People in Scotland with symptoms that may indicate cancer will now be referred for tests more quickly, thanks to the publication of updated Scottish Referral Guidelines for Suspected Cancer.
For the first time, the guidelines include referral criteria for non-specific but concerning symptoms such as unexplained fatigue, nausea, or weight loss. This change is designed to help clinicians identify and refer patients earlier, even when symptoms do not clearly point to a single type of cancer.
Developed by the Centre for Sustainable Delivery in partnership with Healthcare Improvement Scotland and Cancer Research UK, the revised SRGs provide evidence-based guidance for primary care professionals across Scotland. The aim is to ensure consistent, timely referrals for specialist assessment and improve early diagnosis rates.
Neil Gray, Scottish Health Secretary, said:
“We are treating more cancer patients now than ever before, and these guidelines are a vital tool in helping GPs and primary care teams identify symptoms that may indicate cancer and make swift referrals to specialist services.
“For the first time, we now have nationally agreed guidance to support clinicians in referring patients with non-specific symptoms, which is a significant step forward in our mission to detect cancer earlier.
“I’m particularly pleased to mark this milestone at NHS Forth Valley, where Scotland’s newest Rapid Cancer Diagnostic Service is already delivering faster answers for patients. This is a clear example of our ongoing commitment to ensuring the right person is on the right pathway at the right time.”

The updated guidelines are supported by educational materials and are now available to all healthcare professionals. They reflect the latest international evidence and Scottish cancer data, following extensive clinical engagement.
With cancer remaining one of Scotland’s leading causes of death, the updated SRGs are expected to play a vital role in improving outcomes and reducing delays in diagnosis.
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