Service update

8 January 2021: Cancer Service Provision in NCL

Covid-related pressures are increasing, but cancer diagnostic and treatment services are being maintained. Patients may experience delays, but are safer on a tracked waiting list than waiting at home.

The NCL Cancer Alliance seeks the support of the NCL primary care community in the following ways:

  • Patients with worrying symptoms should be encouraged to contact their GP for advice
  • Any patients with suspected cancer should continue to be referred for urgent diagnosis: eReferrals are being triaged so may not be bookable directly
  • Cancer screening programmes are also staying open: people should continue to be encouraged to take up screening invitations
  • Patients waiting for a diagnosis or with diagnosed cancers should be encouraged to attend appointments at hospital, as trusts have measures in place shown to mitigate the risks of Covid-19 infection

If the situation changes, the NCL Cancer Alliance will ensure that appropriate communications are sent to general practices.

Healthy London Partnership Covid-19 Cancer Referral Resources


Some suspected cancer pathways have been CHANGED in response to Covid-19.  Revised guidance and updated 2WW referral forms have been implemented for certain cancers. 

For the latest Covid-19 related news on cancer referrals and treatment see the Cancer section on the NCL Covid-19 GP intranet. The information is not repeated on this website.

See the Imaging topic page, for details of the single suspected cancer imaging referral form now in use across all NCL providers.


Please remember GPs can refer direct to hospitals for urgent diagnostics and consider this instead of 2WW. For a full breakdown of where and how to refer, read this guide

The Multidisciplinary Diagnostic Centre (GI cancer) is going well. Please continue to refer.

GP one-to-one practice support: cancer research faciliator

Cancer Research UK is able to visit practices individually as and when needed to share the latest local cancer data, provide training and tools on key topics such as cancer screening. Islington’s facilitator Christine Harding is able discuss new NICE guidance with valuable resources, support the completion of SEAs and audits. GPs will be able to review surgery safety netting processes and best practice.

Please contact Christine for further information and/or to set up a visit:

Cancer education 

View the Cancer Education page for learning resources and referral guides.


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2WW Suspected Cancer Referrals

Urgent, two-week referrals for suspected cancer

Bowel Screening

Bowel cancer screening service for men and women aged 60-69

Breast Screening

Breast screening services for women aged 50+

Cancer Genetics Service

Assessment of those who may have a predisposition to cancer

Cervical Screening

Cervical screening services for women aged 25-64

Coordinate My Care

Personalised electronic urgent care plans for those with chronic and life-limiting illnesses

Faecal Immunochemical Test (FIT)

Test for suspected colorectal cancer

Future Matters

Future Matters aims to raise awareness of death, dying and end of life care planning for Islington patients.

Hospice Care

Specialist support and care for people with a serious or life-limiting illness

Islington PCN Social Prescribing Link Workers

SPLWs can provide more support to patients, connecting them with relevant information, advice and local community support and groups.

Lymphoedema Service

Assessment, diagnosis and management of lymphoedema

Macmillan Support and Information Service

Information service for anyone affected by, or who would like to find out about, every aspect of cancer

NCL Cancer Physical Activity Rehabilitation Service: Move4You

A physical activity programme for adults who have had a cancer diagnosis in the past five years

NHS Volunteer Responders

Practices and frontline staff can call on NHS Volunteer Responders during Covid-19 outbreak

Palliative Care (Adults): ELiPSe

Palliative care team for adults

Rapid Access Multidisciplinary Diagnostic Centre

For patients who do not fit the existing, site-specific cancer 2WW pathway OR patients who are too unwell to wait for 2WW appt

Rapid Diagnostic Centres

Replacing Multidisciplinary Diagnostic Centres, for patients who don't fit the criteria for a specific 2WW pathway

Year of Care

Care planning approach

Pathways View All


Enhanced Services View All

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Royal Free Update: Booking 2WW Appointments on e-RS

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Breast Screening Update: Self-referrals for Women Over 71

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Breast Screening Recovery Programme

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Campaign: General Practice is Open, Get Checked for Cancer

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Direct Access Imaging for Suspected Cancer Uses Single NCL Referral Form

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Suspected Urological Cancer: Referral Guidance Issued

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Cervical Screening Affected by Temporary Reagent Shortage

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Cervical Screening: Return to Routine Screening Following Treatment

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Views Sought on Prostate Cancer Pathway Changes

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Faecal Occult Blood Testing: Sampling Reminder

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Cancer Early Diagnosis: Call to Action, Emphasis on Lung Cancer

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Suspected Cancer Referrals: Update

Apr 15th, 2020

Summary NCL Guidance and Update for Suspected Cancer Referrals

Apr 2nd, 2020

Pause in Screening Uptake Initiatives

Apr 1st, 2020

RFL Straight to Test 2WW Triage Clinics: Patient Letter Provided

Feb 26th, 2020

QOF Quality Improvement Guidance for 2020/21: Two New Modules

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Good Practice Cancer Screening Guide Updated

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General Services

Community Services


Mental Health

Social Prescribing

Last updated: Jan 12th, 2021
Review date: May 4th, 2021