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This guidance covers the referral of a patient who presents with symptoms suggesting haematological cancer to a team specialising in the management of haematological cancer, depending on local arrangements
GPs can refer a patient they suspect of having cancer to be seen within 14 days by a specialist. GPs must send the referral within 24 hours of the decision to refer.
Please use the referral forms listed on this page to ensure appropriateness. They have been agreed by the Peninsula Cancer Network.
Be aware that haematological cancers can present with a variety of symptoms that may have a number of different clinical explanations.
Combinations of the following symptoms and signs warrant full examination, further investigation (including a blood count and film) and possible referral:
The urgency of referral depends on the symptom severity and findings of investigations.
Refer patients immediately with:
Refer patients urgently with:
In patients with:
When considering referral take into account other features including: hypercalcaemia, abnormal full blood count, acute kidney injury.
Hodgkin's & Non-Hodgkin's lymphoma
When considering referral take into account any associated symptoms, particularly unexplained high fever, drenching night sweats (with or without weight loss), shortness of breath, pruritus or alcohol-induced lymph node pain
Please attach the following recent pathology results if available (less than 8 weeks old)
Chronic Lymphoid Leukaemia (CLL) is not an indication for a 2 week wait referral
The GP should use e-Referral Service to book an appointment or send the referral.
Please ensure you include:
Please ensure that referrals are booked via NHS e-Referral Service. If no slots are available please defer to provider and the RDE will book the appointment and contact the patient. Please also ensure that referral letters are attached to the system within 24 hours to enable us to book pre appointment tests and scans timely.
This guideline has been signed off by NEW Devon CCG
Publication date: November 2016