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'Referral advice' recommendation details

Recommendation details

Referral advice recommendation:General principles of mananging suspected cancer referrals: Cancer is uncommon in children, and its detection can present particular difficulties. Primary healthcare professionals should also be willing to reassess the initial diagnosis or to seek a second opinion from a colleague if a child fails to recover as expected. Discussion with a specialist should be considered if there is uncertainty about the interpretation of symptoms and signs, and whether a referral is needed. There should be local arrangements in place to ensure that letters about non-urgent referrals are assessed by the specialist, the patient being seen more urgently if necessary. The primary healthcare professional should include all appropriate information in referral correspondence, including whether the referral is urgent or non-urgent. The primary healthcare professional should use local referral proformas if these are in use. Once the decision to refer has been made, the primary healthcare professional should make sure that the referral is made within 1 working day. A patient who presents with symptoms suggestive of cancer should be referred by the primary healthcare professional to a team specialising in the management of the particular type of cancer, depending on local arrangements. In patients with features typical of cancer, investigations in primary care should not be allowed to delay referral. In patients with less typical symptoms and signs that might, nevertheless, be due to cancer, investigations may be necessary, but should be undertaken urgently to avoid delay. If specific investigations are not readily available locally, an urgent specialist referral should be made.
Recommendation ID:264
Referral advice category:Urgent

Source guidance details

Guidance ID:CG27
Issue date:June 2005
Paragraph number:1.2.4
Page number:13
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      This page was last updated: 22 August 2012

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      Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.