Making referrals 

  • GPs

    GPs

    Please refer all bone sarcomas to RNOH

    Please refer all limb, trunk and abdominal wall soft tissue sarcomas to RNOH

    Please refer all non-limb/trunk soft tissue sarcomas to UCLH (e.g. intra-abdominal, retroperitoneal, head & neck, urology, breast, skin)

     

    For GPs in London: To refer suspected sarcoma patients please use the Pan London 2WW referral form.

    For GPs outside of London: To refer suspected sarcoma patients please use the LSESN 2WW referral form.

    Please read the referral guide before making a referral.

    For further information please see http://www.lsesn.nhs.uk/referrers.html

  • Hospital Clinicians

    For hospital clinicians

    Patients can be referred to either the surgical service at the Royal National Orthopaedic Hospital, Stanmore or the oncology service at University College Hospital, whichever is most appropriate.

    All referrals should include:

    • Completed referral form (see below)
    • Referral letter
    • Patient and GP contact details
    • Copies of all imaging on CD
    • Copies of any scan reports and histopathology reports
    • Details of information already given to the patient

    RNOH

    Patients who have a suspected diagnosis of sarcoma, or require limb, trunk or spinal surgery, are best referred to RNOH. To make a referral please download the referral form above and email it to the MDT Office. If you wish to discuss a referral the office can be contacted via the RNOH switchboard. We have a weekly multi-disciplinary team (MDT) meeting on Fridays at 08.00 at which all new referrals are discussed. Your patient will be discussed at the next MDT meeting and a management plan agreed. Please do not biopsy the patient, we will arrange this. If a biopsy or surgery has already been carried out, then we will request pathology slides and blocks for review. Once a diagnosis has been made, the patient will be seen in clinic by a surgeon or oncologist, as appropriate.

    Send completed referral form to:

    MDT Office
    Sarcoma Unit, Muriel Sands House
    Royal National Orthopaedic Hospital
    Brockley Hill
    Stanmore, Middlesex HA7 4LP
    Telephone: 020 8909 5112
    Email: rno-tr.cancerreferrals@nhs.net

    Please note: All referral information has to be received by 3pm on a Wednesday for discussion at that Friday’s MDT. If your case is urgent, please ring us on 020 8909 5111/5600.

    Emergency referrals

    Please use this form when transferring inpatients to RNOH

    UCLH

    Patients who have sarcomas at non-limb/trunk sites (abdomen, gynaecological, head and neck, thorax), or who have metastatic disease, are best referred initially to UCLH. To make a referral please download the referral form above and email it to the Sarcoma MDT Coordinators. If you wish to discuss a referral they can be contacted via the UCLH switchboard. We will arrange for the patient to be discussed in the most appropriate site-specific MDT, and a management plan agreed. Please do not biopsy the patient, we will arrange this. If a biopsy or surgery has already been carried out, then we will request pathology slides and blocks for review. Once a diagnosis has been made, the patient will be seen in clinic by a surgeon or oncologist, as appropriate.

    Send completed referral form to:

    Sarcoma MDT Coordinator
    Oncology Department, 1st Floor Central
    University College London Hospital NHS Foundation Trust
    250 Euston Road
    London, NW1 2PB
    Telephone: 020 3447 4821/4418
    Email: ucl-tr.LondonSarcomaService@nhs.net

  • Private Patients

    If you would like to be referred to the London Sarcoma Service, it is best to ask your GP or your hospital consultant to make the referral, by writing to or telephoning us and sending a referral letter with all your clinical information.

    You can be directly referred to the individual consultant, or if you are not sure which consultant you should see, by referral to Sarcoma MDT Coordinator at UCLH.

    Please bring with you all your medical records, scans, scan reports, pathology reports, and if you are able, slides and pathology blocks from any biopsy or surgery you have had.

    Private patients
    Private patients from the UK can be seen within the London Sarcoma Service by direct referral to the individual consultant, or by referral to Sarcoma MDT Coordinator at UCLH who will ensure that the referral is passed to the most appropriate consultant.
  • Second Opinions

    The London Sarcoma Service regularly receives requests for second opinions and is happy to provide these. We work closely with the Royal Marsden Sarcoma Unit and therefore do not accept referrals for a second opinion if patients have already been discussed there, unless a direct request is made by a clinician from the Royal Marsden.

    Please see our second opinion policy for more information.

    The Sarcoma UK Support Line is an independent resource which can provide information and guidance about the process for seeking a second opinion from the network of sarcoma specialist centres throughout England, Scotland, Wales, and Northern Ireland. The service does not provide second opinions itself or make direct referrals to sarcoma specialist centres on behalf of patients, but has a wealth of information and experience to guide patients and their families, drawing on best practice guidelines on the management and treatment of sarcoma in the British Sarcoma Group guidelines.