Hello everyone,
My name is Ruth Leyland, and I am the specialist nurse for the Non-Specific Symptoms Rapid Diagnostic Service (NSS RDS) at East Lancashire Hospitals Trust. I'm thrilled to share some insights with you through this guest blog.
Cancer diagnosis pathways have evolved significantly over the years. Common cancers like colorectal, lung, urology, and breast now have established and successful referral systems. However, some patients present with non-specific symptoms such as weight loss, fatigue, or nausea, which don't fit neatly into these pathways. Sometimes, a clinician might have a ‘gut feeling’ that something isn't right, even if the symptoms are vague.
That's where the NSS RDS comes in. It’s a long and complicated name, but in layman’s terms, the service is designed to quickly assess and diagnose patients with these ambiguous symptoms. Our goal is to complete investigations within two weeks and provide a diagnosis within 28 days, ensuring that if a serious condition is detected, treatment can start as soon as possible.
In the past, patients with non-specific symptoms often faced multiple visits to their GP, A&E, or different hospital departments. This not only delayed diagnosis but also increased patient anxiety. Now, the rapid diagnostic service allows GPs to refer patients directly to us, streamlining the process.
If cancer is found, we promptly transfer the patient to the appropriate specialist team. If another condition is detected, patients are referred to the relevant specialist, and if no serious cause is identified, they are discharged back to their GP with advice.
Our primary aim is to provide a faster, earlier diagnosis of cancer or to rule it out, giving patients peace of mind. Most patients do not have cancer, and once it's safely excluded, clinicians can explore other potential causes of their symptoms. This approach not only enhances patient care but also provides a single point of contact, improving the overall patient experience.
We've received overwhelmingly positive feedback on the reassurance and speed of our service. Since I joined the service in October 2022, the number of referrals has doubled and around 8% of those referred are diagnosed with a cancer. This highlights the importance of early and thorough investigations.
If you're experiencing symptoms that concern you—such as a persistent cough, changes in bowel habits, unexplained lumps or pain—please consult your GP urgently. It's better to check and be reassured than to wait and worry.
Through the NSS RDS, we've also identified cases of rheumatoid arthritis, chronic lung disease, irritable bowel syndrome, diverticular disease, and gastritis. Each patient is referred to the appropriate specialist for further assessment or treatment as needed.
If you find yourself referred to our service, rest assured that you will be well taken care of. We provide a patient information leaflet detailing what to expect and how to contact us. This is available in both printable and easy-to-read formats.
Creating the NSS RDS is just one way we are enhancing our services to ensure patients receive safe, personal, and effective care promptly.
Remember, you can play a significant role in reducing your risk of cancer by embracing these seven simple and effective tips:
- Stop smoking – Tobacco contains over 60 cancer-causing chemicals. Quitting smoking also reduces the risk of diabetes and heart disease.
- Maintain a healthy weight – Obesity is the second leading cause of cancer in the UK. Aim for regular exercise and a balanced diet.
- Use sunscreen – Protect yourself from UV radiation to lower the risk of skin cancer.
- Eat a balanced diet – Limit red and processed meats and eat high-fibre foods. Aim for at least five portions of fruits and vegetables a day.
- Stay physically active – The World Health Organisation recommends 150 minutes of exercise weekly to maintain a healthy weight and lower cancer risk.
- Limit alcohol intake – Reduce your alcohol consumption to lower your cancer risk. Consider drink-free days or smaller servings.
- Participate in screening – Early cancer detection through screening can save lives.
Adopting just a couple of these habits can lead to a healthier lifestyle overall. For instance, quitting smoking may make it easier to exercise, which can help maintain a healthy weight. Similarly, a balanced diet supports weight management and overall health.
By maintaining a healthy lifestyle, avoiding exposure to known cancer-causing substances, and participating in preventive measures like vaccines and screenings, you can significantly reduce your cancer risk and stay on the path to good health.
Thank you for reading and remember—early detection saves lives. If you're worried about any symptoms, don't hesitate to seek medical advice.
Stay healthy and take care,
Ruth Leyland