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C&V Symptomatic FIT - Web referral form

 

Symptomatic FIT requests for Cardiff & Vale Health Board

Please complete all the questions below for the referral to be processed. Once the referral is received in the laboratory a symptomatic test pack will be sent to the patient’s address via Royal Mail.

We would recommend the following for adult patients of any age group presenting with signs or symptoms of a suspected diagnosis of colorectal cancer (CRC) including those that present with per rectal bleeding and iron deficiency Anaemia in line with national guidance published in July 2022. Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) (bmj.com)

 

Please consider the following:
1. Clinical assessment of the patient by with abdominal and rectal examination
2. Recommended standard blood tests to include full blood count, ferritin, routine biochemistry (bone/liver/kidney), TFTs, coeliac serology if not done in the last 3 months. Consider Faecal calprotectin for diarrhoeal symptoms (age <50)
3. Please request for a FIT test and refer to secondary care on the USC pathway if the test is >=10mcg/g*. Referrals without a FIT result may result in return of referrals.

 

* Do not delay a USC secondary referral or wait for FIT results for the following: 

1. A palpable abdominal/rectal/anal mass or anal ulceration

2. Abdominal pain with obstructive symptoms

3. Iron deficiency Anaemia in males or postmenopausal woman

 

For further guidance please refer to health pathways and local clinical pathways
 

Contact 

For any queries about a Symptomatic FIT referral, please contact:

phw.fit.symptomaticreferral@wales.nhs.uk

or 

01443 235131

 

Please note - changes have been made to the referral form below in line with national guidance published in July 2022. Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the Association of Coloproctology of Great Britain and Ireland (ACPGBI) and the British Society of Gastroenterology (BSG) (bmj.com)