Non-urgent suspected cancer referral form

The following form is to be used for non-urgent suspected cancer referrals.

It has been developed to be used as an integrated form in EMIS Web and System One GP clinical systems and designed to optimise the clinical information in the referral to support the safe and effective care of people being referred to hospital for investigations for non-urgent suspected cancer.

Please use the links here to check you are using the most up to date form. The form should be completed in the clinical system even if it has to be emailed.

This form should not be used to refer children.

👉 NCA Non-Urgent (not Urgent Suspected Cancer Forms – Upper GI Endoscopy Under review

👉 Basal Cell Carcinoma BCC Form

Newcastle, Gateshead, Northumberland and North Tyneside, South Tyneside, Sunderland, County Durham and Darlington