Urgent Suspected Cancer: Other Tissue Types

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For details of prerequisite imaging and how to refer for the most common tissue-specific cancers, see the dedicated tissue-specific 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.

For all other cancer types

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

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.

How to Refer

EMIS form

Referral methods: e-RS

The most common tissue-specific cancers have dedicated tissue-specific service pages (See the Related Services list, below). Urgent referrals for suspected cancer in other tissues should use the forms below.

Imaging needed before referral for USC

  • Referral for lung cancer requires a GP DA urgent chest X-ray
  • For pancreatic, liver or gallbladder cancer include any abdominal CT/MRI/ultrasound scan
  • For brain cancer, include MRI/ CT where available

If imaging results support USC referral, use the forms below.

Referral for USC

Complete the tissue-specific referral form and send directly to the hospital.

  • 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 Upper GI Cancer Referral Form.

Where to find the forms

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

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

Locations

North Middlesex University Hospital

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

Royal Free Hospital

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

University College Hospital

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

Whittington Hospital

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

St Mary's Hospital (Imperial College Healthcare)

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

Downloads

Review date: Friday, 27 March 2026