CLINICAL PRIORITY ACCESS CRITERIA - WA Health
CLINICAL PRIORITY ACCESS CRITERIA
| | |
|Service Category: GYNAECOLOGY |Clinic Type: Outpatient (Assessment) |
| | |
|Category Definitions: |1. Immediate – Treatment immediately or within 24 hours |
| |2. Urgent – Seen at next available clinic or within 2 weeks |
| |3. Semi-Urgent – Seen within 1 month |
| |4. Routine – Seen within 2 months |
| | | |
|Category |Criteria |Examples |
| | |(not an exhaustive list) |
|1. |Significant or uncontrolled bleeding. |Ectopic pregnancy. |
|Immediate | |Inevitable and/or incomplete abortion. |
|Treatment immediately or | |Ruptured haemorrhagic ovarian cyst. |
|within 24 hours | |Torsion of uterine appendages. |
| |Severe pain. |Abscess – intrapelvic or vulva/PID. |
| |Severe infection. |Vulval or vaginal lacerations/ haematoma. |
| |Acute trauma. |Penetrating injuries. |
| |Acute and severe functional impairment. |Urinary retention associated with impacted pelvic tumour. |
| | |Gestational trophoblastic disease. |
| | |Missed abortion. |
|2. |Diagnosed or suspected malignancy. |Post menopausal bleeding. |
|Urgent | |Highly abnormal cervical smear (CIN II and III). |
|Seen at next available | |Highly suspicious genital tract cancer – ovary, |
|clinic or within 2 weeks | |endometrium, cervix, vagina, vulva. |
| | |Gestational trophoblastic disease. |
| |Major functional impairment. |Large pelvic mass causing pain/ pressure effects. |
| | |Severe vaginal bleeding – not requiring resuscitation, but|
| | |with severe anaemia. |
| |Pain requiring narcotics or high analgesic dose to |Exacerbations of PID, endometriosis. |
| |control. | |
|3. |Some neoplasia with moderate risk of malignancy. |Ovarian cysts > 5 cm over the age of 50 years*. |
|Semi-Urgent |Pruritus vulvae. |With or without localised lesion post-menopausal. |
|Seen within 1 month |Anaemia. |Menorrhagia with or without fibroids. |
| |Moderate functional impairment. |Procidentia with ulceration. |
| |Young female. (consider referral to paediatric/adolescent |Bleeding, discharge, foreign bodies, masses. |
| |gynaecology KEMH) | |
|4. |Recurrent vaginal infections. |Thrush. |
|Routine |Some neoplasia with low risk of malignancy. |Ovarian cysts > 5 cm under the age of 50 years*. |
|Seen within 2 months |Limited functional impairment. |Dysmenorrhoea, prolapse, PMS, incontinence. |
| | |Dysfunctional uterine bleeding. |
| |Menstrual problems. |Request for tubal re-anastomosis. |
| |Fertility. |(not available within public hospitals as not within the |
| | |medicare schedule) |
| | |Sterilisation |
| | |Amenorrhoea. |
| |Congenital abnormalities. (consider referral to |Infertility. |
| |paediatric/adolescent gynaecology KEMH) |Imperforate hymen, labial fusion. |
| |Plastic and reconstructive surgery. |Vaginal agenesis. |
| |Endocrine dysfunction. |Hirsutism, galactorrhea. |
| |Menopause. |Symptoms, problems with HRT. |
|* See Inpatient Criteria. |
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