Patients who have received Systemic Anti-Cancer Treatment (SACT) or radiotherapy, or those at risk of disease related immune-suppression often present to primary care with problems linked to their treatment or disease. The level of risk associated with these problems is significantly increased in this patient group.
The UK Oncology Nursing Society (UKONS) have collaborated with Macmillan GPs to develop their Acute Oncology Guidelines for Primary Care, an easily used risk assessment tool.
- Based on the WHO and CTC toxicity/symptom-grading systems it indicates risk by green, amber or red classification.
- Patients who score red or amber for any presenting symptom should be referred immediately to the local 24 Hour Acute Oncology Advice Line for a full triage assessment. (Please note: within Scotland patients can be referred to the NHS Board endpoints used by the Cancer Treatment Helpline.)
- The tool has been adapted from the UKONS 24 Hour Triage Tool which is widely used by oncology advice lines across the UK.
NOTE: The advice line numbers will differ across the country. Contact your oncology or acute oncology service to identify the number specific to your locality before adding to the tool as a reminder prior to local circulation.