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National breast referral guidelines in the UK were introduced in 1995 to create a framework for appropriate referral of patients to specialist breast clinics. In 1998, in an attempt to improve outcomes for patients with breast cancer, the Department of Health issued a circular entitled Breast Cancer Waiting Times – Achieving the Two Week Target. The aim of the two-week waiting time directive (Table 1) was to provide prompt access to specialist services for patients with suspected breast cancer to facilitate early diagnosis and treatment.