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.

No Red Flags Listed

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

Refer men using a suspected cancer pathway referral (for an appointment within 2 weeks)

• if their prostate feels malignant on digital rectal examination
• if their PSA levels are above the age-specific reference range

Renal cancer

• aged ≥ 45 and have unexplained visible haematuria without urinary tract infection or
• visible haematuria that persists or recurs after successful treatment of urinary tract infection
• aged ≥ 60  and have unexplained non-visible haematuria and either dysuria or
• a raised white cell count on a blood test.

Penile cancer

• if they have a non-painful enlargement or change in shape or texture of the testis
• if they have a penile mass or ulcerated lesion, where a sexually transmitted infection has been excluded as a cause or a persistent penile lesion after treatment for a sexually transmitted infection has been completed
• with unexplained or persistent symptoms affecting the foreskin or glans

Consider a prostate-specific antigen (PSA) test and digital rectal examination to assess for prostate cancer in men with:

• any lower urinary tract symptoms, such as nocturia, urinary frequency, hesitancy, urgency or retention or
• erectile dysfunction or
• visible haematuria

Consider non-urgent referral for bladder cancer in people aged ≥ 60 with recurrent or persistent unexplained urinary tract infection

Consider a direct access ultrasound scan for testicular cancer in men with unexplained or persistent testicular symptoms

The Central Referral Point telephone number is: 01482 604308

2WW Prostate Urology -Hull and East Yorkshire Hospitals NHS Trust (Castle Hill Hospital)-RWA

The previously used 2WW Elevated PSA Triage-Hull and East Yorkshire Hospitals NHS Trust (Castle Hill Hospital)-RWA is no longer available. 

It is important to note that were previously patients were given a dummy (virtual) clinic slot via eRS with instruction not to attend that appointment, the new 2WWProstate Urology service will offer an actual/real clinic appointment which the patient should attend.

The new service can be accessed as before in eRS, by searching:

Speciality: 2WW

Clinic type: 2WW Urology.

HEYHT patient information leaflets  

• Medical History / Drugs / Allergies
• Has patient been informed of the reason for the referral?