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Blacktown & Mount Druitt Hospitals

Rapid Access Faecal Occult Blood Test (FOBT) Clinic

Blacktown Hospital's Department of Gastroenterology provides high quality screening examinations for patients referred as part of the National Bowel Cancer Screening Program.

To improve timely access to this service, we developed a rapid access clinic for patients with positive faecal occult blood tests.


Information for health professionals

What services does the FOBT Clinic provide?

The Rapid Access FOBT Clinic triages referrals of positive FOBT patients from primary referrers.

The Clinic is open to patients living in the Western Sydney Local Health District (WSLHD) catchment areas served by Westmead Hospital, Auburn Hospital and Blacktown & Mount Druitt hospitals. Westmead & Auburn hospitals catchment area  l  Blacktown & Mount Druitt hospitals catchment area

Asymptomatic patients who have returned a positive FOBT are assessed at the FOBT Clinic by a specialty nurse.

After assessment, eligible patients undergo colonoscopy at Auburn, Westmead or Blacktown & Mount Druitt Hospital. Education on bowel preparation and diet preparation for the colonoscopy is provided at the clinic.

The endoscopy report and the pathology report of the colonoscopy, together with the discharge instructions, are faxed to the referring doctor soon after the procedure. Patients only follow up at the Gastroenterology Clinic if it is necessary.

Can I refer symptomatic patients to the clinic?

The Rapid Access FOBT Clinic is for patients who experience no symptoms but return a positive faecal occult blood test for bowel cancer screening.

Patients with any gastrointestinal symptoms or any alarm features are not seen in the FOBT Clinic - they are managed through Blacktown Hospital's general Gastroenterology Clinic instead.

How do I refer a patient to the clinic?

1. Check to ensure your patient is in the Blacktown & Mount Druitt hospitals catchment area

2. Download / print the 'Rapid Access Clinic Referral Form' in your preferred format:

Electronic PDF     l       rtf      l      Fillable PDF


3. Fax or email completed referral forms along with the information listed below* to:

Fax icon 02 9881 8208

 

Fax icon WSLHD-Blacktown-FOBT@health.nsw.gov.au

 

*Please include the following information when faxing or emailing the referral form:

  • patient’s health summary
  • list of patient’s current medication
  • FOBT pathology result
  • most recent blood test results including full blood count and iron studies
  • relevant imaging results and any previous endoscopy results or reports

Phone IconFor FOBT Clinic enquiries please call 0439 950 528.

 

Can I refer symptomatic patients to the clinic?

The Rapid Access FOBT Clinic is for patients who experience no symptoms but return a positive faecal occult blood test for bowel cancer screening.

For all symptomatic patients, please fax referrals to (02) 9881 7198 (the general Gastroenterology Clinic). They will be given first priority for clinic appointments.

Will it cost my patient anything to attend the clinic?

All patients with a current Medicare Card will be bulk billed. Patients without a valid Medicare Card will be charged the schedule fee.

Who will my patient see when they attend the clinic?

Dr Nikola Mitrev - or on call Gastroenterologist

Marriam Mohseni - Clinical Nurse Consultant

Useful links

Visit the LinkWestern Sydney HealthPathways website for more information about screening and surveillance programs for bowel cancer in asymptomatic patients.

 

To access this information on the HealthPathways site, follow the pathway outlined below by clicking on the following options from the left hand menu:
Medical > Gastroenterology and Hepatology > Bowel Cancer Screening and Surveillance


Information for patients

Why is bowel cancer screening so important?

Colorectal cancer is one of the most common causes of cancer-related death in Australia. Most bowel cancer starts with a small growth of tissue called a polyp on the bowel wall lining.

Polyps can change into a cancerous tumour if not found and removed early. Bowel cancer is very preventable. Bowel cancers that are detected early by screening have very good treatment outcomes.

People who have pre-cancerous polyps or people who are at the early stage of bowel cancer may not have any symptoms. Some people may only develop symptoms when cancer is advanced. Early detection and removal of pre-cancerous polyps through bowel screening is therefore very important for all people who have no symptoms aged 50-74 years. If you do have symptoms of rectal bleeding or abdominal pain, you should see your doctor as soon as possible.

What is a faecal occult blood test (FOBT)?

A faecal occult blood test (FOBT) is a simple test you can do at home. It involves taking tiny samples of stool from separate bowel motions. Stool samples are sent to the laboratory via the mail.

This test can detect traces of blood which may not be visible in bowel movements. The result will be sent to you and your nominated family doctor.

The free test kit is mailed to people age 50-74 every two years via the National Bowel Cancer Screening Program (NBCSP). If you have not received a kit and are in the screening age range, you can contact the NBCSP and they will send you a kit in the mail. A non-NBCSP faecal occult blood test kit can also be obtained from your family doctor or directly purchased from the chemist.

What should I do once I receive my test results?

The result will be mailed to you and your nominated family doctor in around two weeks.

If the result is negative (i.e. if there are no traces of blood in the stool), you just need to perform another FOBT in two years time. However, if you develop symptoms before the next test is due, you should always contact your family doctor for advice.

If the result is positive, that means traces of blood were detected. It is important that you talk to your doctor about further investigation.

How do I get a referral to the FOBT Clinic?

You will need a referral letter from your general practitioner (GP) or specialist practitioner to access the clinic. Your doctor will need to fax your referral letter to us.

You will receive a phone call or an appointment letter for the first consultation in the mail. Please ensure that you read this letter thoroughly and contact us if you have questions or concerns.

Will it cost me anything to attend the FOBT Clinic?

All patients with a current Medicare Card will be bulk billed.

Patients without a valid Medicare Card will be charged the schedule fee and will be required to attend the Cashiers Office. Please allow additional time prior to your appointment for this. The Cashiers Office is located in the main foyer on Level 3.

What should I bring to my appointment?

  • Medicare card
  • a list of medications you are currently taking (or the boxes). Please include any medicines you have bought without a prescription, such as herbal supplements and vitamins
  • your completed Patient Health Questionnaire. You will receive a copy of the questionnaire with your appointment letter
  • your specialist’s details and the date of your last visit (if appropriate)

How do I get to the FOBT Clinic?

The FOBT Clinic is held every Tuesday from 8am to 12:30pm.

We are located at B46 Day Medical Unit in Blacktown Hospital.

Instructions on how to get to Blacktown Hospital are provided with your appointment letter. You can also find information about parking and public transport options by visiting the Getting to Blacktown & Mount Druitt hospitals webpage.

Useful links


Contact us

Blacktown FOBT Clinic contact details

Phone Icon0439 950 528 (Monday, Tuesday & Friday from 8am to 4:30pm)

 

Fax icon02 9881 8208

 

Fax iconWSLHD-Blacktown-FOBT@health.nsw.gov.au

 

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