We have developed new referral forms for urgent suspected cancer, with the help of our primary care and secondary care cancer clinical leads. These new forms will help improve the referral process for patients.

This has involved agreeing and standardising guidance for Urgent Suspected Cancer Referral forms in line with NG12.  To complement the revised forms, tumour specific information and education guides have been developed in addition to patient information leaflets.

This work has been supported by the Surrey and Sussex Local Medical Committee (LMC).

The first revised urgent suspected cancer referral forms are for breast, gynaecology, lung, and urology cancers. Find them here in the right-hand column.

Please note: We do not state that any fields are mandatory.  However, it is reasonable for the receiving trust to request clarity or additional information where it is essential for the transfer of care.

Key changes include:

  • All forms follow a consistent format detailing clinical and non-clinical information. 
  • Hyperlinks have been built in for easy access to education on cancer, definitions and NG12 guidance.
  • Forms include auto populated fields (only available for coded information)
  • A link to a downloadable patient information leaflet to hand to your patient at the time of referral.

Download this patient information leaflet to hand to your patient at the point of referral. It explains why they have been referred by you on an urgent suspected cancer pathway and what to expect. Versions available in English and other languages, and easy read.

To access all versions click the button below.

A doctor talking to a patient

Top tip: download the patient information leaflet and save it to your desktop