Wandsworth CCG – Faecal Immunochemical Testing Announcement

18th June 2019

We are pleased to announce that Faecal Immunochemical Testing (FIT), as a diagnostic tool for primary care, will be made available to Wandsworth GPs on the 14th June 2019. FIT will be a far more sensitive method of testing for bowel cancer, in comparison to the previously used Faecal occult blood test (FOBT). Ultimately, FIT will have many clinical and patient experience benefits.

The patients who should be offered a FIT should be those who meet the NICE DG30 criteria (as per the new Pan London lower GI referral form) i.e. patients without rectal bleeding who:

  • are aged 50 and over with unexplained abdominal pain or weight loss
  • are aged under 60 with changes in their bowel habit or iron deficiency anaemia
  • are aged 60 and over and have anaemia without iron deficiency.

South West London Pathology (SWLP) will work to ensure that FIT kits are delivered directly to your practice in time for launch. Further information on FIT can be found on the SWLP website (including information on how to order additional kits once your initial supply has run out): https://www.swlpath.nhs.uk/test-information/faecal-immunochemical-test-fit/

As additional support, Cancer Research UK will be providing, to those who request it, GP practice visits to provide additional support with FIT. We highly encourage practices utilise this opportunity, so please contact Razina.Munim@cancer.org.uk to express your interest in having a practice visit.

Please find below the link to a useful Cancer Research UK one-pager, explaining the key differences between FIT as a diagnostic tool for symptomatic patients, and FIT in relation to the national bowel cancer screening programme.

Please note: the FIT threshold used in screening (120ug/g) is different to FIT thresholds in symptomatic patients (10ug/g). This means that patients who have a negative screening result may still have bowel cancer and should be offered a symptomatic FIT test if appropriate.

Please also find below a link to a useful safety netting template that GP practices can use. We highly encourage using this safety netting FIT template, as it will allow for GP practices to monitor and stock take the FIT tests have been administered. It is also CQC, appraisal, and audit friendly.

If you have any further questions please contact o.carter@nhs.net or Andre.Chagwedera@swlondon.nhs.uk


Resources

Cancer Research UK Infographic explaining the key differences between FIT as a diagnostic tool for symptomatic patients, and FIT in relation to the national bowel cancer screening programme

Safety Netting Template