1.1. These are the terms of supply for the C the Signs Patient Assessment Service (Patient Assessment Service) accessible via cmysigns.com (Site). The Site is operated by C The Signs Limited (We, Us or Our). We are a limited company registered in England and Wales under company number 10683539 and have Our registered office at Gridiron Building, 1 Pancras Square, London, England, N1C 4AG. We have developed the Patient Assessment Service so you can access certain NHS Services through the Site. Your use of the Site and the Patient Assessment Service will be subject to these Terms of Use and by using the Site and/or the Patient Assessment Service you agree to be bound by them. If you do not agree to these Terms of Use, you must not use Our Site or the Patient Assessment Service. We recommend that you print a copy of these Terms of Use for future reference.
1.2. 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 and will be in accordance with Our Privacy Policy.
1.3. To contact Us, please email support@cthesigns.co.uk.
2.1. The Patient 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 the Patient Assessment Service providing the platform to support the pathway. There may be different self-assessment pathways available for different symptoms or cancer types depending on what has been commissioned in your area.
2.2. If you are ineligible for any cancer referral pathway(s), 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.
2.3. In order for you to receive the full intended benefits of the Patient Assessment Service and in order for the NHS organisation receiving the referral form to triage you appropriately, it is critical to ensure that all data provided by you is complete and accurate.
2.4. The Patient Assessment Service is provided for limited cancer pathways, to assist you to manage specific symptoms you may or may not be experiencing to accelerate the diagnosis of cancer. The cancer referral pathways are specific to cancer and for the majority of patients referred on these pathways, 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.
2.5. The Patient Assessment Service is not a substitute for seeking medical advice. You must not rely on the Patient 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. 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). Always follow any medical advice given by your healthcare professionals.
2.6. The Patient Assessment Service:
3.1. These Terms of Use refer to the following additional terms, which also apply to your use of the Site and the Patient Assessment Service:
4.1. By registering for and continuing to use the Patient 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.
4.2. 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 Patient Assessment Service itself, and We will inform you via the platform or via email of any significant changes to these terms.
5.1. In order to use the Patient Assessment Service, you will need to create and maintain an account with Us by completing the account registration form available on the Site. You only need to register once.
5.2. It is free to register for and use the Patient Assessment Service. To use the Patient 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, which may change from time to time.
5.3. If you access or attempt to access the Patient Assessment Service outside England or a commissioned area:
5.4. In order to use the Patient Assessment Service you must be aged 18 years or older.
5.5. To register, you must provide Us with accurate, complete and up-to-date contact information, including your name, phone number, date of birth and email (amongst others). You are responsible for the information you provide to Us. This information may be verified with your GP record or the NHS’s Patient Demographic Service. You must contact Us promptly to inform Us of all changes to this information by emailing Us at support@cthesigns.co.uk.
6.1. You are responsible for making all arrangements necessary for you to access the Patient Assessment Service, including but not limited to:
6.2. The Patient Assessment Service is only intended to be used by you. If you permit any other person to use your account, you:
6.3. If you know or suspect that anyone other than you knows your user password to your Patient Assessment Service account, you must promptly reset your password to something only you know.
6.4. We may suspend or withdraw or restrict the availability of all or any part of the Patient Assessment Service for business and operational reasons. We will try to give you reasonable notice of any suspension or withdrawal.
6.5. You are also responsible for ensuring that all persons who access Our Site through your internet connection are aware of these Terms of Use and other applicable terms, and that they comply with them.
7.1. From time to time We may automatically update the Patient Assessment Service, to improve performance, enhance functionality, reflect changes to the operating system, or address security issues.
7.2. If updates are not installed (e.g. to your browser) you may not be able to use the Patient Assessment Service or you may find that its functionality and/or performance is impaired.
7.3. We will try to give you reasonable notice of any major changes to the Patient Assessment Service
8. Details about the Services
8.1. The services that may be available to you through the Patient Assessment Service are set out at the here. 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 Patient 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 Site 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 Us 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 Patient 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 Patient 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 Patient Assessment Service, the NHS organisation commissioning may need to contact you directly or via the C the Signs Messaging Service. This may be, but is not limited to:
Please see the privacy policy and further information (where detailed) for more details of the above services and how they use your data.
8.2. 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.
8.3. 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 Patient 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 Patient Assessment Service platform itself. We are unable to modify your GP record or provide hard copies.
8.4. We are not responsible for any delay or lack of response by the healthcare provider to any referrals recommended through the Patient Assessment Service.
8.5. Where We have assessed it to be useful to Patient Assessment Service users, We may include links to national health and care websites that are not integrated with the Patient Assessment Service. We do not monitor the content of such websites. Any link provided in the Patient Assessment Service is solely for your convenience. We do not accept any responsibility for any third-party website or third-party applications.
9.1. You may stop using the Patient Assessment Service at any time. If you wish to cancel your account, you should contact Us via email at support@cthesigns.co.uk.
9.2. If We reasonably believe that you have breached any of these terms We may prevent you from accessing the Patient Assessment Service and suspend and/or terminate 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.
9.3. If your account is cancelled:
10.1. We own or have the right to use all intellectual property rights used for the provision of the Patient Assessment Service, including rights in copyright, patents, database rights, trademarks and other intellectual property rights.
10.2. You have permission to use the Patient Assessment Service for the sole purposes described in these terms. You need written permission from Us to use these items in any other way.
10.3. Unless permitted by law or under these terms, you will:
11.1. You may not use the Patient 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.
12.1. Although We make reasonable efforts to provide, maintain and update the Patient 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 Patient 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.
12.2. We are not responsible for external links to or from the Patient Assessment Service and cannot guarantee these will always work.
12.3. Nothing in these terms excludes or limits Our liability for:
12.4. Subject to clause 11.3 of these terms, We will not be liable or responsible to you or any person you use the Patient Assessment Service on behalf of for:
12.5. This clause 11 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.
13.1. These Terms of Use, and any other terms or policies referenced, set out the entire agreement between you and Us in respect of your use of the Patient Assessment Service.
13.2. These Terms of Use do not give any rights to any third party to enforce any of these terms and you may not transfer or assign any or all of your rights or obligations under these Terms of Use.
13.3. 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.
13.4. Even if We delay in enforcing these terms, We can still enforce them later.
13.5. All notices given by you to Us must be given in writing to support@cthesigns.co.uk. We may give notice to you at the email address you provide to Us when registering.
13.6. These Terms of Use may not be varied except with Our express written consent.
13.7 The laws of England shall apply exclusively to these terms and all matters relating to use of the Patient Assessment Service, and dispute shall be subject to the exclusive jurisdiction of the courts of England.
14.1 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.
These terms were last updated July 2025