We have the best oncologists, surgeons, radiologists, pathologists, haematologists and related medical support staff to go with the multidisciplinary teams. Heretofore, we never saw the like of this. General surgeons treated women who presented with lumps or breast cancer. We now have multidisciplinary teams delivering the appropriate treatment in these centres of excellence. It is an accepted principle that to sustain such a centre one must have adequate case volumes, that is, in excess of 100 individual cases presenting per year.