When making an urgent suspected cancer (USC) referral (previously known as two-week waits or 2WW), please ensure your patient understands that they have been referred on a suspected cancer pathway and that they should make themselves available for diagnostic tests and outpatient appointments for the next 28 days. 

For further advice on suspected endometrial, cervical or ovarian cancer, refer to the Pan-London Top Tips Urgent Suspected Gynaecology Referrals paper.

GP direct-access trans-vaginal ultrasound is provided at Barnet General Hospital, Chase Farm Hospital, Finchley Memorial Community Diagnostic Centre (CDC), Royal Free Hampstead, North Middlesex University Hospital and Wood Green CDC.

Gynaecology cancer services are located at Barnet General Hospital, Royal Free Hampstead, North Middlesex University Hospital, University College Hospital and Whittington Hospital.

The surgical and oncological treating centre is University College Hospital.

Unscheduled bleeding on HRT guidance

• See the NCL Unscheduled Bleeding on HRT pathway for advice. 
• A full set of written guidance is available to download as the Unscheduled Bleeding on HRT Guidance document.
• Advice and guidance presented by the NCL Cancer Alliance at the NCL ICB GP webinar on 7 October 2024 can be viewed as a video.

Ovarian cysts guidance

• See the NCL Unscheduled Bleeding on HRT pathway for advice.
• The HRT regimen should be reviewed before referral onto this pathway (see page 10, in full guidance). 
• When making a referral, ensure the correct referral information is provided including the HRT type, either continuous or sequential.
• Advice and guidance presented by the NCL Cancer Alliance at the NCL ICB GP webinar on 7 October 2024 can be viewed as a video.

Further advice available via Consultant Connect.

MENO.pause is a practical digital decision-aid by Clinibee designed for clinicians including GPs. It helps clinicians apply national menopause guidelines efficiently enabling them to confidently manage natural, cancer related or early menopause, and to deal with complications, such as unscheduled bleeding on HRT. (Sign up, navigate to Discover Libraries and follow MENO.pause).

How to Refer