We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
The West of Scotland Cancer Genetics service is based at the Queen Elizabeth University hospital,
Glasgow. Please send all referrals to:
West of Scotland Cancer Genetics Service
Department of Clinical Genetics
Level 2A, Laboratory Medicine
Queen Elizabeth University Hospital
1345 Govan Road
Glasgow G51 4TF
Phone: 0141 354 9201 (reception)
We offer face to face appointments in the Queen Elizabeth University Hospital, Glasgow. Alternatively
remote video or telephone appointments can be offered. We are not able to provide peripheral clinics.
When making a referral, please include as much information as possible including:
• Type of cancer
• Relationship of any affected relatives to the patient being referred
• Name(s) of affected relative(s); especially those previously seen in the genetics clinic
• Age(s) at diagnosis of affected relative(s)
• Family History Questionnaire
It is rare for cancer to be strongly inherited. In most families, a genetic test for cancer predisposition will
not be available unless a gene alteration has already been identified in an affected relative. If this has
been identified, please include in your referral the name and date of birth of the affected relative, and
which genetic centre was involved in identifying the gene so that we can access the relevant information
in order to offer a test to your patient. In other families, we usually need to test an affected relative first.
For breast cancer, the majority of families will not have an alteration in the known genes BRCA1 and
BRCA2, and testing will not be available to relatives.
Families eligible for testing include an individual with breast cancer under 40, 3 breast cancers under 50,
4 breast cancers under 60, or individuals with triple negative breast cancer under 60 or high grade
serous ovarian cancer at any age.
For patients with cancer who would like to have blood stored for possible testing in the future:
• Please send 5mls of blood in an EDTA tube to the DNA lab, Level 2B Laboratory Medicine Building, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF
• Please write ‘cancer family for storage’ on the request form.
The service includes those who are well but at moderate or high risk of cancer (see guidance).
• Individuals at low risk of cancer may still request a referral despite reassurance from their doctor or nurse. Please highlight this within the referral letter so that the genetics service is aware or the patient will not be given an appointment.
• Individuals who may be eligible but are too young for screening (or are over 50 and get routine breast screening) will be contacted by letter rather than being seen in clinic.
• If someone has a complex family history of several unusual cancers (not covered by this guidance) then please consider referral or write for advice.
• Many patients will be contacted by letter for further information. If patients are assessed as low or moderate risk they may be dealt with by letter.
(*see notes regarding first degree relatives)
| BREAST CANCER |
Low Risk |
Moderate Risk | High Risk |
|
1 Relative: |
Reassure | ||
|
Under 40 years at time of diagnosis * |
Refer | ||
|
With bilateral breast cancer* |
Refer | ||
|
Who is male (male breast cancer) * |
Refer | ||
|
With both breast & ovarian cancer (double primary) * |
Refer | ||
|
2 Relatives: |
Reassure | ||
|
2 relatives (with average age) under 60 years * |
Refer | ||
|
1 under 60 years & 1 relative with ovarian cancer * |
Refer | ||
|
1 relative under 40 years and 1 relative with a childhood cancer |
Refer | ||
|
3 Relatives: |
Refer | ||
|
4 or More Relatives: |
Refer |
*One must be a first degree relative unless through an intervening male and all on the same side of
family
• 1st Degree Relative = Mother, sister, daughter, father, brother, son.
(*see notes regarding first degree relatives)
| OVARIAN CANCER | Low Risk | Moderate Risk | High Risk |
|
1 Relative: |
Reassure | ||
|
2 Relatives: |
Refer | ||
|
1 relative with ovarian cancer (any age) and 1 relative with breast cancer under 50 years* |
Refer | ||
|
3 Relatives: |
Refer | ||
|
4 Relatives: |
Refer |
*One must be a first degree relative unless through an intervening male and all on the same side of
family
• 1st Degree Relative = Mother, sister, daughter, father, brother, son.
(*see notes regarding first degree relatives)
| COLORECTAL CANCER | Low Risk | Moderate Risk | High Risk |
|
1 Relative: |
Reassure | ||
|
Under 50 years* |
Refer | ||
|
2 Relatives: |
Refer | ||
|
3 or More Relatives: |
Refer | ||
|
With 1 diagnosed under 50 years* |
Refer |
*One must be a first degree relative unless through an intervening male and all on the same side of
family
• 1st Degree Relative = Mother, sister, daughter, father, brother, son.
GGC - Referral Management