Rapid Diagnosis Centre (RDC)

Rapid Diagnosis Centres (RDCs) provide a diagnostic route for patients with non-specific but concerning (vague) symptoms who do not fit into a standard Urgent Suspected Cancer (USC) pathway, because of the absence of clear ‘red flag’ symptoms.

Introduction to the Rapid Diagnosis Centres (RDCs)

          

Speakers: Dr Heather Wilkes, GP/National RDC Clinical Lead, Swansea Bay UHB/Wales Cancer Network

Recorded: April 2022 Duration: 4 minutes

Transcript

RDCs will aim to deliver on an important previously unmet need for cancer patients in Wales by offering:

A single point of access to a diagnostic pathway for all patients with vague symptoms that could indicate cancer but with no site specific “red flags”.

Vague non-specific symptoms may include:

  • Unexplained laboratory test findings (eg. anaemia, hypercalcaemia)
  • Unexplained weight loss
  • Severe unexplained fatigue
  • Persistent nausea or appetite loss
  • New atypical pain (eg. diffuse abdominal pain or bone pain)

The outcome is a personalised, accurate, and rapid diagnosis of patients’ symptoms and onward reassurance and co-produced management plan.

This series of webinars have been held to delve deeper into vague symptoms, how/where to start with targeted investigations, along with further investigations in a Vague Symptom RDC and when to refer on to specific specialties. 

RDC - Gastroenterology and Hepatobiliary

Overview: The roll out of Rapid Diagnosis Centres for patients with vague symptoms where the GP
has the ‘gut feeling’ that these patients may have a cancer, is in full force across Wales.

Learning outcome: In this recorded webinar we explore the following Hepatobiliary disorders with Dr Dai
Samuel:

  • Asymptomatic cirrhosis detected on imaging
  • Diagnostic approach to abnormal LFT's
  • Common bile duct stones
  • Pancreatic Cancer mimics

As well as the following Gastroenterology presentations with Dr Neil Hawkes:

  • IBD and other causes of colitis
  • Causes of malabsorption
  • Role of FIT and Faecal calprotectin

 

 

 

Speakers: Dr Neil Hawkes, Consultant Gastroenterologist, CTMUHB and Dr Dai Samuel, Consultant Hepatologist, CTMUHB. 

Facilitated by: Dr Nimish Shah, GP CPD Lead

Recorded: October 2022 Duration: 56 minutes

RDC - Haematology

Overview: The roll out of Rapid Diagnosis Centres for patients with vague symptoms where the GP has the ‘gut feeling’ that these patients may have a cancer, is in full force across Wales.

Learning outcome: In this recorded webinar we explore the following Haematological conditions, enabling the listener to determine who should be referred to a Haematology or Rapid Diagnostic clinic, or alternatively who can be managed in primary care:

  • Unexplained lymphadenopathy
  • The diagnostic approach to paraproteins (including myeloma, Waldenstroms and MGUS)
  • Malignant and non-malignant abnormalities demonstrated in the FBC

 

Speaker: Dr Chris Jenkins, Consultant Haematologist in ABUHB.

Facilitated by: Dr Nimish Shah, GP CPD Lead

Recorded: December 2022 Duration: 54 minutes

RDC - Infectious Diseases

Overview: The roll out of Rapid Diagnosis Centres for patients with vague symptoms where the GP
has the ‘gut feeling’ that these patients may have a cancer, is in full force across Wales.

Learning outcome: In this recorded webinar we explore the following areas:

  • Infectious diseases which may present with non-specific signs and be ‘cancer mimics’
  • HIV
  • Pyrexia of unknown origin
  • The diagnostic approach to infection
  • Q&A

 

Speaker: Dr Owen Seddon, Consultant in Infectious Diseases and Microbiology, PHW.

Facilitated by: Dr Nimish Shah, GP CPD Lead

Recorded: July 2022 Duration: 44 minutes

RDC - Respiratory

Overview: Rapid Diagnosis Centres (RDCsprovide a diagnostic route for patients with non-specific but concerning (vague) symptoms who do not fit into a standard Urgent Suspected Cancer (USC) pathway, because of the absence of clear ‘red flag’ symptoms.

Learning outcomes: We explore the following areas:

  • What to tell a patient if you find a lung cancer on the scan and what to do next?
  • What are pulmonary nodules and how to manage them?
  • Looks like an ILD –what next?
  • COPD in 10 minutes

 

Speaker: Dr Daniel Menzies, Consultant in Respiratory MedicineBCUHB.

Facilitated by: Dr Nimish Shah, GP CPD Lead

Recorded: June 2022 Duration: 54 minutes

RDC - Rheumatology

Overview: The roll out of Rapid Diagnosis Centres for patients with vague symptoms where the GP has the ‘gut feeling’ that these patients may have a cancer, is in full force across Wales. The RDC at Swansea Bay is one of two original sites and has been open for almost five years. During this time, the clinic has had a consistent 10% cancer conversion rate as well as other significant non-cancer diagnoses. A sub-set of these diagnoses can be classed as rheumatological in nature.

Learning outcomes: We explore the following areas:

  • The nature of rheumatological conditions that have been seen in the SBUHB RDC
  • Mimics of rheumatological conditions
  • The diagnostic approach to these conditions
  • My experience of working in an RDC

   

   

Speaker: Dr Martin Bevan, Consultant in RheumatologySBUHB.

Facilitated by: Dr Nimish Shah, GP CPD Lead

Recorded: May 2022 Duration: 37 minutes

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