Under Review — this page was due to be reviewed by Sunday, 25 February 2024. The information shown here may be outdated.

Visit the NCL Cancer Alliance website for details of the 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.

For information on two-week wait (2WW) referrals, see Suspected Cancer Two-Week Referrals (2WW). If there are issues getting an appointment within two weeks, use the Quality Alert System (QAS) form to alert NCL ICB. Direct referrals for urgent diagnostics are available as an alternative to 2WW.

Visit the Cancer Care Resources section for educational materials, DES and QOF guidance (including the 2022-23 NCL guidance pack), information about personalised cancer care, and patient-facing resources.

Visit the Screening topic page for detailed information on cancer screening.

Visit the Planned Care section for for elective care and 2WW wait times.

The Cancer Research UK (CRUK) contract hub has been updated with 2022-23 early diagnosis guidance.

Local initiatives

GPs are reminded to use the faecal immunochemical test (FIT) in both low-risk (DG30) and high-risk (NG12) cases with lower gastrointestinal (GI) symptoms.

Visit the NCL Teledermatology: Dermoscopy page for information about the NCL teledermatology service.

FIT<10 secondary care clinical pathway

Following national guidance and in collaboration with NCL providers, NCL Cancer Alliance has developed pathways within the colorectal services to move patients who have appropriate symptoms from the 2WW pathway to the NCL FIT<10 secondary care pathway. 

If a patient is referred on the colorectal 2WW pathway and they have a FIT<10 but do not have a rectal/anal mass or iron deficiency anaemia, following a clinical consultation with the patient with no alarming symptoms, they may be moved to the FIT<10 pathway for follow up.

See Downloads for the pathway.


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Clinical Leads

NCL Co-Clinical Director, Cancer

Dr Clare Stephens

NCL Wide

GP Cancer Clinical Lead

Dr Zareena Cuddis

Barnet

GP Cancer Clinical Lead

Dr Seema Chaudhari

Camden

GP Cancer Clinical Lead

Dr Nitika Silhi

Enfield

GP Cancer Clinical Lead

Dr Kate Rees

Haringey


Downloads

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Helping people with learning disabilities to attend a cancer screening

NCL Wide
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NCL FIT<10 secondary care clinical pathway (NCL ICB, March 2023)

NCL Wide
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Direct access to urgent diagnostics referral guide

NCL Wide
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Pan-London breast urgent referrals patient information leaflet (NHS England, April 2016)

NCL Wide
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Pan-London suspected sarcoma referral form changes (Healthy London Partnership, May 2018)

NCL Wide
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Urgent referrals patient information leaflet (NHS England)

NCL Wide
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Screening information for transgender and non-binary individuals (PHE, July 2017)

NCL Wide
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Good practice guide for breast, cervical and bowel cancer screening (Healthy London Partnership, January 2020)

NCL Wide
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Pan-London gynaecological urgent referrals patient informationleaflet (NCEL Cancer Alliance, January 2020)

NCL Wide
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Pan-London oesophago-gastric urgent referrals patient information leaflet (NCEL Cancer Alliance, January 2020)

NCL Wide
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Pan-London prostate urgent referrals patient informationleaflet (NCEL Cancer Alliance, January 2020)

NCL Wide
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Myeloma and MGUS: A guide for GPs (Myeloma UK, September 2021)

NCL Wide
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Differentiation of the Cs in lung cancer: Cancer vs COVID-19 (June 2020)

NCL Wide
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Macmillan cancer support and information services

NCL Wide
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Patient information leaflet for urgent suspected cancer referrals during COVID-19 (NHS England, April 2020)

NCL Wide

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Review date: Sunday, 25 February 2024