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This guidance covers the referral of a patient who presents with symptoms suggestive of colorectal or anal cancer to a team specialising in the management of lower gastrointestinal cancer, depending on local arrangements.
In a patient with equivocal symptoms who is not unduly anxious, it is reasonable to 'treat, watch and wait'.
Important Information for the consultant to enable triage straight to test:
Is the patient on any of the following medications?
Aged under 50 with rectal bleeding and any of the following unexplained symptoms or findings (consider):
Aged 40 and over with unexplained weight loss and abdominal pain
Aged 50 and over with unexplained rectal bleeding
Aged 60 and over with either of:
GP's across the South West of England are now able to access the Faecal Immunochemical Test a new diagnostic test for the assessment of patients presenting with lower abdominal symptoms, who are classed as "low risk" but not "no risk," of cancer.
The test should be offered to patients without rectal bleeding, who are:
Please see full guidance on the Implementation of the Faecal Immunochemical Test (qFIT) here.
From the 11th December 2017 the RD&E will only take 2WW referrals via the NHS e-Referral Service for Lower GI. GPs will be able to send their referrals to us by using new functionality called a Referral Assessment Service (RAS)
Please ensure you include:
The referral will be graded by a Clinician, patients will be booked into either a consultant clinic or day case procedure appointment. RD&E will advise the patient if their appointment date and time.
Microtest: Please use No Merge Fields as a Microtest version is currently unavailable.
Publication date: November 2016
Updated with new referral forms: June 2020