All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
Northern Devon Healthcare Trust was previously offering a direct flexible sigmoidoscopy both for routine patients and two week referrals prior to the pandemic, but with significant pressures on endoscopy and a significant change in practice with more reliance on q-FIT testing this arrangement has now changed.
Patients seen in a two week wait clinic with rectal bleeding will have their q-FIT test reviewed and if the q-FIT test is high, they will be booked for a colonoscopy, rather than a flexible sigmoidoscopy. If there is concern by the GP to refer patients for a two week referral with rectal bleeding, they should be referred direct to the 2ww clinic. The q-FIT test should be included with the referral.
A flow chart is available on the formulary and referral site. More details about the arrangements are in the letter here.
Publication date: March 2022