Author: Williams C.; Byrne R.; Holden D.; Sherman I.; Srinivasan V.
Abstract: Aim: To audit the two week rule head and neck cancer referral pathway, with regards to its appropriate usage and the data obtained from it, and to compare this to an audit performed ten years prior. Method: A list of two week rule referrals received by Wirral University Hospital between 1st January and 30th June 2012 was obtained. Proformas and case notes were reviewed to obtain data. This was compared with the previous audit from 2002. Results: 357 referrals were received during 6 months, compared to 149 throughout 2002. 17% of referrals were incorrectly completed, improved from 37% previously.
Overall pick up rate of cancers diagnosed as a result of two week referrals has fallen slightly to 5% from 9%. Conclusion: The number of two week rule referrals made to ENT has increased over the past 10 years. Although improvements have been made regarding the quality of these, inappropriate and incomplete referrals are still received. Modifications to the proforma, and increasing education to primary care providers should be considered to improve both the quality of patient care, and the pressure of these referrals on ENT departments.
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