From pre-diagnosis and beyond treatment for breast cancer, many individuals access the breast care nurse specialist team with questions and concerns which then require referral to a breast care clinic. The types of breast care clinics that patients may be referred to are symptomatic/triple assessment clinics, performed in the breast unit, and consultant breast surgeon/oncologist follow-up clinics, performed in the outpatient department. This article describes a retrospective study to investigate direct referrals made by breast care nurse specialists to different types of breast clinics. The aim is to evaluate the appropriateness of the referrals. Results show that all referrals were appropriate and that this service continues to be beneficial to the patient.