Cancer referrals

Two week wait

All suspected cancer two week wait services are available via the NHS e-Referral Service (e-RS).

To avoid any delays to patient care, please ensure the correct two week wait form and service is selected and sent via the e-RS. Referrals sent outside of the e-RS will not be accepted.

Please contact the e-RS team if you have any questions on the two week wait services available on e-RS.

• 0121 371 7060

Brain service

UHB do not offer a two week wait brain service. Patients will need a scan to access the service. GPs can request a scan by completing the brain cancer direct access to MRI referral form.

If there is no tumour following the scan a routine referral to the patient’s local neurology service should be completed.

If a scan has taken place within the last six weeks that shows a tumor or possible tumor, GPs will need to complete a neuro-oncology referral form. If the scan was not completed within the last six weeks a scan must be requested using the brain cancer direct access to MRI referral form.

See also

NHS e-Referral ServiceInformation for GPs on referring patients to University Hospitals Birmingham using the NHS e-Referral Service.

Downloads

Breast cancer (female) referral form (0.07 MB)

Breast cancer (male) referral form (0.05 MB)

Colorectal cancer referral form (0.21 MB)

Gynaecological cancer referral form (0.06 MB)

Haematology cancer referral from (0.08 MB)

Head and neck cancer referral form (0.25 MB)

Iron deficiency anaemia (IDA) referral form (0.08 MB)

Lung cancer referral form (0.04 MB)

Neuro-Oncology MDT Referral Proforma

Non-specific symptom referral form (0.07 MB)

Sarcoma referral form (0.05 MB)

Skin cancer referral form (0.06 MB)

Upper gastrointestinal (GI) cancer referral form (0.15 MB)

Urology cancer referral form (0.04 MB)

Faecal Immunochemical Test (FIT) referral form for patients who do not have rectal bleeding/changes in bowel habits (0.04 MB)

Faecal Immunochemical Test (FIT) Request Form (0.08 MB)