HNY Policy and Pathway Repository - York

Create and process referral request via Gateway

• PMB is bleeding more than 12 months after cessation of regular periods:
  • Any Age PMB and suspicious ultrasound scan
  • Any age PMB continuing 6 weeks after stopping HRT or the removal of coil and suspicious ultrasound scan
  • Any age PMB and taking Tamoxifen (no scan needed)
  • Any age PMB after a normal ultrasound scan which is recurrent and unexplained
  • Suspicious pelvic mass found on ultrasound scan 
• Suspicious lesion of cervix on speculum examination
• Suspicious lesion of vagina on speculum examination
• Suspicious lesion of vulva
• High suspicion of ovarian cancer

If your patient does not meet any of the NICE defined USC criteria please liaise (by phone or Advice and Guidance) with a specialist or send them in as an urgent referral. Please do not annotate USC forms with your own criteria.

USC referrals should be submitted on Gateway via the Referral Support Service
 

Patient awareness

• Confirm that your patient understands that they have been referred onto a “suspected cancer pathway”
• Confirm that your patient has received the information leaflet
• Confirm that your patient is available to attend an appointment within 2 weeks of this referral
   

Tests/investigations:

• Perform an abdominal and pelvic assesment
• Attach full scan report (ensure image are transferred to hospital radiology department)

If suspicious pelvic mass found or if there is a high suspicion of ovarian cancer:

• Test serum CA125 value or confirm this has been requested

• Gynaecological cancer criteria form
• Patient leaflet

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways
 

Faster diagnostic pathways

Implementing a timed gynaecology cancer diagnostic pathway