03000 830 000 pics.enquiries@nhs.net

PICS to provide the Greater Nottingham Community Gynaecology Service that is going live on 1st July 2019

Following the successful community gynaecology pilots in Nottingham West and Rushcliffe, Greater Nottingham CCP sought to procure a single point access Community Gynaecology Service for patients in Nottingham City, Nottingham North and East, Nottingham West, and Rushcliffe Clinical Commissioning Groups.

Greater Nottingham CCP has confirmed that PICS will be providing the Community Gynaecology Service for the population of Greater Nottingham supported by Nottingham University Hospitals Trust (NUHT), Nottingham City GP Alliance, and Partners Health.

The service will deliver a range of gynaecologic interventions, providing an alternative community setting for first and follow up appointments and appropriate procedures.

The community gynaecology pathway is shown below.

The service is for female patients aged 16 and over registered with a Greater Nottingham GP.

Conditions:

• Cervical polyps
• Fibroids
• Menopause problems /severe premenstrual syndrome
• Menstrual disorders (excluding Post-Menopausal Bleeding)
• Pelvic pain
• Polycystic ovarian syndrome
• Prolapse / Pessary Changes
• Sterilisation requests
• Benign ovarian cysts
• Vulval disorders

Exclusions:
• Patients under 16 years of age
• Suspected cancers (2ww referrals)
• Post coital bleeding and cervical abnormalities requiring colposcopy
• Post-menopausal bleeding
• Psychosexual problems
• Termination of pregnancy requests
• Pregnancy related problems
• Patients with a complex past gynaecological history where hospital records may be required
• Infertility (Including Infertility treatment in line with the service restrictions policy)

The aims are

• Clear, streamlined and consistent patient pathway
• Patients receiving the right care in the right place and time
• Avoid surgical intervention where ever appropriate
• Reduction in Out Patient activity in secondary care

The service will be provided at the following provisional locations and times:

• Upper Parliament Street, City Centre – Tuesday and Friday AM
• Heanor Health Centre – Biweekly Monday PM
• Highcroft Surgery, Arnold – Biweekly Thursday PM
• Keyworth Surgery – Wednesday PM
• Westdale Lane, Gedling – Biweekly Thursday PM
• The Oaks Medical Centre, Beeston – Biweekly Wednesday PM

GPs should refer using the Referral form available on eHealthscope / F12 – please use the current gynaecology standardised secondary care referral form and refer as usual via the GNRSS.

The GNRSS will forward all appropriate referrals for clinical triage by the Greater Nottingham community gynaecology service. No change will be seen in the current referral process for patients requiring step up care for their gynaecological conditions.