Healthy London > Resources > Pan London Suspected Cancer Referral Forms Version 2 – Vision

Pan London Suspected Cancer Referral Forms Version 2 – Vision

Version 2 of the Pan London Suspected Cancer Referral Forms are now available for EmisWeb, SystmOne (Integrated, Non-integrated), Vision and DXS. Once the new forms have been installed please deactivate and remove all old versions.

If you are a GP practice within the following CCGs, DXS will upload the referral forms centrally to your practice’s IT system:

  • Lambeth
  • Wandsworth
  • Merton
  • Bexley
  • Kingston
  • Richmond
  • Herts Valley
  • Southwark
  • Croydon
  • Lewisham
  • Brent (coverage varies across the CCG, so please check with your IT lead if you are unsure of the provisions within your practice)

GPs, Dentists and Optometrists across 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. 

As well as the referral forms, there is also information on how to alter field codes on the referral forms in EMIS and Vision.

If you are using an older version of Internet Explorer, you may have problems downloading the forms.  Please try using another web browser i.e. Google Chrome. If the problem persists please email


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