Barts Cancer Centre | For clinicians | GP referrals - Referring urgent suspected cancer patients - two week wait referrals
Barts and The London with Tower Hamlets PCT have a set of forms for referring urgent suspected cancers under the two week wait system, based on the revised NICE guidelines updated in June 2005.
According to the RCGP these guidelines represent the most important advance in the early diagnosis and management of cancer within primary care for a long time and will help clinician precision in pinpointing those patients who require urgent referral. They will assist GPs to evaluate the significance of signs and symptoms so that they can distinguish between those many hundreds of patients who might present with common symptoms, for example, tiredness or a cough, and the few who present with the early symptoms of cancer. They also include how GPs should investigate certain symptoms before deciding to refer, and the type of information which GPs should make available to referred patients.
Additionally, there is a leaflet that can be given to each patient you refer for suspected cancer before leaving your surgery or used in the discussion with them.
The new referral forms and guidelines have undergone extensive consultation across North East London Cancer Network.
There are also investigations suggested and these should be undertaken urgently if available before referral although avoiding unnecessary delay, for example, an urgent chest X-ray in suspected lung cancer. Prompts are also on the forms to help remind GPs about discussing the referral with the patient and where the patient may go straight to test, for example, CT scan for suspected lung cancer and Gastroscopy for suspected upper GI cancer.
New number from Monday 24 January 2011
Tel: 020 7767 3333
E-Fax: 020 7791 9660
Download 2WW - Brain urgent suspected cancer - January 2011.
Download 2WW - Breast urgent suspected cancer - January 2011.
Download 2WW Gynaecology urgent suspected cancer - January 2011.
Download 2WW Haematology urgent suspected cancer - January 2011.
Download 2WW Head and Neck urgent suspected cancer - January 2011.
Download 2WW Lower GI urgent suspected cancer - January 2011.
Download 2WW Lung urgent suspected cancer - January 2011.
Download 2WW Paediatrics - urgent suspected cancer - January 2011.
Download 2WW - Skin urgent suspected cancer - January 2011.
Download 2WW Upper GI urgent suspected cancer - January 2011.
Download 2WW Urology - urgent suspected cancer - January 2011.
NB: We do not treat sarcoma at Barts Cancer Centre. Please refer to the London Sarcoma Service at RNOH/UCLH. The GP referral form and guidance can be found here http://www.londonsarcoma.org/referral-if-you-are-a-doctor.asp