Pathway for patients with suspected colorectal cancer Maximum Wait (days) Pathway for patients with suspected colorectal cancer Referral received in secondary care 14 days First Seen Straight to test Colorectal Diagnostic Service Colonoscopy +/- biopsy Flexible sigmoidoscopy 14 Provide information and appropriate level of psychological support throughout the patient journey Colorectal cancer clinically or histologically probable? No Provide patient with information and remove from Cancer Pathway 16-18 years old – refer to Paediatric Oncology (GNCC) for treatment and TYA MDT for discussion 19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion. See TYA pathway Yes Holistic assessment and rehabilitation consideration CT chest abdomen/pelvis MRI pelvis EUA USS Endo anal U/S Staging Investigations Allocate Colorectal CNS Inform patient’s GP of Serious Diagnosis 17 days MDT review of results, plan treatment and consider suitability for clinical trials See Colorectal Rehabilitation Care Pathway liaise and involve healthcare professionals as required Inter Provider Transfer Network Best Practice 31 Outpatient appointment to discuss results and agree treatment options 15 days Decision to Treat 46 16 days First Treatment Chemotherapy Radiotherapy Surgical Resection Supportive Palliative Care 62 Restaging CT/MRI MDT review of treatment plan and consideration for clinical trials Earliest Clinically Appropriate Date (ECAD) For commencement of subsequent treatment Appropriate after care Colorectal Cancer Pathway [final]