HNY Policy and Pathway Repository - Humber

These forms are only to be used for referrals with a high risk of cancer.  To assist you in evaluating the potential risk for cancer the QCancer assessment can be beneficial. QCancer has been developed for the UK with risk algorithms.  This tool will only provide a level of risk of cancer and is not a diagnosis tool.

Our commissioned acute providers have asked that you bear in mind when sending in a 2 week wait referral to check:

1. Has it been explained to the patient that this referral is for investigations that could lead to a cancer diagnosis?
2. Have you checked that the patient will be available in the next 14 days to attend an appointment?
3. Have you provided the patient with further information about the appointment? A leaflet is available in additional documents
4. Check patient’s contact details are up to date

Assessment according to referral form is as follows:-

History

1. Rapidly Progressive Focal Deficit
2. Seizures
3. Raised Intracranial Pressure
4. Mental State Changes

Examination Findings

Higher Mental Functions

• Alert
• Orientated
• Attentive
• Forgetful
• Dysphasic

Cranial Nerves

• Papilloedema
• Extracular Muscle Palsy
• Visual Field Loss
• Facial Weakness
• Unilateral Deafness

Limbs

• Ataxia
• Hemiparesis
• Hemisensory Loss

Please complete all referral forms sections and Fax to: 01482 675505

The Central Referral Point telephone number is: 01482 604308

Electronic referrals should be made via the NHS e-Referral system. Services for a 2 week wait, suspected cancer are found by searching on speciality for 2ww and then selecting the clinic type i.e. 2ww Brain.

HEYHT Patient Information Leaflets