Suspected Cancer Referral

This information is for people who have been referred to University Hospitals Plymouth on a suspected cancer pathway.

Please ensure:

  • Your contact details are accurate

  • Where possible you are available to attend appointments, investigations, or treatment at short notice

Find more information about your referral: 

Suspected Breast Cancer Referral

This information is for patients referred on a suspected Breast Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Breast Cancer Pathway. Whilst this does not necessarily mean that you have cancer,  the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment where you will be seen by a Breast consultant, a doctor in training, or a Physician Associate (clinically trained but not a doctor). They will discuss your symptoms, relevant past medical history, family history and any medications you may be taking. 

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway. 

If you are employed, please be prepared to take time off. It is useful for you to bring details of your medication to the appointment.

Please make sure we have your most update to date contact details. Please contact us if these change.

What are the most common investigations?

Not all patients require a scan. If you require any further tests, the team will inform you after they have examined you. The most common investigations are listed below:

  • Mammogram

  • Ultrasound

  • Ultrasound and biopsy

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly. In other cases, we may need to refer you for further investigations.

You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

To contact the Primrose Breast Care Nurses about your care please call 01752 431898.

To contact the Primrose Breast Care Centre about outpatient appointments, dates for your surgery, surveillance imaging or prothesis enquiries please call 01752 432066.

To provide feedback contact the Patient Advice and Liaison Service (PALS) on 01752 439884 or plh-tr.PALS@nhs.net

Suspected Colorectal Cancer Referral

This information is for patients referred on a suspected Colorectal Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Colorectal Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly. 

What happens next?

A Cancer Nurse Specialist (CNS) will call you on the telephone number that you supplied when your GP arranged the referral. During this call the CNS will ask you questions about your health, symptoms, and personal circumstances to advise which investigation(s) you may need.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take a day off because some of the investigations require bowel preparation.

During some of the investigations you may be offered a sedative. If you opt to have sedation, you must have an escort to collect you from your appointment and stay with you for 24 hours. It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Quantitative Faecal Immunochemical Test (QFIT)

  • Colon Capsule

  • Colonoscopy

  • CT Colonography Scan

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly. 

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the Colorectal Nurse Office on 01752 432148.

Suspected Gynaecology Cancer Referral

This information is for patients referred on a suspected Gynaecological Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Gynaecological Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to attend either at the radiology department to have a scan examination or at the gynaecology department to be assessed clinically. 

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Ultrasound examination

  • Biopsies from the womb, neck of the womb or vulva

  • Blood tests 

  • CT or MRI scans

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the Gynaecology admin team on 01752 432628 and select the relevant option.

 

 

 

Suspected Haematological Cancer Referral

This information is for patients referred on a suspected Haematological Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Haematological Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment, where you will be seen by either a Consultant Haematologist or a Specialist Registrar.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Further blood tests

  • Imaging: CT / MRI / Ultrasound

  • Bone Marrow Biopsy

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

Haematology Admin Team:

01752 432591 / 01752 433352 / 01752 430126 / 01752 432595

Email: OncologyandHaematology@nhs.net 

Suspected Head and Neck Cancer Referral

This information is for patients referred on a suspected Head and Neck Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Head & Neck Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Only 1 in 20 patients referred through this pathway will have an underlying cancer diagnosis, but it is important to have your symptoms checked out quickly.

What happens next?

You will be contacted on the telephone number that you supplied when your GP arranged the referral.

You will be invited to an outpatient appointment, where you will be assessed by a member of the Ear, Nose and Throat team or Maxillo-Facial team. At the appointment you will have a history taken and an examination and if appropriate, you may be offered further investigation. 

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment. 

If you are very concerned or feel you need support, please bring someone with you to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Ultrasound neck

  • MRI neck

  • CT neck or chest

  • Biopsy of a lesion or lump

  • Panendoscopy under a general anaesthetic

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the secretary on 01752 439391.

Suspected Lung Cancer Referral

This information is for patients referred on a suspected Lung Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Lung Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to warrant need tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly. 

What happens next?

Your referral will be reviewed within 24 hours by one of the consultants. Shortly afterwards a member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to a CT scan, a clinic appointment or you will be discharged from the service.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • CT Scan

  • PET CT Scan

  • Lung Function Tests

  • Bronchoscopy/EBUS

  • Ultrasound Pleural Biopsy/Aspiration

  • CT Lung Biopsy

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the Lung Fast Track Coordinators on 01752 433142 or 01752 433143.

Suspected Non-Site-Specific Cancer Referral

This information is for patients referred on a suspected Non-Site-Specific Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Non-Site-Specific Suspected Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What does Non-Site-Specific mean?

The service was developed to prevent delays in diagnosis for patients whose symptoms do not fit a currently established cancer pathway. These symptoms can be unexplained weight loss, tiredness, and a loss of appetite.

What happens next?

You will be contacted on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment where a doctor or an Advanced Practitioner will discuss your symptoms, examine you, then decide on the most appropriate next steps. Some people will have a CT scan on the same day.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

We might organise further blood tests, endoscopies, ultrasound scans, or CT scans. If you need a CT, scanner is an open design (not a tunnel).

What happens after your appointment?

All patients are discussed in our Multi-Disciplinary Team (MDT) meeting where we meet with various specialist across the hospital to discuss your case and decide on next steps.

You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you don’t hear within 2 weeks, please contact us on 01752 431315.

Suspected Skin Cancer Referral

This information is for patients referred on a suspected Skin Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Skin Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral.

You will be invited to a telemedicine appointment where a clinical member of the team will take a medical photograph of your lesion. The image and clinical information will be assessed by a consultant, then you and your GP will be notified of the outcome of this assessment via letter within 14 days. 

If your GP has raised high level of concern about your lesion you might be offered a face-to-face appointment with consultant, without attending a telemedicine appointment first.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

If the skin lesion of concern is on your body, please wear loose fitting clothing or something that you can take off easily to avoid delay during the appointment.

What are the most common investigations?

If deemed clinically necessary, a further appointment will be made for you to return for a minor surgical procedure. The most common minor surgical procedures are listed below:

  • Diagnostic skin lesion biopsy under local anaesthetic

  • Excision of lesion under local anaesthetic

What happens after your minor surgical procedures?

All skin biopsies and excisions are sent for histological analysis, the results of which can take some weeks to return.

Once the result is available your consultant or a member of their team will make contact to inform of the findings. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the appointments team on 01752 439937.

Suspected Upper Abdominal Cancer Referral

This information is for patients referred on a suspected Upper Abdominal Cancer pathway only .

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Upper Abdominal Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly. 

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment which could be face to face or a telephone consultation. During this appointment the doctor will ask you questions about your health, symptoms, and personal circumstances to advise which investigation(s) you may need. 

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

It may be helpful if you bring a relative or friend to all appointments.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Telescope examination of the stomach (endoscopy)

  • CT Scan

  • Ultrasound scan

  • Blood tests

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the appointments team on 01752 439937.

Suspected Iron Deficiency Anaemia Cancer Referral

This information is for patients referred on a suspected Iron Deficiency Anaemia Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Iron Deficiency Anaemia (IDA) Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to a telephone consultation with a Gastroenterologist or Nurse Specialist, where they will ask you questions about your health, symptoms, and personal circumstances to advise which investigation(s) you may need.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take a day off because some of the investigations require bowel preparation.

During some of the investigations you may be offered a sedative. If you opt to have sedation, you must have an escort to collect you from your appointment and stay with you for 24 hours.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Colonoscopy

  • Endoscopy (OGD)

  • Quantitative Faecal Immunochemical Test (qFIT)

  • CT scan of colon (CTC)

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the appointments team on 01752 439937.

Suspected Upper Gastrointestinal Cancer Referral

This information is for patients referred on a suspected Upper Gastrointestinal Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Upper Gastrointestinal Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A member of the appointments team will call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an endoscopy examination or an outpatient appointment which could be face to face or a telephone consultation. During this appointment the doctor will ask you questions about your health, symptoms, and personal circumstances to advise which investigation(s) you may need.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off. It is useful for you to bring details of your medication to the appointment.

It may be helpful if you bring a relative or friend to all appointments.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Endoscopy (flexible telescope examination of your oesophagus and stomach)

  • CT Scan

  • Ultrasound scan

  • Blood tests

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the endoscopy appointments team on 01752 438407, or the outpatient appointments team on 01752 439937.

Suspected Urological Cancer Referral

This information is for patients referred on a suspected Urological Cancer pathway only.

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Urological Cancer Pathway.

Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

A nurse will triage your referral and may call you to discuss this if more information is needed. A member of the appointments team will then call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment or a scan. 

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway.

If you are employed, please be prepared to take time off.

It is useful for you to bring details of your medication to the appointment.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • MRI scan

  • Prostate Biopsy

  • Bone Scan

  • CTU Scan

  • Flexible Cystoscopy

  • Ultrasound Scan

  •  X-ray

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly.

In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the Urology admin team on 01752 438973.

Suspected Urological Cancer Referral (Testis)

Why have you been referred?

You have been referred for investigations at Derriford Hospital on the Suspected Urological Cancer Pathway. Whilst this does not necessarily mean that you have cancer, the symptoms and history you have reported to your GP have been considered to need fast tracking. Most people referred on this pathway do not have cancer, but it is important to have your symptoms checked out quickly.

What happens next?

You will be referred straight to ultrasound for a scan by your GP. If this scan shows something that requires further investigation, you will be referred to urology. A urology nurse will triage your referral and scan results and may call you to discuss this and to also organise for you to have some blood tests. A member of the appointments team will then call you on the telephone number that you supplied when your GP arranged the referral. You will be invited to an outpatient appointment.

What do you need to do?

Please be available to attend appointments, investigations, or treatment at short notice to prevent delays in your pathway. If you are employed, please be prepared to take time off. It is useful for you to bring details of your medication to the appointment. Please answer any phone calls from withheld numbers as this may be the hospital trying to make contact with you.

What are the most common investigations?

If you require any further tests, the department will contact you to book the appointment with you. The most common investigations are listed below:

  • Ultrasound Scan

  • Blood tests

What happens after your investigation?

In some cases, we will be able to tell you the cause of your symptoms and offer you treatment or provide reassurance accordingly. In other cases, we may need to refer you for further investigations. You will be contacted about results and any follow up appointments. Your GP will be kept informed throughout this pathway.

Who can you contact?

If you require further information, please contact the Urology admin team on 01752 438973.

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