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
Children's cancers at the Luton and Dunstable Hospital are part of the Paediatric Services. Paediatrics is the medical specialty dealing with the development and care of children and with the diagnosis and treatment of childhood diseases.
The Luton and Dunstable Hospital provides a full range of Acute Paediatric Services with dedicated facilities in a child and parent-friendly environment.
Most children are seen within the Children's Outpatient Department where the staff and surroundings are designed for the comfort and fun of children - and their siblings.
We have seven General Paediatric Consultants, each of whom have special areas of interest. They are complemented by five Locum Consultants, thus ensuring that there is hands-on Consultant cover 24 hours a day, every day.
Dr Dan Thompson (Haematologist) / Dr Stalin Ramprakash
Dr Ramprakash runs weekly Oncology Clinics and fortnightly Haematology Outpatient clinics.
If childhood malignancy is suspected, please contact Dr Ramprakash or the Attending Paediatric Consultant (via switchboard or secretary), to arrange an urgent assessment.
The L&D consultants work in partnership with Tertiary Centres, referring on for further investigations and advice, when necessary. Most paediatric problems can be dealt with locally.
The consultant paediatricians are always happy to discuss difficult cases and assess the urgency of referral. Please contact via secretaries or, for the Attending Consultant via the switchboard.
Paediatric medical GP referrals pass through the PAU for expert assessment, investigation, observation and treatment. Some do not require inpatient stays. Some complex, chronically sick children have open access to contact the PAU for expert advice.
Note: The PCT Paediatric Primary Care filter located in A&E is accessible 9-5 for simple paediatric problems and has reduced some unnecessary visits to the PAU.
All children admitted to the Trust are looked after on the Paediatric Unit.
The beds are divided into three wards, all located on the 4th floor unit:
All children admitted to the hospital are managed on these wards, including children requiring High Dependency care.
All patients can be referred, particularly those covered by the Mount Vernon Cancer Network area - NHS Bedfordshire residents in South Bedfordshire and NHS Luton residents
Refer children and young people who present with symptoms and signs of cancer to a paediatrician or a specialist children's cancer service, if appropriate.
When making a referral, inform the parents and child or young person about the reason for referral and which service they are going to attend so that they know what to do and what will happen next. Establish good communication in order to develop the supportive relationship that will be needed if cancer is found.
Consider referral when a child or young person presents with persistent back pain (an examination is needed and a full blood count and blood film)
Persistent parental anxiety is sufficient reason for referral, even when a begin cause is considered most likely. Take into account parental insight and knowledge when considering urgent referral.
Refer urgently when a child or young person presents:
There are associations between Down's syndrome and leukaemia, between neurofibromatosis and CNS tumours, and between other rare symptoms and some cancers. Be alert to the potential significance of unexplained symptoms in children with such syndromes.
Immediate Referral within a few hours or even more quickly if necessary:
If the blood film or full blood count indicates leukaemia, make an urgent referral
Refer immediately children or young people with either:
Refer urgently children or young people:
Refer immediately children or young people with:
Refer immediately children aged younger than 2 years with any of the following symptoms:
Refer urgently or immediately children with any of the following neurological symptoms and signs:
Refer urgently children aged 2 years and older, and young people, with:
Refer urgently children aged younger than 2 years with:
Most children and young people with neuroblastoma have symptoms of metastatic disease which may be general in nature (malaise, pallor, bone pain, irritability, fever or respiratory symptoms), and may resemble those of acute leukaemia.
Refer urgently children with:
Wilms' tumour most commonly presents with a painless abdominal mass.
Persistent or progressive abdominal distension should prompt abdominal examination
History of an injury should not be assumed to exclude the possibility of a bone sarcoma.
Refer children or young people with:
Refer urgently children with:
Patients outside of the Mount Vernon Cancer Network area are usually referred to Hospitals within their Cancer Network area.
NHS Bedfordshire residents not living in South Bedfordshire, patients not resident in NHS Luton area and North & East Bedfordshire patients are included under the Anglia Cancer Network and are usually referred via Bedford Hospital.
CG27 Referral for suspected cancer: full guideline
CG27 Referral for suspected cancer: quick reference guide
CG27 Referral for suspected cancer: information for the
CG27 Referral for suspected cancer: NICE guideline
NICE Guidance - Improving Outcomes in children and young people
with Cancer - Manual Update - Full Guidance
NICE Guidance - Healthcare Services for children and young
people with Cancer - Information for the Public
Macmillan Cancer Support - Acute Myeloid Leukaemia in
Macmillan Cancer Support - Acute Lymphoblastic Leukaemia in
Macmillan Cancer Support - Hodgkin Lymphoma in Children:
Macmillan Cancer Support - Non-Hodgkin Lymphoma in
Brain Tumours - NHS Choices:
Samantha Dickson Brain Tumour Trust:
Macmillan Cancer Support - Brain Tumours in Children:
Neuroblastoma NHS Choices:
The Neuroblastoma Society:
Action for Sick Children:
Cancer Research UK - Neuroblastoma:
Macmillan Cancer Support - Neuroblastoma:
Macmillan Cancer Support - Rhabdomyosarcoma in children
Bone Cancer (sarcoma) - NHS Choices:
Bone Cancer Research Trust:
Teen Info on Cancer:
Teenage Cancer Trust
Health Talk Online - Teenage Cancer
Macmillan Cancer Support - Osteosarcoma
Macmillan Cancer support - Ewing's Sarcoma:
Retinoblastoma NHS Choices:
Childhood Eye Cancer Trust:
Macmillan Cancer Support - Retinoblastoma:
Mount Vernon Cancer Network - for residents of Hertfordshire and
Last updated: 20/06/2013
Update due: 20/06/2014