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Yes I mean the guideline specifically is about women with a family history. So if you have a family history of breast cancer so in a blood relative you can ask your GP about whether you can be referred and if the GPs have a fairly specific algorithm which says if there’s this sort of history they can referred at least to secondary care so that’s your local breast unit, your local family history clinic. And then if you’re high risk you can be referred on to tertiary care to genetic centres and potentially gain access to things like MRI screening..