Cancer referrals and safety netting
- Endoscopy ‘Please do, Please Don’t Guidance’ This guidance has been issued in order to provide an update to primary care on the recovery of endoscopy services in SE London as well as how primary care colleagues can support patients and staff in conducting a timely investigation.
- SEL Cancer Alliance: Advice for GPs on changes to cancer pathways and safety-netting
- Updated Pan-London Urgent Suspected Cancer (2WW) Referral Forms for Lung, Breast and Lower GI
- Algorithm for primary care covering cancer pathway changes and safety netting
- Patient information on 2ww referral during COVID-19 (Transforming Cancer Team)
- Patient information on 2ww referral for suspected colorectal cancer (Transforming Cancer Team)
- Information for GPs on use of FIT in Colorectal 2WW pathway
All patient must have FIT done before referral, except if anal/ rectal mass or anal ulceration
Education for Primary Care
Early Diagnosis PCN DES Specification: SE London Cancer Alliance, in collaboration with Borough GP Cancer Leads have developed a primary care educational work programme to support PCNs to deliver the Early Cancer Diagnosis PCN DES Specification. This section will be updated regularly with resources to support PCNs in delivering the DES.
- PCN DES Support Guide
- Primary Care Educational Webinar Series (Flyer)
- Primary Care Cancer (Youtube) Webinar Series
Lung Cancer & COVID-19
- Guidance on how to differentiate between symptoms of possible lung cancer and symptoms of possible COVID-19
Personalised care, health and well-being
- Cancer Wellbeing London website to help support self-management and healthy living for those affected by cancer.
The website includes a series of patient information videos which cover a range of topics, including emotional wellbeing, managing fatigue, diet and exercise. Also provides signposting to some of the COVID-19 specific resources and support services, currently available. These cover psychosocial information and support services, physical activity and bereavement information and support.
- Macmillan has also developed a patient hub for patients with cancer who are worried about COVID-19
- Management of patients with suspected prostate cancer. Patients should continue to be referred onto the 2WW pathway for suspected prostate cancer using the pre-COVID referral criteria. These standards have not changed. Within secondary care, Diagnostic clinics and MRI services have been restored and able to manage patients referred with an elevated age-specific PSA.
- Cancer Research UK has produced a handy one-page PDF to help practices support people accessing general cancer screening services during recovery from the Covid-19 pandemic.