Miss Nicola Roche

Miss Nicola Roche

General surgery 03503111

  • Bupa Platinum consultant
  • Fee assured
  • Open Referral network
  • Breast specialist
Bupa Platinum consultant
Fee assured
Open Referral network
Breast specialist

Specialises in

  • Breast surgery

Bupa specialist

  • Breast specialist


  • Face-to-face consultations
  • Video and telephone consultations

About me

Miss Nicola Roche, Consultant Breast Surgeon, consults at Chelsea Outpatient Centre on the King�s Rd and operates at the Lister Hospital. She specialises in the management of all aspects of breast diseases. Her clinics are "one stop" assessment clinics with radiology and biopsy as appropriate. She provides an oncoplastic approach to surgery, which combines plastic surgical techniques with oncological principles. She works in close collaboration with oncologists, geneticists, and plastic surgical colleagues. Her patients also have the support of a dedicated breast care nurse.
Nicola began her medical education in Ireland, graduating from Trinity College Dublin in 1989 before undergoing her specialist training in surgery in London. She was appointed as a Consultant breast surgeon, initially at the Royal Free Hospital in 2002, before moving to The Royal Marsden Hospital in 2006 till December 2023.
She was a trustee of the Association of Breast Surgery (ABS), ABS meetings secretary and member of the Clinical Practice and Standards committee of ABS from 2018-2023. From 2010- March 2024 she has been breast pathway chair of different iterations of local cancer networks: South West London cancer network, London Cancer Alliance, & RMP Cancer Vanguard. Her role in management was driven by the belief that all individuals with breast cancer should have access to the highest quality care. She has worked to reduce variation in care through the setting of guidelines and quality standards, education and research.
Currently she is on HCA breast board and chair of the Lister Hospital breast MDT.

Areas of interest

Minimising over-treatment of breast cancer and the management of ductal carcinoma in situ.

Medical secretaries

Anaesthetists worked with

About me
My qualifications & training
My private practice
Consultant's practices
Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • B2880

    Excision biopsy of breast lesion after localisation - (5-50)

    Lister Hospital (5-50)

  • T9000

    Sentinel node mapping and sampling with blue dye or radioactive probe for breast cancer - (5-50)

    Lister Hospital (5-50)

  • B3140

    Therapeutic mammoplasty for breast cancer - (1-5)

    Lister Hospital (1-5)

  • B2760

    Skin/nipple sparing mastectomy (including axillary node biopsy) - unilateral - (1-5)

    Lister Hospital (1-5)

  • B2820

    Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity - (1-5)

    Lister Hospital (1-5)

  • B2830

    Re-excision of lesion of breast if resection margins are not clear (as sole procedure) - (1-5)

    Lister Hospital (1-5)

  • 20365

    Follow-up out-patient consultation - remote - (1-5)

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