1. Cancer referrels from general practice
Paul gurr ent mkg
Cancer referrels from general practice

2. 2 week wait referrels
Sponsored by government to improve pick up rates

3. yields
10 years ago
%14
Now 1%

4. Number of new cancers is up was 15 for SCC now more like 20+ Tuberculosis stabilised and reduced was 10 a year as neck lumps
Change from smoking and drinking to HPV
Younger age groups 30s, 40s 50s
More advanced cancers
Increase in thyroid cancers

5. Respond better to treatment surgery/chemo-radiotherapy
HPV
Respond better to treatment surgery/chemo-radiotherapy

6. 2 week wait reFerals HARD SYMPTOMS PAIN RELENTLESS AND PROGRESSIVE
RADIATING ESPECIALLY TO EAR

7. HARD SYMPTOMS DYSPHAGIA NOT FOSITS HORSENESS PROGRESSIVE
CF IN MORNING THINK REFLUX
END OF DAY THINK FUNCTIONAL

8. HARD SYMPTOMS
WEIGHT LOSS
B SYMPTOMS

9. SOFTER SYMPTOMS FLUCTUATING VOICE FOSITS
LYMPH NODES PRESENT FOR LONG TIME

10. HOWLERS
TONSILLITIS
SORE THROAT FOR 10 YEARS

11. howlers THROAT PAIN ON EXERTION/RELIEVED BY REST
SUDDEN ONSET OF CATACLYSMIC HEADACHE