<p>Historically within the Wrexham and Flintshire area, patients with arm swelling as a result of breast cancer surgery or radiotherapy (RT) were treated reactively and referred to the lymphoedema service when they the lymphoedema service when they swelling. Following surgery, all patients were given written information on prevention of lymphoedema, including advice on cellulitis, skin care and exercises and were seen postoperatively by the physiotherapist. However, with the consultant’s drive to have patients discharged as soon as possible following surgery, patients are now frequently discharged before seeing the physiotherapist, especially those who have their surgery at weekends.</p>
