Wigan Gynaecology Pathway
📅 Implementation Date
The new Wigan Gynaecology Pathway goes live on 1 October 2025.
⚡ Wait Times
PCN gynae services aim to see patients within 4 weeks, compared to a wait time of over 1 year for WWL referrals.
🏥 Scope of Service
Routine and urgent gynaecology referrals (excluding fertility and sexual health) should be directed to PCN gynae services instead of WWL.
| Category | Conditions Managed by PCN | Notes |
|---|---|---|
| Menstrual Disorders | Heavy menstrual bleeding, irregular cycles, intermenstrual bleeding, postcoital bleeding, oligomenorrhoea/amenorrhoea, premenstrual symptoms | |
| Pain Conditions | Dysmenorrhoea, dyspareunia, pelvic pain, vaginismus, vulvodynia | |
| Clinical Conditions | Endometriosis, PCOS, peri-/menopause assessment, complex HRT, LARC, complex contraception, urinary incontinence, pelvic organ prolapse | |
| Screening | Cervical screening | Only if patient’s practice is unable to perform it |
🚫 Exclusions & Direct Referrals
Cancer & Red Flags
Cancer referrals must continue to follow established cancer pathways. Patients with red-flag symptoms suggestive of gynaecological malignancy must be referred directly via the suspected cancer pathway.
Sub-Specialist Input
Patients requiring sub-specialist input should be referred directly to the appropriate service:
- Sub-fertility
- Sexual Health
Cases clearly requiring hospital-based care should be referred directly to secondary care gynae or Locala.
🔄 Operational Workflow
Escalation Process
If escalation is needed, the PCN Gynae team will refer the patient to secondary care directly. Do not re-refer the patient.
📞 Queries
Questions regarding the PCN gynae service should be raised with the local PCN gynae provider in the first instance.