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

Laryngeal cancer

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) in people

• aged ≥ 45  with persistent unexplained hoarseness or
• a persistent  unexplained lump in the neck

Oral Cancer

• unexplained ulceration in the oral cavity lasting for more than 3 weeks

Consider an urgent referral (for an appointment within 2 weeks) for assessment for possible oral cancer by a dentist in people who have either:

• a lump on the lip or in the oral cavity or
• a red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia  

Consider a suspected cancer pathway referral by the dentist (for an appointment within 2 weeks) for oral cancer in people when assessed by a dentist as having either:

• a lump on the lip or in the oral cavity consistent with oral cancer or

• a red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia

Further information on mouth cancer is available here

Thyroid Cancer

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for thyroid cancer in people with an unexplained thyroid lump

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

The Central Referral Point telephone number is: 01482 604308

Electronic referrals can be made via the NHS e-Referal 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 Head and Neck.

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

2WW patient information leaflet

HEYHT patient information leaflets  
Mouth Cancer Pathway