Urgent Alert

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  For the latest North West London health and care information, visit www.nwlondonics.nhs.uk.


Purpose of these guidelines

These guidelines have been developed by the NW London Haematology Clinical Reference Group and are intended to support local GPs as a first point of reference prior to patient referral or before contacting haematology departments through their advice and guidance services.


Urgent Referrals (same day): The urgency of referral depends on symptom severity and findings of any investigations. Please refer patients immediately, and by telephone, to the on call haematologist for:

  • a blood count/film reported as acute leukaemia
  • spinal cord compression or renal failure suspected of being caused by myeloma/lymphoma

Two week wait referrals: GPs can refer a patient they suspect of having a haematological cancer to be seen within 14 days by a specialist. Be aware that haematological cancers can present with a variety of symptoms that may have a number of different clinical explanations.

General haematology referrals: These are non-two week wait referrals, typically used for the evaluation of non-urgent and non-malignant conditions - as detailed within this guideline. Where you are uncertain you are strongly urged to seek advice prior to referral.

Routine Advice and Guidance:  All haematology services offer advice and guidance which can be accessed through local systems.

Comments and observations should be sent to nwlccgs.outpatient@nhs.net