Terms used in this guideline
Children From birth to 15 years.
Children and young people From birth to 24 years.
Consistent with The finding has characteristics that could be caused by many things, including cancer.
Direct access When a test is performed and primary care retain clinical responsibility throughout, including acting on the result.
Immediate An acute admission or referral occurring within a few hours, or even more quickly if necessary.
Non‑urgent The timescale generally used for a referral or investigation that is not considered very urgent or urgent.
Persistent The continuation of specified symptoms and/or signs beyond a period that would normally be associated with self‑limiting problems. The precise period will vary depending on the severity of symptoms and associated features, as assessed by the health professional.
Raises the suspicion of A mass or lesion that has an appearance or a feel that makes the healthcare professional believe cancer is a significant possibility.
Safety netting The active monitoring in primary care of people who have presented with symptoms. It has 2 separate aspects:
timely review and action after investigations
active monitoring of symptoms in people at low risk (but not no risk) of having cancer to see if their risk of cancer changes.
Suspected cancer pathway referral The patient is seen within the national target for cancer referrals (2 weeks at the time of publication of this guideline).
Unexplained Symptoms or signs that have not led to a diagnosis being made by the healthcare professional in primary care after initial assessment (including history, examination and any primary care investigations).
Urgent To happen/be performed within 2 weeks.
Very urgent To happen within 48 hours.
Young people Aged 16–24 years.