Advice and Guidance is promoted to access specialist support about clinical queries relating to patient care while working within primary care. This may be appropriate when you might have previously considered a referral.

The main point of access to advice and guidance is either from eRS advice and guidance or Consultant Connect.

Gynaecology services in NCL include gynaecology clinics at local hospitals, fertility services, pelvic health physiotherapy, early pregnancy units and hospital colposcopy clinics.

The fertility policies can be found on the fertility topic page.


MENO.pause is a practical digital decision-aid by Clinibee designed for clinicians including GPs. It helps clinicians apply national menopause guidelines efficiently enabling them to confidently manage natural, cancer related or early menopause, and to deal with complications, such as unscheduled bleeding on HRT. (Sign up, navigate to Discover Libraries and follow MENO.pause).


For information and resources on cancer, visit the Cancer education pages.


Directory of Services


Downloads


Clinical Pathways View All

Pathway • PDF, 443 KB

Benign Cervical Problems

Barnet
Pathway • PDF, 1.57 MB

Benign Cervical Problems

Enfield
Pathway • PDF, 75.56 KB

Cervical Polyps

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 976.41 KB

Chronic Pelvic Pain

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 687.91 KB

Chronic Pelvic Pain Pathway

HaringeyIslington
Pathway • PDF, 115.59 KB

Dysmenorrhoea

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 77.79 KB

Female Sterilisation

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 559.1 KB

Fertility

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 162.67 KB

Heavy Menstrual Bleeding

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 635.39 KB

Hormone Replacement Therapy initiation guide

HaringeyIslington
Pathway • PDF, 122.34 KB

Incontinence

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 171.15 KB

Intermenstrual Bleeding (pre-menopausal)

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 90.58 KB

Management of Lost IUD Threads

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 102.94 KB

Ovarian Cysts in Postmenopausal Women & Women on HRT

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 136.89 KB

Ovarian Cysts in Premenopausal Women

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 147 KB

Ovarian Cysts in Premenopausal Women

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 137.09 KB

Pelvic Organ Prolapse

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 297.9 KB

Pelvic Prolapse Pathway

HaringeyIslington
Pathway • PDF, 234.99 KB

Persistent Vaginal Discharge

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 229.05 KB

Polycystic Ovarian Syndrome

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 230.91 KB

Polycystic Ovarian Syndrome in Adults

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 94.67 KB

Postcoital & Intermenstrual Bleeding

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 181.25 KB

Postmenopausal & Unscheduled Bleeding on HRT

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 95.22 KB

Postmenopausal Bleeding

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 90.29 KB

Postmenopausal Cysts

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 167.16 KB

Primary Amenorrhoea

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 195.15 KB

Pruritus Vulvae in Adults

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 268.4 KB

Recurrent Miscarriage or Second Trimester Miscarriage

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 169.53 KB

Secondary Amenorrhoea

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster
Pathway • PDF, 388.72 KB

Secondary Amenorrhoea Pathway

HaringeyIslington
Pathway • PDF, 212.38 KB

Unscheduled Bleeding on HRT

BarnetCamdenEnfieldHaringeyIslington
Pathway • PDF, 237.29 KB

Vulval Pathology

BrentEalingHammersmith & FulhamHarrowHillingdonHounslowKensington & ChelseaWestminster


Review date: Sunday, 31 January 2027