AQW 49016/22-27


Ms Connie Egan
Alliance Party
North Down


Tabled Date: 18/06/2026
Answered On Date: 08/07/2026
Priority Written: No


Question:
To ask the Minister of Health to detail any steps his Department takes to communicate red flags for metastatic breast cancer to those at risk.


Answer:
My Department recognises the importance of ensuring that individuals are aware of the signs and symptoms associated with breast cancer, including symptoms which may indicate metastatic or secondary disease.
Individuals previously diagnosed and treated for primary breast cancer are identified as a higherrisk group and are supported through structured followup arrangements, including Self-directed Aftercare (SDA) over the fiveyear follow-up period. This approach provides tailored information on the signs of recurrence or metastatic disease and supports selfmanagement, alongside rapid access back into specialist services where concerning symptoms arise.
Support is further enhanced through holistic needs assessments and health and wellbeing events, which reinforce awareness of symptoms and available support. This is complemented by ongoing engagement with healthcare professionals across primary and secondary care to ensure consistent communication of key information.
Healthcare professionals are supported through Northern Ireland Cancer Network (NICaN) clinical guidance, referral pathways, and ongoing education, including primary care sessions on recurrence and metastatic disease to support early recognition and communication of concerning symptoms. These are underpinned by clinical pathways, where patient information is reviewed at triage to ensure appropriate pathway allocation, with those meeting urgent suspected cancer criteria prioritised for assessment through the regional booking system.
Public awareness activity in Northern Ireland is delivered primarily through the Public Health Agency (PHA), which undertakes campaigns to promote awareness of cancer symptoms and encourage individuals to seek medical advice promptly. These campaigns include information on both common and less well recognised symptoms and are delivered through press activity, social media, and the ‘Be Cancer Aware’ website, which provides accessible information on signs, symptoms, and routes to support.
This work is complemented by partnerships with the voluntary and community sector, including organisations such as Breast Cancer Now and Macmillan Cancer Support, which provide additional information and support to those at increased risk.