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REMEDY : BNSSG referral pathways & Joint Formulary

Upper GI - 2WW

Checked: 25-11-2022 by vicky.ryan Next Review: 25-11-2023

Service Overview

Services provided by UHBW at Bristol Royal Infirmary and Weston General Hospital, NBT at Southmead Hospital. The services are for patients who meet the Upper Gastrointestinal Cancer Two Week Wait criteria. The service offers consultation with diagnostics and onward referral for treatment as required. Please see link for further NICE Cancer Guidelines 2015 - Upper GI Tract Cancers

At time of referral please issue the relevant patient information leaflet as detailed in section below.

Patients with suspected pancreatic cancer should also be referred using the referral form below but also see the Pancreas - 2WW section for further details and link to local pathway.

If advised to refer into MDT, then please submit a 2WW referral to the relevant secondary care team who will ensure that all the required information is available to enable an effective MDT discussion.

Contact details ADULT 2WW:

NBT - Tel on 0117 414 0522 / 0536 / 0537 / 0538 or email to

UHBW - Tel on 0117 342 7641 / 2 / 3 / 4 or email to


Iron Deficiency Anaemia

Please note that iron deficiency anaemia (IDA) alone is not an indication for 2WW upper GI referral. In these cases it is advised that lower GI investigations should be prioritised. Please see the lower GI 2WW criteria initially as 2WW lower GI endoscopy or FIT test may be indicated depending on age and other symptoms. There is also advice on management of IDA in the Anaemia page of Remedy.

If upper GI endoscopy is required then referrals should be sent to a community endoscopy provider (outside of 2WW).

Please see the Endoscopy page for details.

Referral Guidance

At time of referral please issue the BNSSG Understanding Your Urgent Fast Track Referral patient information leaflet.

Referrals to UHBW

Please use the Suspected Upper Gastrointestinal Tract Cancer Referral Form (word doc) to make a 2WW referral (also in EMIS systems).

Referrals to NBT

****COVID-19 Update: Direct to test via ICE has now been switched back on for 2WW referrals so please use this route for suitable patients.****

See the NBT 2 week wait upper GI pathway.

If patients are not suitable for referral via the ICE pathway then please use the Suspected Upper Gastrointestinal Tract Cancer Referral Form (word doc) (also in EMIS systems). Please note: This service has moved to a RAS at NBT. Therefore, you need to select 'send for triage' in eRS rather than selecting a date and time for dummy appointment.