331 patients who attended breast cancer services at Barringtons' hospital between September 2003 and August 2007 fell within the remit of the review. Of these, 285 patients consented to have their files reviewed.
The review team concluded that in only two of these cases was there a significant and avoidable delay in the diagnosis of cancer, and that this delay may potentially have caused harm.
They also found that the diagnosis and treatment of 139 patients was entirely satisfactory.
In the remainder of patients, they concluded there were indications of inappropriate care but they believed no lasting harm would have been caused in the vast majority of these patients.
Some patients who should have had a mammogram or ultrasound did not have one. Many patients underwent surgical biopsy without prior imaging.
In some patients, the lack of effective triple-assessment prior to surgery may have led to unnecessary surgical intervention with its associated risks.
The lack of comprehensive pre-operative assessment often led to the need for two-stage surgery where otherwise all necessary surgery may have been undertaken in a single procedure.
There was a lack of multidisciplinary care for breast cancer patients at the hospital.
26 of the 285 patients whose files were reviewed were recalled for assessment, 24 agreed to this and 22 have now been assessed and been given the all-clear. One of the other two is awaiting test results and another will undergo her assessment this month.