Urgent Suspected Cancer Referrals

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GPs, dentists and optometrists are advised to use the pan-London Urgent Suspected Cancer (formally 2ww) referral forms listed in the How to refer section below.

For details of how to refer for the most common tissue-specific cancers, see the tissue-specific dedicated service pages in the related services list below. 

For details of how to refer in the case of non-specific symptoms, see the Urgent Suspected Cancer for Non-Specific Cancer Symptoms: Rapid Diagnostic Centres page.

For breast pain, consider the Breast Pain Clinic at RFL.

Patients who are referred onto a suspected cancer pathway should be diagnosed or have cancer ruled out within 28 days. Please advise patients to prioritise being available for further appointments and investigations within the next 28 days. Consider sharing the NCL Cancer Alliance's Your Cancer Pathway Support Guide, which offers comprehensive support for patients who are referred on a suspected cancer pathway or who have been diagnosed with cancer. 

It is important for practices to have a robust safety netting system. For information see the EMIS user guide.

GP Direct Access Imaging

See the imaging pages for information and the GP Direct Access Imaging referral form.

How to Refer

EMIS form

Referral methods: e-Referrals

Referrals should be sent via e-RS direct to the hospital.

Urgent referrals for suspected cancer should be sent using the appropriate tissue-specific referral forms:

  • Pan London Urgent Suspected Brain and CNS Cancer Referral Form
  • Pan London Urgent Suspected Breast Cancer Referral Form
  • Pan London Urgent Suspected Children's Cancer Referral Form
  • Pan London Urgent Suspected Haematological Cancer Referral Form
  • Pan London Urgent Suspected Head and Neck Cancer Referral Form
  • Pan London Urgent Suspected Lung and Pleural Cancer Referral Form
  • Pan London Urgent Suspected Ophthalmology Cancer Referral Form
  • Pan London Urgent Suspected Sarcoma Referral Form
  • Pan London Urgent Suspected Skin Cancer Referral Form
  • Pan London Urgent Suspected Upper GI Cancer Referral Form
  • Pan London Urgent Suspected Urological Cancer Referral Form

Where to find the forms

  • NCL Global Documents > Urgent Suspected Cancer (formally 2WW)

Please check that you are using the correct version of the form on your EMIS system. 

Locations

Royal Free London

rf-tr.rfh-registrationteam@nhs.net 020 7433 2973/2974 or 020 8370 9079 https://www.royalfree.nhs.uk

UCLH

uclh.2ww@nhs.net 020 3447 9599 https://www.uclh.nhs.uk

Whittington Health

twowwbookings.whitthealth@nhs.net 020 7288 3736/3542 https://www.whittington.nhs.uk

St Mary's

2wwsmh@imperial.nhs.uk 020 3312 1527 https://www.imperial.nhs.uk

NMUH

northmid.2weekwaitteam@nhs.net 020 8887 2661/2662 https://www.northmid.nhs.uk

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Review date: Friday, 27 March 2026