Over 45,000 women are diagnosed with breast cancer each year with this figure rising annually. One in 8 women will develop breast cancer in their lifetime, the risk increases with age with 81% of women diagnosed with breast cancer over the age of 50 years. Under the NHS breast screening programme women over 50 years are invited to attend for regular mammography; this detects small changes in the breast which can indicate breast cancer that is too small to be felt resulting in early detection and treatment. The remaining 19% of women are under the age of 50 years and do not have any regular screening. As a result the breast cancers diagnosed in younger women tend to be larger in size and more aggressive in nature requiring gruelling treatment. -- The aim of this project was to develop an opt in nurse-led breast screening service for women under the age of 50 years, women over 50 years who wanted more regular screening and for women illegible for NHS care. -- Results of the literature review demonstrated that the new technology of digital mammography increased the sensitivity of screening in younger women compared to traditional film mammography. Overall the literature reported a 15-24% relative reduction in breast cancer mortality as a result of regular breast screening when using traditional methods in women over 40 years. This in turn suggests that when using digital mammography the benefit could be higher than this. The literature also concluded that for women under 40 years physical examination is still the best method of detecting breast cancer. -- An organisational diagnosis was undertaken using the McKinsey 7S model and a SWOT analysis to gain an understanding of the alignment of the organisation in which this project took place. Stakeholders were identified by a stakeholder and power analysis and kept engaged throughout the project.