Haematology Cancer

Definition/Description

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.

Red Flag Symptoms

No Red Flags Listed

Guidelines on Management

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

Advice can be sought via NHS e-Referral Advice and Guidance

 

Please Note – A&G (via e-Referrals) is mandatory prior to referring. All patients have to be triaged by the Haematology Department

  • All referrals will be reviewed by a Hospital consultant and placed in an appropriate clinic as required.
  • Patients will be appropriately contacted and informed of their appointment by the Hospital.

Exclusions

  • Children under 16 – please refer to services listed on e-Referrals under ‘Children’s and Adolescents’
  • Iron deficiency +/- anaemia - refer to Upper of Lower GI depending on clinical history
  • Heamachromatosis patients – refer to Haematology

 

Referral Criteria/Information

Malignancy suspected:

  • Leukaemia
  • Lymphoma
  • Myeloma

Symptoms:

  • Drenching night sweats
  • Weight loss >10%
  • Severe generalised itching
  • Severe fatigue
  • Breathlessness
  • Unexplained bruising
  • Recurrent Infections
  • Bone Pain

 

Clinical examination:

Lymph nodes

  • Neck
  • Axilla
  • Groin
  • Other
  • Hepatomegaly
  • Splenomegaly
  • Bruising/Petechia
  • Pallor
  • Paraprotein

 

Investigations completed:

  • Hb
  • WCC
  • Neutrophils
  • Platelets
  • Lymphocytes

 

  • Medical history / drugs / allergies
  • Has patient been informed of the reason for the referral?

Additional Resources & Reference

Associated Policies

There are no associated policies.

Specialties

There are no associated specialties.

Places covered by

  • East Riding
  • Hull
  • North East Lincolnshire
  • North Lincolnshire

Hospital Trusts

  • Hull University Teaching Hospitals
Author:
Date created: 26/06/2025, 13:48
Last modified: 26/06/2025, 13:48
Date of review: