HNY Policy and Pathway Repository - York

Create and submit referral request to the RSS

• For Suspected malignant lymph nodes above clavicle:
  • refer by using Suspected Maxillofacial / Head & Neck Cancer Referral Form (category “unexplained and persistent lump/ mass in neck”)
     
• For suspected malignant lymph nodes in patients with previous breast cancer:
  • refer by using Suspected Breast Cancer Referral Form

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
   

Information to include on referral form

• Specify why are there concerns about lymph nodes
• Specify site of suspected malignant lymph node (axilla or groin)

• Malignant lymph node criteria form
• Patient leaflet

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways
 

Faster diagnostic pathways

Implementing a timed breast cancer diagnostic pathway: guidance for local health and social care systems

Implementing a timed breast cancer diagnostic pathway - audit tool