Top tips in colorectal cancer
  1. Refer those with a TRUE UNEXPLAINED IDA (low Hb AND low ferritin) via the 2WW Colorectal pathway
  2. Dark red blood PR is always significant whether accompanied by anal symptoms or not
  3. A persistent (i.e.: greater than 6 weeks) change in bowel habit with increased frequency OR increased looseness chould be referred via the 2WW Colorectal pathway
  4. A change to constipation is a very poor perdictor for significant colonic pathology. Refer ROUTINELY if patient fails to respond to primary care management
  5. It is important to take a family history which will help guide our risk assessment. Relevant family history for colorectal cancer risk should include extragastrointestinal tumours including ovarian, uterine, breast and thyroid
  6. Family history of colorectal polyps (adenomas) may have the same significance as colorectal cancer in the prediction of risk of inherited predispositiion to coloreactal cancer
  7. Flexible sigmoidoscopy is commonly used to investigate isolated anorectal type bleeding without any associated symptoms or risk factors. Please not direct access flexible sigmoidoscopy service is provided by GHNHSFT as well as AQP (In Health and Care UK)
Communication with Primary Care

Where a patient is given a diagnosis of colorectal cancer, the patient's GP will be informed by the end of the next working day. The call is made to the GP practice and if unable to talk to the GP directly a message is left with the receptionist with contact details of the CNS in case there are questions.

2ww Patient Leaflet Ordering

If you would like to order copies of the GCCG 2WW Patient Leaflet, please contact the Cancer Clinical Programmes Team via reception on 0300 421 1500

Palliative Care - Top Tips - GHFT

Please follow the resource link below to the End of Life section for GHFT's top tips for palliative care.