Web Referral Form: Symptomatic FIT Service

Guidance

In line with guidance published by the Welsh Government, changes have been made to the guidance and information below, according to the 'New Lower Gastrointestinal 'FIT' National Optimal Pathway'. 

The PHW Symptomatic FIT testing service is suitable for adult patients of any age group with signs or symptoms of potential colorectal cancer as defined in the ‘Welsh Health Circular – New Lower Gastrointestinal ‘FIT’ National Optimal Pathway’. Please ensure the patient meets the criteria before making a referral.

 Criteria:

• FIT should be undertaken in people presenting with signs or symptoms suspicious of colorectal cancer. ACPGBI/BSG advise that a FIT is not required for patients with anal ulceration or anal/rectal mass prior to referral
• We recommend that patients with an abdominal mass suspicious of malignancy should have a FIT undertaken alongside investigation (e.g. CT abdomen) or suspected cancer referral
• There is no indication for FIT in people with upper GI symptoms (e.g. dyspepsia)

Please see ‘Welsh Health Circular – New Lower Gastrointestinal ‘FIT’ National Optimal Pathway’ for more information on pathway and safety netting advice. 

For further guidance, please refer to ACPGBI/BSG national guidance and local clinical pathways. 

Information

• ACPGBI/BSG Guidance - 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)
• Welsh Health Circular - New Lower Gastrointestinal ‘FIT’ National Optimal Pathway
• Laboratory Handbook
• Patient information and instruction leaflets

Please note:

• Once the referral is submitted, a symptomatic test pack will be distributed within one working day, via Royal Mail, to the address specified on the referral form.
• Results can be accessed via Welsh Clinical Portal (WCP) or GPLink. No paper/email copies of results will be issued.
• Results will be available within one working day of sample receipt.

Contact 

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

phw.fit.symptomaticreferral@wales.nhs.uk

or 

01443 235131

This form is intended for requesting Faecal Immunochemical Tests (qFIT/FIT) by a clinician for symptomatic patients according to local arrangements made with participating Health Boards (Betsi Cadwaladr UHB, Cardiff & Vale UHB, Powys THB and Swansea Bay UHB ONLY)

Please complete all the questions below for the referral to be processed.

Form