Haematological Cancer

Services

Luton & Dunstable Hospital

Cancer Services

The Luton and Dunstable Hospital NHS Foundation Trust's Cancer Unit is part of the Mount Vernon Cancer Network.  The Network covers a geographical area from North London to mid-Bedfordshire, west to Buckinghamshire and east to Hertfordshire, providing services to a population of two million people. The Mount Vernon Hospital Cancer Centre provides specialist care, including radiotherapy and complex chemotherapy, with the local Cancer Units and the Primary Care Trusts providing routine and on-going care, including chemotherapy.

Oncology services are provided by consultant staff from Mount Vernon, taking part in combined clinics with the Luton and Dunstable hospital staff.

To access the service please visit your GP.

The lead clinician for cancer services is Mr. Mike Pittam, Consultant Surgeon.

Multi-Disciplinary Team (MDT) meetings for all tumour sites are held on a regular basis, mostly weekly, to discuss newly diagnosed or suspected cancer patients.  Some MDT meetings participate in video-conferencing with other Network Teams to encourage wider discussion and input to the patient pathway.  The MDT Office can be contacted on either: 01582 718 268 or 01582 718 099.

HAEMATOLOGICAL Clinics

  • Haematology clinic (3 per week)
  • Joint haematology/oncology clinic

Useful Numbers

Name, Telephone
Dr D Thompson, 01582 497222
Sec. to Dr Thompson, 01582 497109
Dr H Flora, 01582 497965
Sec. to Dr Flora, 01582 497214
Nicola McNiff [CNS], 01582 497521 bleep 409

Who to Refer

Information

  • Be aware that haematological cancers can present with a variety of symptoms that may have a number of different clinical explanations
  • Combinations of the following symptoms and signs warrant full examination, further investigation (including blood count and film) and possible referral:
    • Fatigue
    • Drenching night sweats
    • Fever
    • Weight loss
    • Generalised itching
    • Breathlessness
    • Bruising
    • Bleeding
    • Recurrent infections
    • Bone pain
    • Alcohol-induced pain
    • Abdominal pain
    • Lymphadenopathy
    • Splenomegaly

The urgency of referral depends on the symptom severity and findings of investigations.

Immediate Referral (within a few hours or more quickly if necessary)

Refer immediately patients:

  • With a blood count/film reported as acute leukaemia
  • With spinal cord compression or renal failure suspected of being caused by myeloma

Urgent Referral within 2 Weeks (under 2 week rule)

Refer urgently patients:

  • With persistent unexplained splenomegaly

Investigations

In patients with:

  • Persistent unexplained fatigue, carry out a full blood count, blood film and erythrocyte sedimentation rate, plasma viscosity or C-reactive protein (according to local policy).  Repeat at least once if the patient's condition remains unexplained and does not improve
  • Unexplained lymphadenopathy carry out a full blood count, blood film and erythrocyte sedimentation rate, plasma viscosity or C-reactive protein (according to local policy)
  • Any of the following additional features of lymphadenopathy:
    • Persistence for 6 weeks or more
    • Lymph nodes increasing in size
    • Lymph nodes greater than 2cm in size
    • Widespread nature
    • Associated splenomegaly, night sweats or weight loss

Investigate further and/or refer:

  • Unexplained bruising, bleeding and purpura or symptoms suggesting anaemia, carry out a full blood count, blood film, clotting screen and erythrocyte sedimentation rate, plasma viscosity or C-reactive protein (according to local policy)
  • Persistent and unexplained bone pain, carry out a full blood count and X-ray, urea and electrolytes, liver and bone profile., PSA test (in males) and erythrocyte sedimentation rate, plasma viscosity or C-reactive protein (according to local policy)

Macmillan Cancer Support Rapid Referral Guidelines

Macmillan Cancer Support Rapid Referral Guidelines

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Resources

Map of Medicine Patient Pathway

Map of medicine - suspected myeloma

Map of medicine - suspected lymphoma

NICE Guidelines

Website Resources

Cancer Network

Patient Information Leaflets

Patient information leaflet - Two Week Wait

Macmillan Cancer Support at the Luton & Dunstable Hospital



Last updated: 20/06/2013

Update due: 20/06/2014