patient journey. They have the benefit of time and are able to offer longer appointment times than are generally available in Primary Care. They co-ordinate the organisation of investigations and the timely reporting of those with integration with diagnostics, hospital specialties and the cancer of unknown primary multi-disciplinary team. The RDS aim is to diagnose and, where appropriate, refer onwards within 28 days of initial referral.
Year of Service
Year 1
Year 2
Total Numbers of Referrals Received into RDS
257
965
Total Number of Accepted Referrals into the service
245
705
Total Number of Rejected Referrals from the service
12
5%
260
27%
Patients discharged from service with cancer diagnosis
18
7%
65
9.21%
Patients discharged from service with other non-cancer diagnosis
203
83%
498
71%
Patients discharged from service back to GP with no diagnosis
24
10%
135
19%
Patients requiring CT as part of Diagnostic Testing (by RDS)
164
67%
514
73%
ii) Lower Gastrointestinal Support Service (LGISS) - supporting the Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH)
A large proportion of patients referred into the colorectal 2 week wait cancer pathway by primary care do not have bowel cancer. One aspect of the triaging of lower risk patients is by initiating a screening test called a FIT (faecal immunochemical test). Commencing in May 2022, NNPC worked with the NNUH Lower GI team to stream suitable FIT negative patients into a primary care-led rapid diagnostic service where symptomatic patients can receive expert review and relevant diagnostic tests through specialist primary care centres whilst increasing capacity within secondary care for managing those higher risk patients on a 2 week wait cancer pathway.
NNPC Quality Account 2022/23
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