--- title: How to perform a risk assessment description: A step by step guide on how to access clinical decision support through C the Signs by performing a risk assessment. --- [Skip to content](https://help.cthesigns.com/how-to#main-content) English Show submenu for translations [More support](https://help.cthesigns.com/kb-tickets/new?hsLang=en) ![C the Signs Logo Small](https://help.cthesigns.com/hs-fs/hubfs/tinyyyyy.png?width=269&height=89&name=tinyyyyy.png) Open main navigation Close main navigation - English Show submenu for translations - [More support](https://help.cthesigns.com/kb-tickets/new) - [cthesigns.com](https://cthesigns.com/) [cthesigns.com](https://cthesigns.com/) Hello. How can we help you? - There are no suggestions because the search field is empty. 1. [C the Signs Help Center](https://help.cthesigns.com/?hsLang=en) 2. [Guides & Videos](https://help.cthesigns.com/guides-videos?hsLang=en) 3. [Clinical](https://help.cthesigns.com/guides-videos?hsLang=en#clinical) # How to perform a risk assessment ## A step by step guide on how to access clinical decision support through C the Signs by performing a risk assessment. A C the Signs Risk Assessment ensures that all patients with suspected cancer are referred on the correct pathways, whether that be a test or referral, as per NICE guidelines and local cancer pathways.  --- ### Video Guide Here is our short video guide on how to complete a risk assessment or continue to read our step by step guide. --- ### Step 1:  Open Risk Assessment Home Page - Click on the first button of the C the Signs toolbar and select 'Risk Assessment'. ![Images with Yellow Highlight\_Image 2-Risk Assessment Highlight](https://help.cthesigns.com/hs-fs/hubfs/Screenshots%20for%20Knowledgebase/Images%20with%20Yellow%20Highlight_Image%202-Risk%20Assessment%20Highlight.jpg?width=300&height=314&name=Images%20with%20Yellow%20Highlight_Image%202-Risk%20Assessment%20Highlight.jpg) ### Step 2:  Select 'System' or 'Search' - Click the **'System' button** to assess your patient by body system. - Or, click the **'Search' button** to assess your patients based on symptoms, signs, risk factors and investigation results e.g. weight loss, anaemia. ![CtS\_Dashboard - System and Search - EMIS](https://help.cthesigns.com/hs-fs/hubfs/Clinical%20Guides%20Images/CtS_Dashboard%20-%20System%20and%20Search%20-%20EMIS.png?width=491&height=293&name=CtS_Dashboard%20-%20System%20and%20Search%20-%20EMIS.png)     - If you are assessing by **'System'**, select the relevant body system and enter the symptoms, signs, investigations, etc. that are relevant for your patient. - If you are assessing by **'Search'**, the relevant body systems will already be selected. Enter any further clinical factors relevant for your patient. ![Risk assessment](https://help.cthesigns.com/hs-fs/hubfs/Risk%20assessment.png?width=688&height=411&name=Risk%20assessment.png) ### Step 3: Review Recommendations You will then be shown recommendations based on NICE guidelines and your local cancer pathways. Select recommendations to action or not action based on clinical judgment. ![Reccomendations](https://help.cthesigns.com/hs-fs/hubfs/Reccomendations.png?width=688&height=342&name=Reccomendations.png) ### Step 4: Send Patient Information Leaflets - Relevant patient information leaflets will appear below any recommendations or considerations. ![](https://help.cthesigns.com/hs-fs/hubfs/image-png-Apr-14-2024-10-38-57-4855-AM.png?width=688&height=118&name=image-png-Apr-14-2024-10-38-57-4855-AM.png) - You can provide you patient with a leaflet through C the Signs by sending a text, email, or downloading and printing. ### Step 5: Complete Referral Form - If an urgent cancer referral has been actioned, you can complete the form by clicking on **'Proceed to referral from(s)'** at the bottom of the page. - Alternatively, you can proceed to the patient summary. ### Step 6: Review, Save & Safety-Net - Review your risk assessment and any referrals completed on the patient summary page. - You can edit the clinical summary and choose which clinical codes are saved into the medical record. - When you are happy click on **'Save to patient's notes and the practice dashboard'.** The patient will now be safety-netted in the referral inbox and onto the C the Signs Dashboard. Urgent cancer **referrals must be sent through the e-Referral System** (eRS) as per usual workflow. Any tests or investigations must be **ordered through your local pathology or radiology service**.    - [About](https://help.cthesigns.com/about?hsLang=en) - [Get Started](https://help.cthesigns.com/get-started?hsLang=en) - [Guides & Videos](https://help.cthesigns.com/guides-videos?hsLang=en#main-content) - [SystmOne](https://help.cthesigns.com/guides-videos?hsLang=en#systmone) - [Dashboard](https://help.cthesigns.com/guides-videos?hsLang=en#dashboard) - [Clinical](https://help.cthesigns.com/guides-videos?hsLang=en#clinical) - [FAQs](https://help.cthesigns.com/faqs?hsLang=en) - [Technical Support](https://help.cthesigns.com/technical-support?hsLang=en) - [Contact](https://help.cthesigns.com/contact?hsLang=en) [![tinyyyyy](https://help.cthesigns.com/hs-fs/hubfs/tinyyyyy.png?width=72&height=24&name=tinyyyyy.png "tinyyyyy")](https://www.cthesigns.com/) Copyright © 2026, C the Signs