Your urgent cancer referral explained
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Your GP has arranged for you to see a hospital doctor (specialist) urgently. This is to investigate your symptoms further. You might have some tests to find out what is wrong and whether or not it could be cancer.
Some of the UK nations have targets around how quickly you will be seen.
In England, an urgent referral means that you should see a specialist within 2 weeks. In Northern Ireland, the 2 week wait ONLY applies if you are referred for suspected breast cancer.
This 2 week time frame is not part of the waiting time targets for Scotland, Wales and Northern Ireland. But wherever you live, you are seen as quickly as possible.
Ask your GP when you are likely to get an appointment.
It is normal to worry when you are urgently referred to see a specialist by your GP. However, more than 9 in every 10 people (90%) referred this way will not be diagnosed with cancer.
Depending on where you live, you might get your appointment directly from your GP surgery, or by phone, post or email.
Check your GP has your current contact details. If your symptoms get worse, tell your GP.
It’s very important that you attend your appointment. If you can’t make it, contact the hospital as soon as you can to rearrange.
If you don’t get your appointment details within a week, contact your GP surgery (or a local contact number if you have been provided with one). Tell them it’s an urgent suspected cancer referral.
Your appointment letter will include: the time, where to go, who you’re seeing and anything you need to do to prepare.
You may be sent straight for tests, or you might see a specialist first. You may need to describe your symptoms again. It could help to write things down in advance.
- Make sure you know where you’re going. Allow extra time in case it takes longer than you expect.
- Take the appointment letter with you, it includes important information such as your hospital number and NHS number.
- Think about arranging things like transport and childcare for the day of your appointment.
- Book time off work as soon as possible – check with your employer if you need to take it as leave, the Citizens Advice website has more information about your rights.
- Try to take a family member or friend with you, they can keep you company and help you to ask questions and remember what was said.
- Bring a pen and paper to write things down. It can be useful to look back at later.
- After some tests you may not be able to drive yourself home, your letter will tell you if you can’t drive.
- Make sure your mobile phone is fully charged.
Sometimes it’s difficult to know what to ask your specialist. Here are a few ideas that might make it easier:
- If my symptoms get worse, who should I contact?
- Should I make any changes to the medicines I’m taking?
- What tests will I need to have?
- How long will the tests take?
- What will the tests feel like?
- Do the tests have any side effects?
- How long will it take to get my test results?
- What am I being tested for and what are you looking for?
- How reliable are the tests?
- Who will give me the test results?
- If I have questions after the appointment, who should I ask?
There are a number of different tests depending on what symptoms you have. You can find information about tests on our Cancer Tests pages.
The appointment letter will include details of any tests you will have and any preparations you need to make. You may need to have more than one test. Call the number on your letter if you have any questions.
The people who do your tests may not be able to give you any immediate information about your test results.
Your specialist, or sometimes your GP, will explain your results.
You may need to have further tests. If you have another appointment, try to bring a family member or friend with you.
The time it takes to receive your results varies – you may have to wait several weeks.
If you have been waiting for your results for longer than expected contact your GP surgery (or a local contact number if you have been provided with one)
NHS England is working towards a new target called the Faster Diagnosis Standard (FDS). This means, you should find out whether you have cancer or not within 28 days of your referral. You can ask your GP about this if you live in England.
Ideally, people would start treatment within a month of diagnosis. There are waiting time targets to start treatment. These are slightly different depending on where you live in the UK.
Go to more information about these waiting times.
If you are diagnosed with cancer you will be given lots of information. Your doctor or nurse will tell you what the next steps are.
If you aren’t diagnosed with cancer, it’s still important that you pay attention to your body. Tell your GP if you notice any new and unusual changes or if your symptoms don’t get better.
A health scare makes some people think about improving their general health, for example by keeping a healthy weight or stopping smoking. These things reduce the risk of cancer. You can also consider screening when you are invited. You can find out more on our health pages.
You can find out more about your diagnosis and treatment options on our cancer type pages.
For information and support you can call our confidential Cancer Research UK helpline, staffed by experienced nurses. They are available Monday to Friday, 9am to 5pm on 0808 800 4040.
It really can help to speak to someone about what you are going through and any worries.
Your local hospital may have a support or information centre. These centres are available for anyone affected by cancer. They have people you can talk to and provide written information. You can also ask your GP surgery for details of local counselling services and support groups.
For more information about local services in different parts of the UK, you can visit
- NHS Choices (England)
- NHS Inform (Scotland)
- NHS Direct (Wales)
- Health and Social Care Online (Northern Ireland)
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