2 Week wait
A guide to understanding the 2 week wait referral pathway (NHS).
Suspected but not confirmed...
When cancer is suspected by the GP (or needs ruling out) then the 2 week wait referral pathway is used; this does not mean a patient has been diagnosed with cancer. The 2 Week Wait (2WW) system is an essential part of the UK healthcare system, particularly within the NHS. It is designed to ensure that patients who may have symptoms suggestive of certain cancers receive timely assessments and diagnosis. This guide will provide an overview of what the 2 Week Wait system is, who qualifies, and how it works.
What is it
The 2 Week Wait system refers to the urgent referral pathway for patients who have symptoms that may indicate a potential cancer diagnosis. Under this system, your General Practitioner (GP) can refer you to a specialist within two weeks of your appointment if they suspect you may have cancer.
Purpose of the 2 Week Wait:
The primary aim of the 2WW system is to:
- Ensure that patients with potential cancer symptoms are assessed and diagnosed quickly.
- Reduce waiting times for cancer diagnosis and treatment.
- Enable earlier treatment, which can improve outcomes for patients diagnosed with cancer.
WHO QUALIFIES
Not all symptoms will warrant a 2 Week Wait referral; specific criteria must be met. Some common symptoms that might qualify for urgent referral include:
- Unexplained weight loss
- Persistent changes in bowel or bladder habits
- A lump or swelling that does not disappear
- Unexplained bleeding (e.g., blood in the urine, stool, or abnormal vaginal bleeding)
- Difficulty swallowing or persistent indigestion
- A persistent cough or hoarseness that lasts more than three weeks
GP Assessment:
It's essential to note that a GP will assess your symptoms during your initial appointment. They will consider your medical history, family history, and risk factors when determining whether a 2 Week Wait referral is necessary.
the referral process
Here’s how the 2 Week Wait referral process works:
1. Consult Your GP: If you have concerning symptoms, schedule an appointment with your GP. Be open about your symptoms and your concerns.
2. Referral: If your GP believes you meet the criteria, they will complete a 2 Week Wait referral. This should be done electronically, providing relevant information to the specialist.
3. Appointment: You should receive an appointment with a specialist (usually a consultant) within two weeks of your referral. This is a key aspect of the 2WW system.
4. Diagnostic Tests: During your appointment, the specialist may perform tests (such as blood tests, scans, or biopsies) to investigate your symptoms further.
5. Results: You will typically receive the results promptly, and if necessary, a treatment plan will be discussed.
what to expect
Understanding what will happen during your specialist appointment can help reduce anxiety:
- Discussion: The specialist will discuss your symptoms in detail.
​
- Examinations and Tests: They may perform a physical examination and may order further tests (imaging or biopsies) to gather more information.
​
- Timeframe: While the primary goal is to make a diagnosis quickly, further investigations may take time depending on the tests required.
If you don't hear
If you have been referred under the 2 Week Wait system and do not receive an appointment within two weeks, it’s important to follow up:
- Contact the Specialist’s Office: Get in touch with the hospital or clinic where your referral was sent. They can update you on your appointment status.
- Talk to Your GP: If you encounter any issues, your GP can assist in ensuring your referral is processed.
understanding your rights
As a patient, you have rights regarding your care, including:
- Timely Appointments: You have the right to receive an appointment within two weeks if you are referred under the 2WW system.
- Patient Information: You have the right to receive clear information about your health, treatment options, and any steps involved in the diagnostic process.
conclusion
The 2 Week Wait system is a vital component of the UK healthcare system aimed at ensuring timely assessment and treatment for potential cancer symptoms. If you have concerning symptoms, don't hesitate to speak with your GP about the possibility of a 2 Week Wait referral. Remember, early detection can potentially save lives, and you have the right to advocate for timely healthcare.
Further Signposting...
SUPPORT OUR WORK...
DONATE NOW to help thousands of people affected by health issues at a young age.
1 in 3 people have chronic health issues. A life changing or incurable diagnosis at a young age can happen to anyone. We need your support to help grow our services and provide leading support and education across all major health conditions for anyone. Every donation makes a huge impact and goes directly to the work we do.
