North Middlesex Rapid Diagnostic Centre pilot project includes patients aged 16-17 with non-specific symptoms

The North Thames Teenagers' and Young Adults Cancer Operational Delivery Network is running a 12-month pilot project to extend referrals to the North Middlesex Rapid Diagnostic Centre to include patients aged 16-17 with non-specific symptoms.

Eligible symptoms include recent onset severe fatigue, unexplained weight loss and/or abdominal pain, where there is a suspicion or 'gut feeling' this may be due to cancer. 

Refer via the existing referral form; choose North Middlesex on eRS. See Downloads for more information.

Rapid Diagnostic Centres (RDCs) offer a diagnostic pathway for all patients with non-specific symptoms that could indicate cancer. Most patients are referred to team to exclude cancer in a particular part of the body. Non-specific symptoms are those that do not indicate the likely site of the tumour. Examples include unexplained weight loss, abdominal pain and the recent onset of fatigue. The role of the RDC is to investigate patients to identify or exclude cancer and either find the cause or suggest further steps to be taken by the GP or another team.

There are RDCs at University College Hospital, North Middlesex University Hospital and at the Royal Free Hospital. GPs across NCL are able to refer patients with non-specific symptoms that might be due to cancer to the RDCs via the e-referrals system. 

RDCs provide a one-stop service where possible and appropriate. This means that patients will be offered the necessary investigations in one visit to the RDC, leading to faster decision making for clinicians and fewer trips to the hospital for patients.  

Reduce the need for multiple cancer referrals 

Where more than one type of cancer could be causing the concern, the RDC route helps to avoid patients being referred to multiple teams. If a patient is diagnosed with a specific cancer (such as bowel, bladder, lung) then the patient will seamlessly transfer to the appropriate specialist team at the same trust, where appropriate.

Consultant-led triage process that enhances the speed and efficiency of pathway

The triage process helps to plan the steps needed at the start of the pathway before the first appointment. This helps the RDCs to plan a one-stop service where possible.

Tests that exclude or identify cancer and then an onward management plan

Each patient that attends an RDC is investigated to aid a faster diagnosis or exclusion of cancer. Patients who are diagnosed with cancer will remain under the care of the RDC until their care is taken on by an appropriate specialist team.

Effective communication between primary and secondary care

The service works to continually improve the exchange of information between primary and secondary care to speed care and support patients. Frequent discussion between primary care and secondary are held to help ensure that suitable patients are referred to the non-specific symptoms pathway and that the current information is sent back to primary care. 

Enhanced support from clinicians, clinical nurse specialists and care navigators

Each trust has a dedicated multi-disciplinary team responsible for the effective running of RDCs and good links with the tumour site teams for the seamless transition of patients who are diagnosed with specific cancers.

Eligibility Criteria

Inclusions

• new unexplained and unintentional weight loss
• new unexplained constitutional symptoms
• new unexplained vague abdominal pain
• GP 'gut feeling' of cancer diagnosis

How to Refer

Locations

North Middlesex University Hospital

Royal Free Hospital

University College London Hospital