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Pan London Suspected Cancer Referral Forms

Updated Pan London Suspected Cancer Referral Forms are available for EmisWeb, SystmOne, Vision,  MS Word and DXS.

A dedicated 2WW COVID-19 web page has been created to support primary care in the pan London Suspected Cancer Referral pathways during the pandemic, please click here to access

In March 2021 the referral forms were updated and:

  • All forms are now compatible with both Read codes and SNOMED codes
  • Test results from past 6 months are now automatically populated (previous range was 3 months).
  • Indication of the patient’s risk of severe COVID-19 has been removed as a required field [this was added temporarily during the first wave of the COVID-19 pandemic]. Referrers can still record this if necessary, via the ‘additional clinical information’ box.
  • Telephone icons removed from all forms

Further changes have been made to the Haematology, Lower GI, Urology, Lung, Breast and Upper GI forms and can be viewed here.

Referral forms will be uploaded centrally by IT leads in GP Practices within Chelsea and Westminster, Central London, West London, Hounslow, Ealing and Hammersmith and Fulham.

DXS have already uploaded the referral forms centrally in the following CCGs:

Lambeth, Merton, Bexley, Kingston, Richmond, Herts Valley, Southwark, Croydon, Lewisham, and Greenwich.

GPs, dentists and optometrists in all CCGs in the London area are advised to use these forms when referring patients with a suspected cancer, as they contain the updated guidelines from NICE published in 2015 (NG12) as well as additional tumour-specific referral criteria and deviations which have been agreed for the London area.

While guidelines assist the practice of healthcare professionals, they do not replace their knowledge, skills or clinical judgement. NG12 also supports clinicians to refer patients appropriately where cancer is suspected even if the patient does not meet NG12/Pan-London referral criteria.

Referrers should include as much clinical and patient sensitive information as possible to enable swift triage and processing.

Accessing the referral forms and educational information

Use the links below to access the updated referral forms, and see information to support primary care and the patient/carer on their urgent suspected cancer referral pathway.

Finding hospital cancer office contact information

At the top of each referral form is a link providing up-to-date London hospital contact information including email addresses and telephone numbers.

The link is updated regularly. In order to ensure it remains up-to-date, please notify the Transforming Cancer Services Team immediately of any changes to hospital two-week wait or suspected cancer office contact details.

Electronic Referral System (e-RS)

The Electronic Referral System (e-RS) formally choose and book is the preferred booking method for suspected cancer referrals. A national standard set by NHS England states that by October 2018 all first consultant led appointments (including 2ww) should be booked via e-RS. The e-RS improves reliability and patient safety which is consistent with good practice, as well as improving patient experience. If e-RS is not available then referrer should email the referral form to the provider using the directory at the top of each referral form. Fax is an unsafe referral method and should not be used.

2ww E referral primary care user guide

Queries and support

If you have any questions regarding the referral forms or associated educational information please email:

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