HNY Policy and Pathway Repository - North Yorkshire and York

Create and process referral request via Gateway

• Unexplained and persisting hoarseness for >6 weeks (lung cancer excluded)
• High / cervical dysphagia persisting for > 3 weeks
• Unilateral nasal obstruction Unexplained and persistent lump / mass in neck
• Thyroid lump where scan has shown suspicious features (include scan report)

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 CRUK information leaflet 
• Confirm that your patient is available to attend an appointment within 28 days of this referral (aim is to see and diagnose patients within 28 days)

• ENT cancer criteria form
• CRUK patient leaflet
• CCG patient leaflet (unpublished as out of date)

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways
 

Faster diagnostic pathways

Implementing a timed head and neck cancer diagnostic pathway

• York and Scarborough Teaching Hospitals