HNY Policy and Pathway Repository - York

Create and process referral request via Gateway

Patients meeting any of the criteria in this section will have a gastroscopy (with clinical assessment) arranged by the hospital:

• Isolated Dysphagia – any age
• Age ≥55 with weight loss and upper abdominal pain
• Age ≥55 with weight loss and reflux
• Age ≥55 with weight loss and dyspepsia
• Upper abdominal mass (suspected oesophago-gastric aetiology)

Patients meeting any of the criteria in this section will have an outpatient appointment arranged by the hospital: Attach copies of the radiology reports with this referral form

• Suspected oesophago-gastric cancer found on imaging
• Suspected primary liver cancer found on imaging
• Suspected gall bladder cancer found on imaging
• Suspected pancreatic cancer found on imaging

Patients meeting this criterion will have an outpatient appointment and an ultrasound scan arranged by the hospital

• Age ≥40 with jaundice (otherwise well)

If patient is unwell and has painless jaundice admit to Medicine on Call

If patient is unwell and has painful jaundice admit to General Surgery on Call

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 information leaflet
• Confirm that your patient is available to attend an appointment within 2 weeks of this referral

• Upper GI criteria form
• Patient leaflet
   

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways