HNY Policy and Pathway Repository - York

Create and process referral request via Gateway

• Suspicious CXR result from radiology (including unexplained unilateral effusion)
  Ensure:
  • Patient informed of CXR result and plan for CT
  • CT appointment is given if known (will either be attached to fax from radiology or patient will be contacted by radiology when renal function known)
  • Urgent blood sample (FBC, U&E, LFT, calcium, clotting) arranged
     
• Age >40 with unexplained haemoptysis
  Arrange:
  • Urgent CXR – do not delay 2WW referral
  • Urgent blood sample (FBC, U&E, LFT, calcium, clotting)
     
• Strong suspicion that patient has lung cancer
  Arrange:
  • Urgent CXR – do not delay 2WW referral
  • Urgent blood sample (FBC, U&E, calcium, LFT, clotting)

If your patient does not meet any of the NICE defined USC criteria please liaise (by phone or Advice and Guidance) with a specialist or send them in as an urgent referral. Please do not annotate USC forms with your own criteria.

Patient awareness

• Confirm that your patient understands that they have been referred onto a “suspected cancer pathway”
• Confirm that your patient has received the information leaflet
• Confirm that your patient is available to attend an appointment within 2 weeks of this referral

• Lung cancer criteria form
• Patient leaflet

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways
 

Faster diagnostic pathways

Implementing a timed lung cancer diagnostic pathway