Breast cancer risk assessment service

For patients who have a family history of breast and/or ovarian cancer 

The cancer risk assessment service (CRAS) is for patients who have a personal and/or family history of breast or ovarian cancer to assess their familial cancer risk and provide guidance on how to manage it. The service is available for patients who live in or are registered with a GP in the boroughs of Bromley, Lambeth, Lewisham or Southwark.

Patients are offered an appointment during which their cancer family history is obtained. A family tree is drawn and risk categorisation is explained.  All patients receive breast awareness, screening and lifestyle advice.

If indicated, patients are referred for enhanced breast screening. Chemoprevention is also discussed if relevant. A small proportion of patients may require a referral to the Genetics Clinic to discuss further options.

Clinics are held in Guy’s Hospital, University Hospital Lewisham and King’s College Hospital. This service is funded by South East London Breast Screening Service.

How to access the service:

 If you are a patient:                                                                                   

  • You can also request a health professional (G.P., Practice nurse, oncologist, surgeon, specialist nurse) refer you

 If you are a health professional:

Patient feedback

  • very informative
  • empathetic nurse who explained the information clearly
  • professional service
  • excellent information provided
  • very helpful advice given

CRAS team


Mrs Rosemary Reeves: Administrator

Mrs Kati Paalosalo-Harris: Lead Breast Cancer Family History Nurse Specialist

Dr Vishakha Tripathi: Consultant Genetic Counsellor

Miss Michelle Weston: Breast Cancer Family History Nurse Specialist

Miss Sarah Rose: Genetic Counsellor