Information for secondary care professionals

Making a Referral to the East Midlands Sarcoma Service MDT

The East Midlands Soft Tissue Sarcoma Service MDT meeting is subdivided into ’retroperitoneal’ (includes intra-abdominal, gynaecological and GIST) and ‘main soft tissue’ (includes extremity, trunk wall and special sites). The ‘main soft tissue’ service is supported by diagnostic triage MDTs.

 

MDT Referral Process

Referrals from hospital specialists/secondary care should be made on an East Midlands Sarcoma Service MDT referral form. The referrals should be emailed directly to the MDT co-ordinator at nuhnt.eastmidlandssarcomaservice@nhs.net. Please take note of the following: 

Referrals must be completed electronically – handwritten referrals will not be accepted

All referral documentation and support documentation should include the full patient name, NHS number and D.O.B.

Current WHO Performance Status must be provided

You must include a clear question for the MDT

All relevant sections of a referral form should be completed

Referrals should be supported with all the relevant documentation. This could include:

histopathology reports

radiology reports and/or details of imaging to import

recent blood results (if not documented on the referral form)

non-NUH MDT outcomes

relevant clinic letters

information about the location of histopathology slides

a copy of the operation note of operative details if an operation has already been done

 

It is essential that you inform your patient about the referral, whether for opinion or anticipated transfer of care, and the potential need for further investigations such as biopsy or imaging. The responsibility of the patient remains with the referrer unless the patient is formally accepted under the care of the sarcoma service following discussion. MDT outcomes will be emailed back to the referrer and it is imperative that these are checked through as additional actions may be required.

 

 

Diagnostic Triage MDT Meetings

The Diagnostic Triage MDT runs on a Monday morning (excluding bank holidays) at two sites within the region, each led by a sarcoma surgeon or oncologist and a specialist sarcoma radiologist. The purpose of these meetings is to review imaging and clinical information prior to diagnosis, recommending any further investigations required and ensuring equity of diagnostic approach.

Please note an up to date ultrasound scan, MRI or other relevant imaging must accompany the referral for discussion at the Triage MDT.

 

If you need an opinion about an uncertain diagnosis based on imaging of the extremities or trunk wall please complete a referral to Sarcoma Triage MDT at the appropriate hospital site:

 

Nottingham University Hospitals- patients from Derbyshire, Lincolnshire & Nottinghamshire

Complete this form EMSS Triage MDT Form   and email to nuhnt.eastmidlandssarcomaservice@nhs.net  

 

See the form attached with the link below:

EMSS TRIAGE MDT Form.docx

 

University Hospitals of Leicester- patients from Leicestershire, Northamptonshire and Rutland

Please contact the sarcoma MDT coordinator at University Hospitals Leicester (UHL) if you need to refer a patient for triage cancercentresarcoma@uhl-tr.nhs.uk

 

Retroperitoneal Sarcoma MDT

The MDT runs on a Monday morning (excluding bank holidays).   A formal referral into the service is required to ensure discussion at the RPS MDT, which must include all the available supporting information as outlined above.

 

If you need an opinion about management of patient who you suspect has retroperitoneal or intra-abdominal sarcoma based on imaging and/or histology please complete a referral to Retroperitoneal Sarcoma MDT and email to nuhnt.eastmidlandssarcomaservice@nhs.net  

 

See the form attached with the link below:

EMSS MDT Form Retroperitoneal Sarcoma.docx

 

 

Main STS (Soft Tissue Sarcoma) MDT

The Main STS MDT runs on Monday afternoon (excluding bank holidays). A formal referral into the service is required to ensure discussion at the soft tissue sarcoma MDT, which must include all the available supporting information as outlined above.

 

If you need an opinion about management of a patient who you suspect has sarcoma (excluding retroperitoneal) based on imaging and/or histology please complete a referral to Main Soft Tissue Sarcoma MDT and email to nuhnt.eastmidlandssarcomaservice@nhs.net  

 

See the form attached with the link below:

EMSS MDT Form Soft Tissue Sarcoma.docx

 

 

Bone Sarcomas

If you suspect that your patient might have bone sarcoma please refer directly to Royal Orthopaedic Hospital, Birmingham

Royal Orthopaedic Hospital - Referral (roh.nhs.uk)

Oncology (cancer) (roh.nhs.uk)