HNY Policy and Pathway Repository - York

Create and submit referral request to the RSS

• Abnormal blood test(s) suggestive of haematological cancer
  For Acute Leukaemia make immediate referral by contacting the Haematologist on-call
  • Chronic Myeloid Leukaemia
  • Chronic Lymphocytic Leukaemia with Hb<10g/L, or Low platelets <100 x109 /L or with the following symptoms night sweats, tiredness and unexplained weight loss
     
• Myeloma
  • With significant paraproteinaemia (lgG>20gLl, 1gA>10g/L) or presence of Bence-Jones Proteinuria – not Polyclonal Light chains or Immunoglobulins
  • With any paraproteinaemia with symptoms of back pain or bone pain, anaemia (Hb <10g/L), acute or deteriorating renal impairment
  • Suggested by imaging and confirmed by paraproteinaemia or Bence Jones Proteinuria
     
• Lymphoma
  For enlarged lymph nodes with no other features, use the Suspected Malignant Lymph Nodes referral form
  • Lymphadenopathy with abnormal FBC
  • Splenomegaly and night sweats and unexplained weight loss

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

• Haematological cancer criteria form
• Patient leaflet
   

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways