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Altered bowel habit


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)

    • Progressive or persistent symptoms that are significantly impacting activities of daily living despite medical management
    • Progressive or persistent symptoms with any of the following concerning features
      • bloody or nocturnal diarrhoea
      • weight loss, ≥5% of body weight in previous 6 months
      • persistent abdominal pain
      • iron deficiency in males and postmenopausal women or unexplained iron deficiency in premenopausal women
      • abnormal imaging
      • patient and family history of bowel cancer or inflammatory bowel disease
  • Category 2
    (appointment within 90 calendar days)

    • Progressive or persistent symptoms despite medical management without concerning features
  • Category 3
    (appointment within 365 calendar days)

    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Patient and family history of gastrointestinal cancer
  • FBC, iron studies results
  • Coeliac serology results

3. Additional referral information Useful for processing the referral

  • Relevant imaging reports
  • Faecal calprotectin
  • Faecal immunochemical test (FIT)

4. Request

Last updated: 13 June 2023