Skip links and keyboard navigation

Rectal bleeding


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)

    • Rectal bleeding with any of the following concerning features
      • dark blood coating or mixed with stool
      • weight loss, ≥5% of body weight in previous 6 months
      • abdominal / rectal mass
      • iron deficiency in males and postmenopausal women or unexplained iron deficiency in premenopausal women
      • patient and family history of bowel cancer (1st degree relative <55 years old)

  • Category 2
    (appointment within 90 calendar days)
    • Rectal bleeding 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
  • Documented duration, age of onset and associated symptoms
  • Rectal examination result
  • FBC, iron studies, U&E results
  • Previous gastrointestinal investigations and results (date and report)
  • Relevant imaging

3. Additional referral information Useful for processing the referral

  • No additional information

4. Request

Last updated: 13 June 2023