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Where can I get more information and advice? Please speak to a doctor at your practice if you feel that you need any further explanation on why you have been referred. West Cheshire Clinical Commissioning Group Macmillan Cancer Support is available for anyone with questions or concerns about cancer, including family, friends and carers. You can also get more details about the two-week system and information about cancer from these websites and helplines: www.macmillan.org.uk www.canceradvice.co.uk Macmillan freephone helpline: 0808 808 00 00 Monday–Friday 9am–8pm (interpretation service available) Textphone service for deaf or hard of hearing 0808 808 0121 ABOUT YOUR URGENT HOSPITAL REFERRAL This leaflet can also be provided in other formats, such as large print, audio or Braille versions or in other languages, on request. NHS Choices www.nhs.uk Why you need to be seen within two weeks Please read the following in order to understand why your GP has made an urgent referral Why has my GP referred me to hospital? GPs can identify and treat many problems. However, sometimes they need to arrange for you to see a hospital doctor urgently. This may be because: • Your symptoms need further investigations • Your treatment so far has not been effective • Results of early investigations appear unusual Why has my GP asked for a hospital appointment within two weeks? What symptoms might make my doctor refer me urgently? • • • • • • • • • A cough lasting more than three weeks, or coughing blood Hoarseness of the voice for more than six weeks A lump which does not go away A sore or skin ulcer which does not heal A change in the size, shape or colour of a mole Abnormal bleeding Indigestion which doesn’t go away, or keeps coming back A change in bowel or bladder habits Unexplained weight loss An appointment within two weeks means that a problem that may be caused by something serious, like a cancer, can be identified as quickly as possible. Your GP will use national guidelines to help decide whether to refer you to hospital. Although most patients referred under the two week system do not have cancer, it is important to find out one way or the other. This is because most cancers are more likely to be cured if they are treated early. What happens now? The two week appointment system makes sure that the minority of patients who do turn out to have cancer are treated quickly. It is therefore very important that you make yourself available for a two week appointment Does this mean I have a cancer? Many patients referred urgently for an appointment within two weeks do not have a cancer but another, less serious problem. For example, fewer than one in 25 patients referred with a change in their bowel habit or bleeding from the back passage has a bowel cancer. However, it is important that a diagnosis can be made urgently. If you have not already got an appointment time or been advised to contact the hospital, the hospital will soon get in touch with an appointment date and time. If you do not hear from the hospital with 72 hours please contact your GP. The appointment date will be within two weeks. Remember you can bring a friend or family member to your appointment with you for support. It is very important that you do attend your hospital appointment for more tests. This can be a worrying time but please remember that in most cases, serious illness can be ruled out and your mind put at rest. However, if you do need treatment, this can be started as soon as possible. What can I do to help? It is important that you keep all appointments which have been arranged for you. Appointments should only be changed or cancelled under exceptional circumstances. You must let the hospital and your GP know as early as possible if you are going to cancel your appointment. This means another patient can use the appointment slot. Please do your best to be available for a further appointment as soon as possible.