The aim of the service is to establish a vague symptoms clinic for all primary care patients with non-specific signs or symptoms which may suggest cancer but that do not fit a traditional two week wait (2WW) tumour-specific pathway. In line with the Faster Diagnosis Standard (FDS) the Non-Specific Symptoms (NSS) cancer service aims to diagnose patients within 28 days.

Conditions we treat

We are a rapid diagnostic service for patients with non-specific symptoms of cancer. We will refer patients onwards for treatment. If a patient is diagnosed with cancer we will refer to the appropriate specialist team. Some patients with a non cancer significant diagnosis will be referred by us to the hospital specialists.

Treatments we offer

We will refer patients to other hospital specialists for treatment. Treatment may include medication, chemotherapy , radiotherapy or surgery.

Non-site-specific cancer – Rapid diagnostic clinic

Consultation type

Location

Clinic times 

Telephone consultation

St Mary’s hospital
Mint Wing
Ground floor
Chest and allergy department

 Tuesday AM

 Face to face

Charing Cross Hospital
A&E Department building
Ground Floor,
Ambulatory emergency care (AEC)

 Wednesday AM

Telephone consultation

St Mary’s hospital
Mint Wing
Ground floor
Chest and allergy department

 Thursday AM 

 Face to face

St Mary’s hospital
Mint Wing
Ground floor
Chest and allergy department

 Friday PM

 

Patient information

Patient information leaflet

Non-site-specific cancer rapid diagnostic centre

Preparing for appointments

Most first appointments will be conducted in person. If a subsequent appointment is needed, this may be conducted via telephone, video or in person depending on each patients needs. The patient will be seen jointly by a GP (general practitioner) and an ANP (advanced nurse practitioner). If patients would like to attend the appointment with a friend or relative they are welcome to do so. Yes, we would advise patients to bring an updated list of medications, their GP’s contact details and a list of questions.

Face to face appointments will take place at St Mary’s Hospital, Mint wing, ground floor, Chest and allergy department.

Expectation

During the first joint GP/ANP appointment the patient will be assessed. This may include a physical examination and a thorough medical history. Following the assessment, the GP/ANP will review the patient information and discuss the proposed diagnostic investigations with the patient to obtain their consent and agreement of any further tests/investigations.

The in person appointments will take roughly 30 minutes and any follow up telephone consultations will take approximately 15 minutes. At-home test procedures using home test kits will be explored further with the patient if required.

Discussion during the appointment will consist of the patients presenting symptoms and any medical and social history that will support the GP to arrive at a diagnosis.

After the appointment

Follow-up tests will depend on the patient’s symptoms and any tests they may have had already. All proposed diagnostic investigations will be discussed with the patient. The patient will need to come to hospital for the tests. The patient can expect to hear from us via phone, letters, email, text and CIE.

Meet the team

The clinical staff for the service are as follows:

  • Dr Sarah Bull, GP
  • Dr Rochelle Brainerd GP
  • Mrs Sylvia Turner (advanced nurse practitioner)
  • Mrs Tracy Ashton (advanced nurse practitioner)
  • Miss Chantel Sousa (patient pathway coordinator)

Referrals

Referrals will only be accepted from primary care. GPs can refer patients to the non site specific cancer rapid diagnostic clinic service using the referral form via C the signs platform and/or System One.

A referral assessment service (RAS) will be undertaken upon receipt of referral.

Additional information

Email address for GPs and internal queries only: imperial.nssrdccancerclinic@nhs.net

Further online resources