Urgent Suspected Cancer Pathway

A suspected cancer referral can be an overwhelming experience. This page has been developed to support you in making the right decisions for you and your needs. It provides key questions to ask during your appointments and consultations. 

What is an urgent cancer referral? 

When cancer is suspected there is a fast route within the NHS to get further tests and specialist advice to rule out cancer. These were previously called 2 week wait referrals but now you will be told whether you have cancer or not within 28 days. More people are being diagnosed with cancer, there is now a 1 in 2 lifetime risk of developing cancer. The earlier we catch it the better the chances are of survival and quality of life. Most people who are referred by their GP on this route will NOT have cancer (9 out of every 10 will not have cancer). It is important that if your GP has referred you for this urgent pathway that you do not miss this appointment. It is important that you avoid where possible, going on holiday during this time.

When will my appointment take place?

You should receive an appointment to rule out suspected cancer from the hospital within 2 weeks from the date that you were referred. 

Where will my appointment be? 

Your GP should be advised where this will take place however you will find this information on your appointment letter or text reminder when you receive it. 

How will the appointment take place?

You may be sent directly for tests, or you might speak to a specialist first. Most appointments will be face to face at the hospital depending on the investigations you may need. Sometimes, you may also have a telephone or video call. The hospital will let you know when communicating with you.

Will I have my appointment before any tests are done?

Your GP may ask you to do some urgent tests too. It is important these are completed before your hospital appointment. Sometimes the hospital will decide if it is faster for you to get a test done before having a consultation with a doctor/nurse (this can be called a ‘straight to test’ appointment). 

What can I do to prepare for this appointment?

The hospital will let you know what you should do to prepare for your appointment. You may wish to consider if you want to bring someone with you and make plans for your travel to and from the hospital on the day. Parking is often very limited and charges will vary depending on the  hospital.

What can I do if I feel worried after being referred?

It is okay and normal to feel worried after being referred for suspected cancer investigations. It may help if you are concerned and have any questions, to ask for a follow up call with your GP before your cancer referral appointment. Remember the majority of people referred in this way do not have cancer.

What will happen at my appointment?

You will be seen by a doctor or a nurse who will carry out a further consultation about your overall health and symptoms to identify the tests that will be required.

What tests will I need to have?

The tests will depend on your individual symptoms. The doctor or nurse that you see will advise which test/s and how to prepare for them as well as how long they will take.

Will I need more than one appointment?

There may be a series of appointments depending on the number of tests and the requirements for each test. It is a good idea to prepare so you can attend all of these, for example to arrange time if you are employed or have care responsibilities. We will try to organise tests on the same day, if possible, but this will depend on capacity. 

Who can I contact if I need help with my appointment?

If you have any questions or need help relating to your referral or appointment(s), please contact Homerton Cancer Referrals Office number on 020 8510 5099 and they will be able to advise.