COVID-19: Gynaecology Service Guide

May 2020

Scope

This information provides guidance on the management of gynaecology patients across Western Devon during the COVID-19 pandemic. The information is based on national guidance from the Royal College of Obstetricians and Gynaecologists.

National guidance

Royal College of Obstetricians & Gynaecologists: Coronavirus (COVID-19) and gynaecological services

2WW referrals

e-Referral selection:

  • Specialty: 2WW
  • Clinic Type: 2WW Gynaecology
  • Service selection: DRSS-Western-2WW Gynaecology-NHS Devon CCG
Ovarian cancer (include Ca125)
  • Physical examination identifies ascites and/or a pelvic or abdominal mass (not obviously fibroids)
Endometrial cancer
  • Refer patients aged 55 and over with post-menopausal bleeding (unexplained vaginal bleeding more than 12 months after menstruation has stopped because of the menopause)
    • Consider referral if aged under 55 with post-menopausal bleeding
    • If patient is on HRT – stopping it for 6 weeks to evaluate bleeding may be helpful when considering referral
Cervical cancer
  • When the appearance on cervical examination is consistent with cervical cancer
Vulval cancer
  • Unexplained vulval lump, ulceration or bleeding
Vaginal cancer
  • Unexplained palpable mass in or at the entrance of the vagina
A recent full blood count (FBC) would be useful for all 2WW referrals

Urgent referrals

We are continuing to book all urgent referrals during the COVID-19 pandemic including 2WW referrals, Early Pregnancy Unit (EPU), Emergency Gynaecology Unit (EGU), Hysteroscopy, Colposcopy and postmenopausal bleeding (PMB).

Routine referrals

All routine referrals have been changed to telephone consultation where possible and if required can attend the department for examination and further investigation.

Prior to making a routine referral, please ensure that the appropriate CRG has been reviewed and all suggested management options have been considered.

All referrals will be clinically triaged prior to the allocation of appointment and these will be prioritised on a case by case basis.

Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.

Urgent advice

Please contact switchboard telephone: 01752 202082 to speak to the on-call gynae consultant, reg or SHO as required.

Advice & Guidance

Advice & Guidance services remain at normal function.

Western Devon Gynaecology contact information

  • Address: Gynaecology Department, Derriford Hospital, Plymouth, PL6 8DH
  • For urgent advice: Please contact switchboard telephone: 01752 202082 to speak to the on-call gynae consultant, reg or SHO as required.

Supporting information

Pathway Group

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Last updated: 13-05-2020

 

Home > Refer-CV19 CRGs > Western CRGs > COVID-19: Gynaecology Service Guide

 

  • First line
  • Second line
  • Specialist
  • Hospital