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UKONS- Acute Oncology Initial Management Guidelines V 4 (2023)  

Please follow the link above to access the updated UKONS Acute Oncology Guidelines.

The revised guidelines have been endorsed by UKAOS - UK SACT Board - Society of Acute Medicine.

Guidelines for the initial management of adult patients who have a cancer diagnosis, and present as an emergency or unplanned admission with a complication of their disease or cancer treatment.

 These guidelines relate to the initial assessment and immediate management of Acute Oncology patients, i.e. patients presenting with an acute problem, demonstrating symptoms deemed as having been caused by:

• Systemic Anti-Cancer Therapy (SACT)

• Radiotherapy

• Malignant disease

• A previously undiagnosed cancer where an urgent oncology/haematology assessment is required

Please update your guidance to ensure you have the updated version.

The UKONS Ap will be updated in due course


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 patients who may be suffering from side effects/toxicities as a result of Systemic Anti- Cancer Treatment.


Assessment tool 


Log sheet


Instruction mannual

Primary Care Risk Assessment Tool for Oncology/ Haematology Patients 

A risk assessment tool for patients who are receiving or received systemic anti-cancer therapies, receiving or recently received radiotherapy or at risk of disease related immunosuppression.

Macmillan and UKONS worked in partnership with health care professionals to develop an Oncology/ Haematology Risk Assessment Tool for Primary Healthcare Professionals. 

This reliable, easily used risk assessment tool ensures that patients who suffer from complications/toxicities relating to systemic anti-cancer treatment (including chemotherapy) and/or radiotherapy are identified and managed appropriately to achieve the best possible outcome.         

Pocket tool 




Instructions for use

All UKONS Guidelines are for the use of medical professionals only. They are not intended for public use, including by oncology patients. UKONS does not permit the creation of derivative works, unless they are authorised.

Clinical guidelines:  please contact us if you would like to add to these resources 




  Links to International and National guidelines:
  • Society for Endocrinology Endocrine Emergency Guidance: Acute management of the endocrine complications of checkpoint inhibitor therapy

  • National Institute for Health and Care Excellence - NICE 


We are eager to develop the content of this page and would be pleased to accept contributions and suggestions, please contact us if you are able to help

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.