trust has made "a lot of improvements." However, she emphasized that the review process remains ongoing, and the trust remains committed to speaking directly with any patient whose care warrants follow-up.
[1] Northern Cancer Alliance peer review (April–June 2024) [2] RCS report (April 2025)
- The current concerns with sub-standard breast cancer care at County Durham and Darlington NHS Foundation Trust also extend to the neglect of mental health, especially in men and women affected by cancer.
- The ongoing review process, initiated by the Royal College of Surgeons (RCS) and Northern Cancer Alliance, has highlighted issues not only in breast cancer care but also in the broader context of health and wellness, including medical-conditions like cancer.
- In light of the identified shortcomings in breast cancer care, it is essential to ensure that all cancer patients receive the appropriate care and attention, particularly in terms of mental-health support, a vital aspect of their overall health and well-being.
- As the trust remains committed to speaking with patients whose care necessitates further review, they should also consider providing comprehensive support for breast cancer patients addressing their specific needs in areas like men's health, women's health, and mental health, ensuring holistic care and well-being.
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