Gynaecological Cancer Minimum Standards were introduced to improve care and cancerous disease detection. NICE (National Institute for Health and Care Excellence) introduced the ‘Fast Track Referral System’. This is better known as the ‘2 week wait referral’. This is the time within which a patient must be seen by the relevant Doctor.
There are specific symptoms in specific age groups of women that necessitate a ‘2 week wait’. It is important therefore that if you have concerns about cancer that your GP makes the referral under the 2 week wait rule so that you are seen as soon as possible.
Macmillan’s Rapid Referral Guidelines are based on NICE guidance. It’s been produced by GPs for GPs with the aim of providing support, guidance and practical referral recommendations. This toolkit supports all of the recommendations in the NICE guideline on suspected cancer: recognition and referral apart from those relating to specific childhood cancers.
Urgently refer (appointment within two weeks) if physical examination identifies any of the following:
Arrange CA125 and/or ultrasound tests in women (especially if 50 or over) who persistently or frequently (particularly more than 12 times per month) experience the following:
Consider CA125 and/or ultrasound tests if a woman reports any of the following:
Urgently refer women (appointment within two weeks) if they are aged 55 and over with post-menopausal bleeding (unexplained vaginal bleeding more than 12 months after menstruation has stopped due to the menopause).
Consider urgently referring (appointment within two weeks) women aged under 55 with post-menopausal bleeding.
Consider direct access ultrasound in women aged 55 and over with unexplained symptoms of vaginal discharge who:
Consider direct access ultrasound in women aged 55 and over presenting with visible haematuria and any of the following:
Consider urgent referral (appointment within two weeks) if the appearance of the woman’s cervix is consistent with cervical cancer.
You do not need a smear test before referral. A previous negative result should also not delay referral.
Consider urgently referring (appointment within two weeks) women with any of the following unexplained vulval signs or symptoms:
Consider urgently referring (appointment within two weeks) women with an unexplained palpable mass in or at the entrance to the vagina.
If you think you may have a claim in relation to a failure to implement the Gynaecological Cancer Minimum Standards then call us in confidence to discuss your issue. We are happy to talk through what has happened and advise you on a potential claim. Call us for FREE on 0800 470 2009 or email Dr Victoria Handley at firstname.lastname@example.org