Acute Diagnostic Oncology Clinic (ADOC)
Offering rapid access to treatment for cancer-related emergencies
Rapid Diagnostic Cancer Clinic (RDCC)
The ADOC service runs at both Chelsea and Westminster and West Middlesex hospitals.
The clinics are part of the National Rapid Diagnostic Centre programme, and GP’s can refer patients where there is a clinical or radiological suspicion of a new cancer diagnosis, but the patient does not meet an alternative tumour specific pathway. Patients are referred with non-specific but concerning symptoms of a new diagnosis of cancer.
We aim to see patients within five working days. GP’s can refer to the ADOC service through eRS. If there are any queries, GP’s can also contact the ADOC team to discuss any specific issues. Our contact details are listed below.
Referrals must meet criteria and include all relevant results:
- Over 18 years of age
- Clinical or radiological suspicion of cancer
- Does not meet alternative tumour-specific pathways
- Well enough to attend an outpatient clinic
- Aware they may have cancer
Patients may be referred on a non-site specific suspected cancer pathway with clinical presentations such as:
- GP has a “gut feeling” of a new cancer diagnosis, where the referral does not meet alternative tumour specific referral criteria
- New concerning non-specific abdominal symptoms
- New unexplained and unintentional weight loss
- New unexplained or progressive pain
Medical emergencies should not be referred to the clinic and instead should be sent to A&E.
Our filter function tests include:
- Bloods (including FBC, U&E’s, LFT’s, TFT’s, bone profile, HbA1c, CRP, ESR, B12, Ferritin, Folate, iron studies (if anaemic), PSA (male), CA 125 (female), ensure results are in the last 4 weeks
- Quantitative Faecal Immunochemical Test (FIT)
- Chest Xray (preferable)
Chelsea and Westminster Hospital
Our team
- Dr Tom Newsom-Davis, Consultant Medical Oncologist
- Dr Ravindhi Murphy, Consultant Medical Oncologist
- Dr Nikki Shah, Lead GPwSI
- Dr Lucy Sneddon, GPwSI
- Rachel Sharkey, Advanced Nurse Practitioner
- Dr Charlotte Moon, GP SPIN Fellow
Location
AEC (Ambulatory Emergency Care Unit), Ground Floor, Lift Bank D
T: 020 3315 8000
E: chelwest.acuteoncology@nhs.net
West Middlesex Hospital
Our Team
- Dr Tom Newsom-Davis, Consultant Medical Oncologist
- Dr Ravindhi Murphy, Consultant Medical Oncologist
- Dr Sophie Batt, GPwSI
- Dr Laura Thomas, GPwSI
- Dr Thea Mathias, GPwSI
- Claire Kaila, Advanced Nurse Practitioner
- Chloe Cruickshank, Clinical Nurse Specialist
- GP SPIN Fellow
Location
AEC (Ambulatory Emergency Care Unit), Ground Floor
T: 020 8560 2121
E: caw-tr.adocwestmid@nhs.net