Upper GI - 2WW
Service Overview
Services provided by UHBW at Bristol Royal Infirmary and Weston General Hospital, NBT at Southmead Hospital. The services are for patients who meet the Upper Gastrointestinal Cancer Two Week Wait criteria. The service offers consultation with diagnostics and onward referral for treatment as required. Please see link for further NICE Cancer Guidelines 2015 - Upper GI Tract Cancers
At time of referral please issue the relevant patient information leaflet as detailed in section below.
Patients with suspected pancreatic cancer should also be referred using the referral form below but also see the Pancreas - 2WW section for further details and link to local pathway.
If advised to refer into MDT, then please submit a 2WW referral to the relevant secondary care team who will ensure that all the required information is available to enable an effective MDT discussion.
Contact details ADULT 2WW:
NBT - Tel on 0117 414 0522 / 0536 / 0537 / 0538 or email to cancerservices@nhs.net
UHBW - Tel on 0117 342 7641 / 2 / 3 / 4 or email to Ubh-tr.fast-trackreferrals@nhs.net
Iron Deficiency Anaemia
Please note that iron deficiency anaemia (IDA) alone is not an indication for 2WW upper GI referral. In these cases it is advised that lower GI investigations should be prioritised. Please see the lower GI 2WW criteria initially as 2WW lower GI endoscopy or FIT test may be indicated depending on age and other symptoms. There is also advice on management of IDA in the Anaemia page of Remedy.
If upper GI endoscopy is required then referrals should be sent to a community endoscopy provider (outside of 2WW).
Please see the Endoscopy page for details.
Referral Guidance
At time of referral please issue the relevant BNSSG 2WW Patient Information Leaflet - COVID-19 edition, which is available in English and 14 additional languages. There is also an Easy Read version of the leaflet.
Referrals to UHBW
Please use the BNSSG Upper Gastrointestinal Cancer Referral Form (word doc). (updated January 2020) to make a 2WW referral (embedded in EMIS systems).
Referrals to NBT
****COVID-19 Update: Direct to test via ICE has now been switched back on for 2WW referrals so please use this route for suitable patients.****
See the NBT 2 week wait upper GI pathway.
If patients are not suitable for referral via the ICE pathway then please use the BNSSG Upper Gastrointestinal Cancer Referral Form (word doc). (embedded in EMIS systems).