Prostate cancer nurse referral form - Wirral Community NHS Trust - wirralct nhs 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's name, date of birth (DOB), and NHS number in the designated fields. Ensure accuracy for proper identification.
  3. Fill in the patient's address, postcode, telephone number, mobile number, and email. This information is crucial for communication regarding the referral.
  4. Indicate the patient's ethnicity and religion, along with their GP's name and contact details. This helps in understanding patient background.
  5. Confirm whether the patient has given consent for this referral and to share information by selecting 'Yes' or 'No'.
  6. Provide details about the diagnosis and current treatment plan, including the most recent PSA result and Gleason score.
  7. Complete sections on holistic needs assessment and health promotion/survivorship programme by selecting appropriate options.
  8. Specify any additional comments or requirements such as preferred language or communication support needed.
  9. Finally, sign the form, print your name, provide your contact number, date of completion, and your role before submitting it via fax or email.

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Your doctor should arrange for you to see a specialist within 2 weeks if your: PSA level is higher than would be expected for someone of your age. prostate feels abnormal to your doctor after an examination.
The average English general practice makes 300 2WW referrals per year or approximately 65 per FTE GP. This has been associated with an increase in the proportion of cancers detected following GP 2WW referral from 41% to 52%, and a reduction in the 2WW conversion rate from more than 10% to 7%.
The pathway aims to ensure that people are told they have cancer, or that cancer is excluded, within a maximum of 28 days from referral. This pathway from NHS England is based on the National Cancer Vanguard.
Most people with stage I prostate cancer dont show any symptoms. See a doctor right away if you notice blood in your ; this is a common sign of prostate cancer. Benign prostatic hyperplasia and prostatitis have symptoms that may mimic prostate cancer symptoms.
UK referral guidelines Your doctor should arrange for you to see a specialist within 2 weeks if your: PSA level is higher than would be expected for someone of your age. prostate feels abnormal to your doctor after an examination.

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They should tell you if this is an urgent suspected cancer referral. An urgent referral can be worrying. But remember that more than 9 in every 10 people (more than 90%) referred this way will not have a diagnosis of cancer. In England, an urgent referral used to mean that you should see a specialist within 2 weeks.

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