The chosen healthcare need this assignment will focus on is breast cancer as more than a quarter of a million people are diagnosed with cancer in the UK each year, Macmillan ( 2007). Breast cancer was chosen as a health necessity because there is a need to increase people's awareness about breast cancer. Additionally during this assignment the sociological and psychological aspect of breast cancer will be examined as well as global national and local initiatives for anyone caring for or caring for someone with breast cancer. Breast cancer develops when a single cell begins to multiply rapidly and form a tumor; some cells break off and travel to other parts of the body starting new tumor cancer research (2004). Breast cancer is the most common cause of cancer in women, Rosto (2009). Although breast cancer in women is common, there are also 341 men in the UK diagnosed with breast cancer in 2008, according to Cancer Research (2011). In the West Midlands there were 4,222 cases of breast cancer in 2009. The number of cancer cases and crude incidence rates continue to increase each year as the West Midlands population ages, West Midlands Intelligence Unit (2011) . Breast cancer mainly affects people aged between 50 and 64 in the West Midlands. Although breast cancer still remains the most common form of cancer in women in the West Midlands, it has a strong negative association with the deprivation usually found in wealthier sections of the population. , West Midlands Intelligence Unit (2010). In 2009, five-year survival rates were greater than 80% for breast cancer patients WMIU (2010). The number of cancer deaths in the West Midlands remained stable over the decade with 13,430 deaths in 20...... middle of paper ...... if the absolute benefits and risks of mammography screening for breast cancer remain a given subject of discussion. Estimates from single randomized trials and screening service programs suggest that between 300 and 500 women need to be screened every 2 to 3 years for 10 years to prevent one breast cancer death.1,2 Harms of screening include the anxiety and distress associated with breast cancer. screening and with suspicious screening results, which do not result in a cancer diagnosis, and overdiagnosis, the latter of which has attracted considerable interest recently.3-6 Overdiagnosis is defined as the diagnosis of cancer as a result of screening that would not have been diagnosed during the woman's lifetime if screening had not taken place. Estimates of overdiagnosis range from less than 10% of cancers diagnosed in a screening program to approximately 50%. Duffy (2010)