New guidelines for referrals from lower GI services 

23/06/2020 00:00 

The gastrointestinal service has changed its guidelines for referrals to the lower GI two-week wait (2WW) pathway as well as its process for new referrals.

A FIT test should be completed in primary care before all referrals.

  1. Referrals received with symptoms of IDA, mass, anal ulceration and marked weight loss (10%)
  • FIT test will be used for stratifying diagnostics.
  • If FIT test results are not provided or not available then clinician will still proceed to investigations.
  1. Referrals received without symptoms of IDA, mass, anal ulceration or marked weight loss (10%) and no FIT test
  • Please indicate clearly on the referral form why a FIT test has not been carried out. We will use this to assist in decision-making about next steps.
  1. Referrals received without symptoms of IDA, mass, anal ulceration or marked weight loss (10%) and FIT test over 10
  • Referral will be accepted and patient booked into a telephone clinic.
  1. Referrals received without symptoms of IDA, mass, anal ulceration or marked weight loss (10%) and FIT test under 10
  • Referral will be accepted and a safety net appointment will be made.

If you are worried about a patient that does not fit the above criteria, or you wish to discuss other concerns, we have turned on our advice and guidance service on e-referrals. We aim to respond to your query within two working days.

Contact: Jade O’Connell, general manager, GI services, jade.oconnell@nhs.net

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