Dear GPs
Over the last few months there has been a steady increase in patients referred on the gynae 2WW cancer pathway, where they do not meet the referral criteria. Following an audit done by the Trust, inappropriate 2 WW gynaecology referrals to the cancer office include fertility and abnormal smears.
This is placing undue pressure on the team at BHRUT and delaying the pathway for patients who do need a speedy referral for potential cancer.
Please can we request that you refer to the appropriate clinic so that the patient is on the correct pathway. For example abnormal smears / cervical polyps. should be referred to the colposcopy clinic. Please refer to the NICE criteria for further information on when to generate a 2WW referral for gynaecology.
We would also be grateful if you could ensure that the patient has U+E, TVS and FBC within the last three months and a recent CA125 and pelvic ultrasound scan where appropriate.
With thanks and best,
Drs Rai, Sanomi and Sood
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