Acute Oncology Clinical Guidelines
Please follow the link/picture above to access UKONS Acute Oncology Guidelines for the urgent assessment and management of patients presenting with oncology dissease and/or treatment related complications.
The UKONS guidelines provide structured, evidence-based protocols for the initial assessment and management of acute oncology patients,using a RAG rated system to prioritse care.
The guidelines are intended for use by healthcare professionals managing adult patients who present as an emergency/unplanned attendance with complications of cancer or cancer treatment.
These complications may arise from:
► All types of Systemic Anti-Cancer Therapy
► Radiotherapy
► Malignant disease
► A suspected/new cancer where an urgent oncology/haematology assessment is required
Early referral to the Acute Oncology Team is recommended for this group of patients
The UKONS Acute Oncology Initial Management Guidelines have been endorsed by UKAOS - UK SACT Board - Society of Acute Medicine.
UKAOS members are working with colleagues in acute medicine and emergency care teams to develop guidance and pathways that will support the implementation of ambulatory care pathways for oncology patients.
1. Same Day Emergency Care Pathway for Patients Presenting with Unsuspected Pulmonary Embolism
Click on the image below
2. Same Day Emergency Care Pathway for Cancer Patients Presenting with Suspected Spinal Metastases and Metastatic Spinal Cord Compression
Click on the image below
The UKONS 24-Hour Triage Tool
The triage tool is a widely used clear symptom-based risk assessment process, that uses a RAG scoring system to triage oncology/haematology patients who may be suffering from side effects/toxicities as a result of Systemic Anti- Cancer Treatment or Radiotherapy.
UKONS_Triage_tool_poster_A3_V10.pdf
KA2085_UKONS_Triage_Toolkit_V10.pdf
There is an NHS national training and education programme available free of charge on the E learning for health site -follow this link and search for UKONS
You can order the 24 Hour Triage tool manuals, log sheets, pocket tools and/or posters from Telford Reprographics.
Please email sales@telfordrepro.co.uk and ask for a price list and ordering instructions.
(Version 3 Launched on the 27th January 2025 - Please check you are using the latest version in practice )
Links to individual presentation guidelines
- Society for Endocrinology Endocrine Emergency Guidance: Acute management of the endocrine complications
- European Society for Medical Oncology (ESMO) - Management of toxicities from immunotherapy
- National Institute for Health and Care Excellence - NICE
Please note that you should always assume that the website group, society and authors /owners of any of these documents links or guidance make no representations or guarantees as to the accuracy, completeness or adequacy of any of the content and make no warranties express implied or otherwise and cannot be held responsible for any liability, loss or damage whatsoever caused by the use of the content. You should always act within the limits of your competence and seek senior advice or support where appropriate.