1. Acute Oncology Service (AOS) Monday – Friday 8am – 4pm Bleep: 946 T: 020 8401 3000 x5726 F: 020 8401 3513 Dr Nicola Beech Dr Jillian Noble Dr Susannah Stanway Miss Robyn Jenkins Advanced Nurse Practitioner (AOS Lead) Consultant Oncologist AOS Administrator

2. Who and how to refer Any patient with known diagnosis of cancer, presenting with a complication from their disease or treatment Any patient with suspected diagnosis of cancer. Referral pathway: Bleep 946 Ext 5726

3. 2013JANFEBMARAPRMAYJUNJULYAUGSEPOCTNOVDECTOTALS Number of referrals 464567645738534866334166624 Known primary site263444434028252834282243395 Suspected20112321171028203251923229 Known Cancer Centre 263336 3220212430241741340 RMH232732262819 202861433275 OTHER3641041242183865 AOS referrals

4. GP referrals 61 GP practices 6786 urgent referrals suspected cancer (2012/ 2013) Conversion rate 9.82 (4 th highest LCA) 1678 new cancer registrations (2011)

5. ULCN (unexpected likely cancer notification) NCIN report (2010) ¼ patients in England are first diagnosed following an emergency presentation – Over 70’s 1 in 3 particularly brain(70%), pancreas(55%) and liver(52%) – Poor 1 year survival rates Improving early cancer diagnosis is a key aim of the national cancer strategy (2011)

7. MUO CNS To provide support and information to patient To improve coordination of diagnostic pathway To speed time to diagnosis Source expertise for GPs and colleagues

8. Future developments Ambulatory care facility to avoid admission Outpatient clinic Trust wide dissemination protocols and pathways Trust wide education programme Acknowledgements: Macmillan for funding MUO/ CUP CNS