Colorectal Surgery Clinic: UCLH

NCL Wide

All patients referred to the Colorectal Surgery Clinic (CSC) are triaged by a clinician. At triage, some patients will be referred onto the Rapid Access Pathway (RAS), where investigations are requested before the team decide on their next steps (i.e. straight to test). Patients with normal investigations who don't require surgical intervention may be discharged without speaking to a colorectal surgeon in clinic.

CSC kindly asks that you inform patients of this when referring into the service to aid with managing patient expectations.

CSC will also make this clear when communicating with the patient.

The colorectal service is not designed to replace the urgent suspected cancer (USC previously known as 2WW) colorectal cancer referral process.


Eligibility Criteria

Inclusions

Patients who you suspect will need surgical intervention for benign colorectal symptoms e.g.

  • haemorrhoids
  • anal fissures
  • fistula in ano
  • pilonidal sinus
  • complex diverticular disease. 

Exclusions

Patients requiring general gastroenterology investigation e.g.

  • for first diagnosis of inflammatory bowel disease
  • irritable bowel syndrome
  • polyp surveillance.

How to Refer

Please use e-Referrals to refer a patient to this service.

EMIS form

Referral methods: e-RS

Please refer using the adapted NCL Standard Referral proforma.

Where to find the form

  • NCL Global Documents > Colorectal > Colorectal Surgery Referral Form - UCLH

Letter

Referral methods: e-RS

Refer via e-RS 

Urgent cancer referrals, see the Urgent Suspected Cancer Referrals page

How to find service on e-RS

  • Specialty: GI and Liver (Medicine and Surgery)
  • Clinic type: Colorectal Surgery
  • Service name: General Colorectal Surgery Service (RAS) - Colorectal surgery Dept - UCLH

The service is not designed to replace the two-week-wait colorectal cancer referral process.

Provide as much information with the referral to help with patient triage to the most appropriate clinic.


Locations

University College Hospital

Service Feedback



Review date: Friday, 02 October 2026