Urgent Suspected Cancer: Gynaecology

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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.

Urgent suspected cancer referrals for gynaecology provide diagnostic assessments and consultations for potential endometrial, cervical or ovarian cancer cases.

Gynaecology cancer services are located at Barnet Hospital, Royal Free Hospital, North Middlesex University Hospital, University College Hospital and Whittington Hospital. The surgical and oncological treating centre is University College Hospital.

Further guidance is available via Consultant Connect.

How to Refer

EMIS form

Referral methods: e-RS

Imaging needed before referral for USC

  • Complete a GP direct access urgent trans-vaginal ultrasound referral for the patient at a local site. See Related Services list below, or search for 'imaging for USC gynae' to find an imaging location and refer.

Referral for USC

  • Where imaging supports USC referral, complete the Pan London Urgent Suspected Gynaecological Cancer Referral Form

Include background information regarding the patients bleeding history and any HRT medication they are on with your referral. 

Where to find the USC form

  • NCL Global Documents > Urgent Suspected Cancer (formerly 2WW) 

Please check that you are using the correct version of the form on your EMIS system

Downloads

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Review date: Saturday, 14 November 2026