Cancers are not ‘cured’ but ‘managed’. One of the major areas of progress with cancers, such as breast cancer, is the benefit of long term therapies for reducing growth rates. This approach requires regular monitoring such that the efficacy of maintenance therapy is rapidly noted and different therapy can be initiated as required. This necessitates regular testing for cancer load. People wish to avoid hospital yet want results interpreted expertly and communicated rapidly. They want tests that do not miss problems yet avoid unnecessary worry. SmartHEALTH aims to develop such an integrated breast cancer monitoring diagnostic eventually useable in a localised and more available setting.