Reviewed on : 1 Jun 2024

Reviewed by : Martin Pratt Trainee Advanced Clinical Practitioner UHCW

Expires : 1 Jun 2026

Rectal bleeding

New symptoms of bright red rectal bleeding should be referred to the respective Rectal Bleed Clinic or Colorectal Clinic unless there is an additional reason to suspect colorectal cancer.

Suspicion of Colorectal Cancer to be read in conjunction with Lower GI 2WW GP Gateway Page

Request a FIT test & blood test include FBC, Ferritin, U&E, eGFR

Await FIT result & Follow pathway depending on result of FIT test

UHCW offer a Direct Access Flexible Sigmoidoscopy service for FIT negative patients requested on LGI 2WW form

UHCW offer a “straight to test” service for FIT positive patients (with eGFR result) within 3 months request on LGI 2WW form

Referrals are triaged daily & if patient is suitable Straight to Test (STT) service will be offered

Alternatively patients are assessed in LGI 2WW Clinic

For further information see Faecal Occult Blood Testing (FIT) GP Gateway Page