When should I refer a patient?

  • Before you consider referring a patient for secondary care assessment, have you looked at the helpful Clinical Knowledge Summaries hosted on the NICE website? From peri-anal problems to IBS, there is helpful information to cover a multitude of scenarios.

I want advice

We are happy to provide advice only

I want to refer for investigation

  • If you think further investigation may be required, please use the Colorectal Bundle of tests available on ICE.
  • An anaemia screen, Creatinine & Electrolytes and Faecal Haemoglobin stool test (FIT) are all recommended.
  • Test results will be available on ICE within 2 - 4 working days.
  • If the FIT test reveals that faecal haemoglobin is undetectable, then significant underlying bowel disease is extremely rare.

  • Please include the results of blood and FIT tests in your referral letter because this will facilitate speedy Consultant triage.