variaTIon in Referral Thresholds in the Chronic Lymphocytic LeukaEmia Pathway
TITLE CLL
1 other identifier
observational
130
1 country
1
Brief Summary
This study will use surveys within primary and secondary care to explore referral patterns and healthcare professional (HCP) decision-making and advice for haematological malignancies, identify inequalities, and establish best practice for CLL referrals and specialist support. The project will allow us to understand and 'map' variations in practice across the West Midlands region with regard to referrals for CLL from primary care physicians to haematology services in secondary care. Specific objectives are to:
- 1.Identify service variations by using surveys to assess differences in CLL service provision across primary and secondary care in the West Midlands
- 2.Investigate service variations by describing the key characteristics of responding primary care practices (practice size, number of GPs, Integrated Care Board (ICB) locality, deprivation quartile)
- 3.Propose strategies to improve equity that will enhanced patient outcomes and reduce inequalities in care for CLL patients, aiming to ensure consistent standards for referral and management across different care settings.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2026
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 26, 2026
CompletedFirst Posted
Study publicly available on registry
March 11, 2026
CompletedStudy Start
First participant enrolled
July 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
April 13, 2026
April 1, 2026
1 year
February 26, 2026
April 8, 2026
Conditions
Outcome Measures
Primary Outcomes (5)
Identify service variations
Using surveys to assess differences in CLL service provision across primary and secondary care in the West Midlands
12 months
Investigate service variations
Investigate service variations by describing the key characteristics of responding primary care practices (practice size)
12 months
Investigate service variations
Investigate service variations by describing the key characteristics of responding primary care practices (number of GPs)
12 months
Investigate service variations
Investigate service variations by describing the key characteristics of responding primary care practices (Integrated Care Board (ICB) locality)
12 months
Investigate service variations
Investigate service variations by describing the key characteristics of responding primary care practices (deprivation quartile)
12 months
Eligibility Criteria
Surveys within primary and secondary care to explore referral patterns and healthcare professional (HCP) decision-making and advice for haematological malignancies, identify inequalities, and establish best practice for CLL referrals and specialist support. The project will allow us to understand and 'map' variations in practice across the West Midlands region with regard to referrals for CLL from primary care physicians to haematology services in secondary care.
You may qualify if:
- Primary Care Provider
- Clinical Nurse Specialist
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Royal Wolverhampton Hospitals NHS Trustlead
- AstraZenecacollaborator
Study Sites (1)
The Royal Wolverhampton NHS Trust
Wolverhampton, WV10 0QP, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shankara Paneesha
University Hospitals Birmingham
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 26, 2026
First Posted
March 11, 2026
Study Start
July 1, 2026
Primary Completion (Estimated)
July 1, 2027
Study Completion (Estimated)
July 1, 2027
Last Updated
April 13, 2026
Record last verified: 2026-04