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Gynaecological cancers - international resources

1.1 Service delivery frameworks and standards

  •       Manual for cancer services 2008: Gynaecology measures. National Cancer Action Team. The Crown: United Kingdom Gateway No 10790, National Health Service (2008)

Forms part of the Manual of Cancer Services which is designed and written specifically for assessing a service against it, to aid self-assessment and team development.
www.v3.cquins.nhs.uk/download.php?d=Gateway_10790_gynae_complete_20081118.pdf

  • Gynaecology Service Improvement Guide: Pathway. Cancer Services Collaborative Improvement Partnership, NHS Modernisation Agency. 

This document presents ideal pathways for different types of gynaecological cancers, from referral through to follow-up. It also provides case studies and resources for each pathway.
http://www.ebc-indevelopment.co.uk/nhs/gynaecology/pathway_frameset.html   

  • National Standards for Gynaecological Cancer Services. Wales: Welsh Assembly Government, National Health Service Wales (2005).

This Cancer Standards document is developed to regularly review and revise standards to maintain their relevance to the NHS in Wales.
http://wales.gov.uk/docrepos/40382/dhss/nationalstandardscancer/english/gynaecological-cancer-e.pdf;jsessionid=26J0Lq6P9xvvDJRpnxD4Fv7QkPjry2vmQKfMGRlFhkKpgTJnq9G5!-515884902?lang=en

  • Guidance on commissioning cancer services: Improving outcomes in gynaecological cancers – the manual. London: Department of Health, NHS Executive (1999).

This manual is developed to guide commissioning, planning and development of gynaecological cancer services.
http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/@dh/@en/documents/
digitalasset/dh_4083846.pdf

  • National Cancer Peer Review Programme - Manual for cancer services 2008: Gynaecology measures. The Crown: United Kingdom Gateway No 10790, NHS National Cancer Action Team (2008).

This document forms part of the Manual of Cancer Services which is designed and written specifically for assessing a service against it, to aid self-assessment and team development.
www.v3.cquins.nhs.uk/download.php?d=Gateway_10790_gynae_complete_20081118.pdf

  • Manual  for cancer services. London: Department of Health, NHS Executive (2004).

The Manual for Cancer Services is an integral part of the NHS Cancer Plan and modernisation of cancer services. It supports quality assurance of cancer services and enables quality improvement and the implementation of NICE Improvement Outcomes Guidance. http://www.dh.gov.uk/en/Healthcare/Cancer/Treatment/DH_101998#_6

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1.2 Clinical practice guidelines

  •  Laparoscopic radical hysterectomy for early stage cervical cancer. National Institute for Health and Clinical Excellence (NICE), NHS (2010).

This guideline relates to patients with cervical cancer up to and including stage IIA. Based on evidence for efficacy and safety outcomes, it updates the previous interventional procedure guidance 24. This guideline also refers readers to information on this procedure and guideline for patients and carers, written with patient consent in mind. See: www.nice.org.uk/guidance/IPG338/publicinfo
http://www.library.nhs.uk/cancer/viewResource.aspx?resid=374351&code=
8c34179dbc4654c0523b3e7e06b55428

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1.3 Referral pathways

  • Gynaecology service improvement guide. Cancer Services Collaborative Improvement Partnership. NHS Modernisation Agency (2006).

This resource has been developed to improve consumer access to and experience of cancer treatment by using the methods employed in process redesign.
http://www.ebc-indevelopment.co.uk/nhs/gynaecology/introduction.html

  • Guideline 99 Management of cervical cancer: a national clinical guideline. Scottish Intercollegiate Guidelines Network, NHS (2008)

This guideline covers MDT working, presentation and referral, diagnosis and staging through to psychosocial care and support for patients and carers. It also contains a chapter on research recommendations.
http://www.sign.ac.uk/guidelines/fulltext/99/index.html

  • Sussex Cancer Network Gynaecological Protocol Book (Gynaecological Cancer Clinical Guidelines): Management pathways and protocols for the management of gynaecological cancer in the Sussex Cancer Network. Sussex Cancer Network (2009).

This document outlines MDT, referral into service (including timelines), tests and imaging, staging, surgical/chemo/radiation treatments, follow-up schedules, letters to refer patients to service, templates to send letters to GPs after seeing patients, and service directory.
http://www.sussexcancer.net/professionals/clinicalgroups/tumourgroups/
gynaecology/documents/GynaeprotocolbookFINAL_000.pdf

  • Gynaecological Cancer Patient Pathways. UK: National Health Service, Greater Manchester and Cheshire Cancer Network (2006).

Four documents describing each step of the gynaecological cancer healthcare journey with clear timings when each key event (for example, diagnostic tests) should take place, with identified escalation points.
http://www.gmccn.nhs.uk/hp/Groups/ClinicalSubGroups/Gynaecology/PoliciesGuidelines

  • Gynaecological cancer guidance: a patient’s pathway. Northern Ireland: Department of Health, Social Services and Public Safety (2003).

This document describes typical presentation, diagnosis and treatment of cancers of the ovary, cervix, vulva/vagina and uterus, and referrals for investigation and diagnosis, primary treatment and continuing care.
http://www.dhsspsni.gov.uk/gynaecological_guidance.pdf

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1.4 Multidisciplinary management and support during treatment

  • Nurse-led rehabilitation after gynaecological cancer surgery. Supportive Care in Cancer 17(5): 601-605, Seibaek L, Petersen LK (2008).

This article provides information on the preliminary results and experiences from an ongoing study aiming to develop and test nurse-led multidisciplinary rehabilitation program. Specifically, for women who undergo surgery for localised gynaecological cancers and evaluate the effect of the program prospectively on self-assessed health and coping.
http://www.springerlink.com/content/u1nh2663t7157357/

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1.5 Follow-up and survivorship

  • Network Guidance Document: Follow Up for Gynaecological Cancers. UK: National Health Service, Kent and Medway Cancer Network (2006).

This Guideline provides information on gynaecological cancer follow-up based on a patient initiated follow-up model.
http://www.kentmedwaycancernetwork.nhs.uk/home-page/for-professionals/gynae-dog/

  • Cochrane Reviews at protocol stage:

Evaluation of follow-up strategies for patients with epithelial ovarian cancer following completion of primary treatment
http://www2.cochrane.org/reviews/en/protocol_DD51E25D82E26AA2002C1B13675A6858.html

Follow up protocols for women with cervical cancer after primary treatment
http://www2.cochrane.org/reviews/en/title_7937EB7082E26AA200D9DBD16D548510.html

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 1.6 Patient, carer and family information

  • MedlinePlus: Trusted health information for you. United States National Library of Medicine, National Institutes of Health (NIH).

MedlinePlus is the NIH’s website for patients and their families and friends. It presents information about diseases, conditions, and wellness issues. It is written in easy to understand language, free and up-to-date. It has information about cervical cancer, its early signs and management.
http://www.nlm.nih.gov/medlineplus/cervicalcancer.html

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Updated 16 Feb 2012