1.1. We (C the Signs) have developed this Self-Assessment Service so you access certain NHS Services through this website.
1.2. The Self-Assessment Service enables you to risk assess yourself to determine if you are eligible for specialist cancer referral pathways within the National Health Service (NHS) in England. These pathways are limited to certain cancers and specific criteria. They do not cover all cancer, and do not replace your existing local GP practice service or emergency services. The criteria for each pathway is set by the commissioning authority in the NHS with C the Signs Self-Assessment Service providing the platform to support the pathway.
1.3. If We need to contact you, We will do so by email, SMS or telephone call using the contact details you have provided. This will be limited to certain circumstances outlined below.
2.1. These Terms of Use refer to the following additional terms, which also apply to your use of the Self-Assessment Service:
3.1. By registering for and continuing to use the C the Signs Self-Assessment Service, you agree to be bound by these terms. Please also ensure you have read and agree to the terms and conditions of Our privacy policy and cookie policy.
3.2. We may, at any time and at our sole discretion, amend these terms for any reason. The latest version of our terms will be accessible through the Self-Assessment Service itself, and We will inform you via the platform or via email for any significant changes and request your continued agreement if We make any significant changes to these terms.
4.1. It is free to register for and use the C the Signs Self-Assessment Service. To use the Self-Assessment Service you must be registered with a GP surgery in England. Please also note that this service is only available in certain areas of England where the pathways have been commissioned.
4.2. If you access or attempt to access the Self-Assessment Service outside England or a commissioned area:
4.3. When available, you will need to create and maintain an account using the C the Signs Self-Assessment Service.
4.4. In order to use the C the Signs Self-Assessment Service you must be aged 18 years or older.
5.1. You are responsible for making all arrangements necessary for you to access the C the Signs Self-Assessment Service, including but not limited to:
5.2. The C the Signs Self-Assessment Service is only intended to be used by you. If you permit any other person to use your account, you:
5.3. If you know or suspect that anyone other than you knows your user password to your C the Signs Self-Assessment Service account, you must promptly reset your password to something only you know.
6.1. From time to time We may automatically update the C the Signs Self-Assessment Service, to improve performance, enhance functionality, reflect changes to the operating system, or address security issues.
6.2. If updates are not installed (e.g. to your browser) you may not be able to use the C the Signs Self-Assessment Service or you may find that its functionality and/or performance is impaired.
7.1. The following services may be available to you through the C the Signs Self-Assessment Service. Not all services and features are available to all users. This depends on where you live and the services and systems your healthcare provider has chosen to commission in their area.
The login system for the Self-Assessment Service allows you to sign up to the platform and utilise the service. We will require you to enter your:
This also enables you to return to the platform to complete the assessment again or additional self-assessment pathways available to you from your local commissioning authority in the NHS.
Please also note that some questions in the Self-Assessment pathway algorithm will be used to create your patient profile (e.g. date of birth and gender) which will be stored and aid future risk assessments.
Specific cancer pathways have been constructed by C the Signs together with your local commissioning authority in the NHS (e.g. your local hospital). The criteria for these pathways have been set by the NHS alone.
You will be navigated through a series of questions which will help to determine if you are eligible for the pathway, as well as any essential information required for the NHS organisation to process your referral. The outcome of the Self-Assessment pathway will be shown to you as soon as your eligibility has been determined.
There may be different self-assessment pathways available for different symptoms or cancer types depending on what has been commissioned in your area.
Please note, that if you are ineligible for the pathway this does not mean you do not have cancer. Any symptoms of concern should always be discussed with your healthcare professional and/or emergency services if you are critically unwell.
In the process of completing the Self-Assessment pathway, a referral form (or letter) is generated with the information you enter. This includes both your demographic information (e.g. your name, date of birth, address, gender etc), as well as your medical information specific to the questions you have answered. It is critical to make sure the answers you give are accurate in order for the NHS organisation receiving the referral form to triage you appropriately.
The referral form generated will be transferred to the NHS Organisation who has commissioned the pathway (e.g. your local NHS hospital) to access all the information within it. They will then triage the referral to one of four possibilities:
The referral form generated, together with your demographic information (e.g. name, date of birth, NHS number, address) may be provided to the NHS organisation commissioning the service on a dashboard to track the referrals that have been completed. This allows them to ensure patients are not lost in the system and all patients who have been referred are followed-up to completion of their diagnostic journey (e.g. diagnosis of cancer or exclusion of cancer).
Please note, these pathways are specific to cancer and for the majority of patients, cancer will NOT be the cause of their symptoms. Whilst NHS organisations will attempt to find a suitable diagnosis, you may only be told that your symptoms are NOT due to cancer as a result of these pathways.
In addition, automated processing of your data may occur using this dashboard, including messages sent to you, to ensure the pathway is followed accurately and to ultimately either rule out or diagnose cancer. A healthcare professional will always oversee this dashboard.
Where We have the consent of your GP practice, We can notify your GP when you have completed a Self-Assessment pathway. This can also be updated on your medical record within your Electronic Healthcare Record at the GP practice.
This function will depend on the consent of your GP practice, as well as the specific configuration of the Self-Assessment pathway in your area.
In partnership with certain NHS organisations in the commissioning of the Self-Assessment Service, C the Signs is able to access your GP practice record. This enables C the Signs to extract certain parts of your medical history to include on your referral form that is received by the NHS organisation commissioning the Self-Assessment Service (e.g. your local hospital). This includes but is not limited to: the conditions you are currently being treated for or significant medical events in your history, medications you are prescribed, or allergies you have. This ensures the NHS organisation receives a complete picture of your medical record to make the best decision on next steps when triaging your referral.
Please note, this is carried out with the specific consent of your GP practice itself.
As part of the Self-Assessment Service, the NHS organisation commissioning (or C the Signs on behalf of the NHS organisation) may need to contact you directly (e.g. through SMS, telephone or email). This may be, but is not limited to:
7.2. You must not rely on the C the Signs Self-Assessment Service as the sole means by which you (or those for whom you have any proxy access arrangements) continue to receive care from your doctor or other healthcare professional.
7.3. If you download, print or export any of your health or medical record data, you are responsible for ensuring that such data is held securely, and We will not be liable for any associated disclosure of sensitive and personal data.
7.4. In order for you to receive the intended benefits of the C the Signs Self-Assessment Service, you must ensure that all data provided by you is complete and accurate.
7.5. Your GP health records are created and kept up-to-date by your GP and remain under your GP's control. Your GP surgery may choose to authorise the C the Signs Self-Assessment Service to access key facts, such as your medical history, medications, and allergies etc, in order to provide these details within the referral form provided to the hospital or healthcare organisation receiving the self-assessment pathway referral. You will be unable to review this information within the C the Signs Self-Assessment Service platform itself. We are unable to modify your GP record or provide hard copies.
7.6. The C the Signs Self-Assessment Service:
7.7. Please note your GP or other healthcare professionals remain ultimately responsible for your health and well-being (including but not limited to any diagnosis or other healthcare advice).
7.8. We are not responsible for any delay or lack of response by the healthcare provider to any referrals recommended through the C the Signs Self-Assessment Service.
7.9. Where We have assessed it to be useful to C the Signs Self-Assessment Service users, We may include links to national health and care websites that are not integrated with the C the Signs Self-Assessment Service. We do not monitor the content of such websites. Any link provided in the C the Signs Self-Assessment Service is solely for your convenience. We do not accept any responsibility for any third-party website or third-party applications.
8.1. You may stop using the C the Signs Self-Assessment Service at any time. If you wish to cancel your account, you should contact us via email at support@cthesigns.co.uk.
8.2. If you breach any of these terms We may prevent you from accessing the C the Signs Self-Assessment Service and suspend your account. We will notify you of this. If what you have done can be put right, We will give you a reasonable opportunity to do so.
8.3. If your account is cancelled:
9.1. We own or have the right to use all intellectual property rights used for the provision of the C the Signs Self-Assessment Service, including rights in copyright, patents, database rights, trademarks and other intellectual property rights.
9.2. You have permission to use the C the Signs Self-Assessment Service for the sole purposes described in these terms. You need written permission from us to use these items in any other way.
9.3. Unless permitted by law or under these terms, you will:
10.1. You may not use the C the Signs Self-Assessment Service:
If you do any of the above acts you may also be committing a criminal offence, and We will report any such activity to the relevant law enforcement authorities. We will cooperate with those authorities by disclosing your identity to them.
11.1. Although We make reasonable efforts to provide, maintain and update the C the Signs Self-Assessment Service it is provided "as is" and, to the extent permitted by law, We make no representations, warranties or guarantees, whether express or implied (including but not limited to the implied warranties of satisfactory quality and fitness for a particular purpose), that the C the Signs Self-Assessment Service or any particular services you access through the app (a) are accurate, complete or up-to-date; (b) will meet your particular requirements or needs; or (c) will always be available, error free, uninterrupted or free of viruses.
11.2. We are not responsible for external links to or from the C the Signs Self-Assessment Service and cannot guarantee these will always work.
11.3. Nothing in these terms excludes or limits our liability for:
11.4. Subject to clause 11.3 of these terms, We will not be liable or responsible to you or any person you use an Self-Assessment Service on behalf of for:
11.5. This clause 10 does not affect any legal rights you may have as a consumer in relation to defective services or software. Advice about your legal rights is available from your local Citizen's Advice or Trading Standards Office.
12.1. These terms, and any other terms or policies referenced, set out the entire agreement between you and us in respect of your use of the C the Signs Self-Assessment Service.
12.2. These terms do not give any rights to any third party to enforce any of these terms.
12.3. Each of the clauses and sub-clauses of these terms operates separately. If any part is determined to be invalid or unenforceable it will be superseded by a valid and enforceable provision that most closely matches the intent of the original and all other terms shall continue in effect.
12.4. Even if We delay in enforcing these terms, We can still enforce them later.
12.5. The laws of England shall apply exclusively to these terms and all matters relating to use of the C the Signs Self-Assessment Service, and dispute shall be subject to the exclusive jurisdiction of the courts of England.
13.1 These Terms of Use may change from time to time but We will inform you if We make any significant changes via your email or directly through the platform.