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Anchoring is a cognitive bias whereby an individual depends too heavily on the initial information when making decisions. An excellent example of this would be red flags symptoms referred to the hospital on a two-week basis.  It’s fair to say that there is reassurance from referring to the cancer fast track clinics. However, one of the things that I’ve realised is that when a specific cancer is excluded, the patient is often referred back to primary care. Is that enough to say that the patient could not have cancer at an alternative site? Similarly, a patient has an acute issue and has an ED or speciality assessment. Is it enough for me to say that it’s been adequately excluded?