1. TRIAGING REVIEW
1/8/18 – 1/2/2019

2. 2WW REFERRALS TO BRISTOL SARCOMA SERVICE
TRIAGING OPTIONS
ACCEPT REFERRAL AS 2WW
DOWNGRADE REFERRAL IE REJECT AS 2WW BUT ACCEPT AS ROUTINE OR FOR RADIOLOGY/MDT REVIEW
REJECT REFERRAL: eg no prior investigations ordered by GP

3. REFERRAL REVIEW PERIOD 22 WEEKS
Accepted referrals : 91
Downgraded referrals: 34
Rejected referrals 34
TOTAL REFERRALS RECEIVED :156

4. ACCEPTED REFERRALS OPA: 53 BOOKED USS +/- BIOPSY: 52 SURGERY: 35
(includes planned surgery not yet performed)
MDT discussion: 83
(some patients went direct to USS and discharged)

5. DIAGNOSIS FROM ACCEPTED REFFERALS (91)
11 HIGH GRADE SARCOMA
3 ATYPICAL LIPOMATOUS TUMOURS (ALT)
1 GCT
2 FIBROMATOSIS
5 OTHER CANCERS
2 SOLITARY FIBROUS TUMOURS
REST BENIGN 22 LIPOMAS

6. DOWNGRADED REFERRALS (34)
OPA: 11 BOOKED
USS +/- BIOPSY: 9
SURGERY: 9
MDT discussion: 31

7. DIAGNOSIS FROM DOWNGRADED REFERRALS ALL BENIGN
LIPOMA:18
SCHWANNOMA:3
ANGIOLEIOMYOMA:2
LYMPHATIC MALFORMATION: 1
CARTILAGE:1
NOT STATED:1
TSGCT? : 1 (AWAITING PATH FROM SURGERY)
INFLAMMATION: 1
PILOMATRIXOMA: 1

8. CONCLUSIONS 92 OPA SAVED OVER 22 WEEK PERIOD
NO SARCOMA DIAGNOSIS IN DOWNGRADED GROUP
24 OF THE 91 ACCEPTED 2WW REFERRALS RETURNED CANCER/SARCOMA RELATED DIAGNOSIS EG FIBROMATOSIS
1 PATIENT INITIALLY REJECTED AT 2WW TRIAGE AS NO INVESTIGATIONS BOOKED BY GP AND PATIENT WAS ACCEPTED AFTER CONTACT FROM GP

9. FUTURE CHALLENGES CNS COVER WHEN ON LEAVE/SICK
ADMIN SUPPORT: UPDATING SPREADSHEET, SENDING STANDARAD LETTERS,CHECKING FOR RADIOLOGY REPORTS, RINGING GP’S
IMPACT OF NEW RADIOLOGY REVIEW MEETING
CNS TELEPHONE TRIAGING CLINICS TO BE BUILT AND BOOKED
EXTRA CNS WORKLOAD
MRI CAPACITY/REQUESTING