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REMEDY : BNSSG referral pathways & Joint Formulary

Upper GI - 2WW

Checked: 31-01-2020 by vicky.ryan Next Review: 29-01-2021

Service Overview

Services provided by UHBristol at Bristol Royal Infirmary and NBT at Southmead Hospital and WAHT at Weston General 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.

 

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

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).

At time of referral please issue the patient information leaflet below:

BNSSG  2WW Patient Information Leaflet. - COVID-19 Edition

Link to leaflet on CCG website: https://bnssgccg.nhs.uk/library/understanding-two-week-wait-urgent-referrals-and-covid-19/

The leaflet via this link is available in English and 14 additional languages.

 

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).

At time of referral please issue the patient information leaflet below:

BNSSG  2WW Patient Information Leaflet. - COVID-19 Edition

Link to leaflet on CCG website: https://bnssgccg.nhs.uk/library/understanding-two-week-wait-urgent-referrals-and-covid-19/

The leaflet via this link is available in English and 14 additional languages.