The document describes the development and benefits of an Acute Oncology Service (AOS) pathway for patients presenting with suspected or newly diagnosed cancer. It discusses how the AOS set up direct referral pathways for radiologists to refer patients with suspicious imaging findings. This allows for rapid assessment, diagnosis, and initiation of treatment. The pathway is shown to reduce delays and improve patient experience compared to traditional 2 week wait referrals. Audit data found the pathway effective while also identifying opportunities to better manage non-cancer patients. Overall, the AOS approach aims to provide coordinated, rapid, and symptom-focused care for patients with potential or new cancer diagnoses.