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Urgent Gynaecology Clinic - Horton General Hospital

April 2020 - COVID-19 update

Arrangements for North of county GPs who would normally refer to Horton

Referral criteria

All women must have a positive pregnancy test and be less than 15+6 weeks' gestation (N.B. women less than six weeks can access the service but are unlikely to be scanned) and either have

bleeding or non- severe pain (not women who are acutely unwell or haemodynamically unstable) or
a previous ectopic pregnancy or molar pregnancy (these women should attend at 6 weeks’ gestation)

Patients not fulfilling these criteria must be referred to the Gynaecology on call (bleep 6333) at the JR (see below).

Referrals accepted from:

GP / out of hours
A&E / Gynaecology ward
BPAS / sexual health
Midwives
Patients (self-referral)

Referral pathway

If patient is well and does not need immediate medical attention or admission:

Give patient contact details for EPAU for patient to make self-referral.

Tel: 01865 221142

Advise patient to call the clinic. No letter from the GP or other healthcare provider is required.

If seeing a patient outside of clinic hours, instruct patient to call clinic 8.00am - 10.00am the next morning to speak with a triage nurse who will arrange an appointment.

This appointment may not always be the same day.

For patients needing referral after 11.00am Saturday or on Sunday, advise patient to call on Monday morning 8.00am - 10.00am.

EPAU clinic hours

Monday to Friday 8.00am - 6.00pm
Saturday 9.00am - 12 noon

About us

In normal times this clinic is run at the Horton Maternity Unit.

Clinic times

Mondays to Thursdays, excluding Bank Holidays. There are five appointment slots. All patients are booked at 1.30pm.
Fridays. There are three appointment slots. All patients are booked at 12.00 noon.

Staff

The Clinic staff includes:

care support worker
sonographer
obstetrics and gynaecology registrar

Source of referral: GP

Patients should be given a referral letter or notes should be sent to clinic prior to appointment.

Referral criteria

All patients must have a recent positive pregnancy test.

Patients under sixteen weeks gestation with:

threatened miscarriage
abdominal pain and positive pregnancy test
previous ectopic pregnancy and a positive pregnancy test
have had no fetal heart heard by sonicaid >15/40

Patients with suspected ectopic pregnancy should be referred directly through the on-call gynaecology registrar as an emergency.

Exclusions

Patients who arrive and have a negative pregnancy test will be referred back to their GP.

Patients who have had a previous ectopic pregnancy and now have a positive pregnancy test are not to be referred to EPAC / Urgent Gynaecology Clinic. Their GP is to refer them to Maternity Ultrasound for a routine early scan at seven weeks' gestation.