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 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 guidance if a patient presents with unscheduled bleeding on HRT. 
• 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, below.

Ovarian cysts guidance

• If a GP-requested ultrasound has noted ovarian cysts please follow the NCL Ovarian Cysts in Postmenopausal Women & Women on HRT pathway, based on whether the patient is pre or post menopausal. 
• A full set of written guidance, with agreed US autotexts and recommended actions, is available to download as the Guidance on the Management of Ovarian/Adnexal Cysts 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, below.

Further advice available via Consultant Connect.

How to Refer