Suspected Cancer Two-week Referrals (2WW)

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For the latest updates on services during the Covid pandemic, always check the dedicated NCL Covid-19 Guidance and Resources page.

This page covers urgent referrals to see a specialist on the two-week pathway (2WW). Referrals can be made for the following suspected cancers:

  • brain & CNS
  • breast
  • children's
  • gynaecology
  • haematology
  • head and neck
  • lower GI*
  • lung and pleura
  • ophthalmology
  • sarcoma
  • skin
  • upper GI
  • urology

*All patients with symptoms and signs suggestive of possible colorectal cancer should have a FIT test before referral unless they have a rectal or anal mass or anal ulceration. Read the changes to the LGI 2WW Pathway (11 June). See Downloads for how to order/reorder FIT kits. 

For information about cancer referrals, please see the Pan-London referral guide

It is important for practices to have a robust safety netting system. For information about the EMIS Macmillian safety netting template, see the EMIS guide.

See Downloads for cancer patient pathway information leaflets and other information.

How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: e-Referrals

Urgent referrals for suspected cancer should be sent using the appropriate referral forms:

  • 2WW - Brain & CNS Suspected Cancer
  • 2WW - Breast Suspected Cancer
  • 2WW - Children Suspected Cancer
  • 2WW - Gynaecology Suspected Cancer
  • 2WW - Haematology Suspected Cancer
  • 2WW - Head & Neck Suspected Cancer
  • 2WW - Lower GI Suspected Cancer
  • 2WW - Lung Suspected Cancer
  • 2WW - Ophthalmology Suspected Cancer
  • 2WW - Sarcoma Suspected Cancer
  • 2WW - Skin Suspected Cancer
  • 2WW - Upper GI Suspected Cancer
  • 2WW - Urology Suspected Cancer

Where to find the forms

In local EMIS global document library systems, search the 2WW Cancer Referral Forms folder using the keyword format: 'Urology Suspected Cancer' etc.

  • Barnet: BAR Global Documents > 2WW Cancer Referral Forms (BAR GLOBAL)
  • Enfield: ENF Global Documents > 2WW Cancer Referral Forms
  • Haringey: HAR Global Documents > 2WW Cancer Referral Forms
  • Islington: ISL Global Documents > 2WW Cancer Referral Forms

For Camden, please find the form on the Camden EMIS Forms page.

Please check that you are using the correct version of the form on your EMIS system. 

Send by e-Referrals, not fax or email. Book directly with the preferred hospital (not via CHI RSS).

When referring a patient

Please ensure they are aware of the urgency and reason for the referral and are available and willing to attend an appointment within two weeks.

Patient information leaflets are available for some referral types and in 12 languages from Pan-London website.

Visit the Primary Care user guide for 2ww suspected cancer referral information.


Royal Free London
St Mary's
North Middlesex University Hospital


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Last updated: Jan 18th, 2022
Review date: May 25th, 2022