Gynaecology
“A way forward is urgently needed to tackle the UK gynaecology crisis. Our new report shows too many women are waiting too long with serious conditions that can devastate their lives. NHS staff are also deeply concerned and distressed that they do not have the necessary resources to deliver good care, affecting their own wellbeing. “UK governments must act now. The RCOG is calling on them to commit to long-term, sustained funding to address the systemic issues driving waiting lists, alongside delivering an urgent support package for those currently on waiting lists. “This investment will not only benefit thousands of individual women but the wider economy too, because the evidence shows that healthy women are the cornerstone of healthy societies. Get it right for women and everyone benefits.” Jane Plumb, RCOG Women’s Voices Lead, said:
“The state of gynaecology waiting lists in the UK is a crisis that demands immediate attention. Millions of people are waiting for non-cancer hospital gynaecological care, many are suffering with severe pain and heavy bleeding, the impact on their physical and mental health is devastating. “The heart-wrenching testimonials we’ve
heard underscore the significant consequences of these delays. It’s imperative that all UK governments prioritise this issue, allocating resources to provide timely, compassionate care. Women’s voices must be heard, and we must take action now to address their urgent needs and alleviate their suffering.” India Weir, 27 from near Edinburgh, comments: “I’ve been living with chronic pelvic pain and significant symptoms associated with endometriosis since 2017 and have been on and off gynaecology waiting lists throughout this time. I’m currently waiting for surgery to manage my deep infiltrating endometriosis and ovarian cysts. “Physically, being in pain every single day
takes a huge toll on me while I have to get on with day-to-day life. Also, living with the uncertainty of when I’ll undergo surgery makes it hard to plan ahead. It impacts every part of my life and my quality of life. My relationships, friendships, social life, career and mental health are all affected – and my condition is getting worse without treatment and relevant care.” Kerry Briggs, early 50s from near Manchester, comments: “I’ve been on a waiting list for treatment for fibroids since January 2023. During this time, I’ve experienced severe bleeding, back pain, hip pain and had to manage challenging symptoms of anaemia as a result of my blood loss.
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“The anxiety I’ve felt while waiting has been all encompassing. I can’t book anything in advance, and I feel completely stuck in the house. If you don’t have cancer, your condition is given less urgency and importance but there is no part of my life left untouched by this. It has to be taken more seriously.” Professor Kamila Hawthorne, Chair of the
Royal College of GPs, said: “GPs understand how hard living with a gynaecological condition can be, and how frustrating and concerning it is to have to wait months or even years for the right specialist care. GPs and our teams play a key role in managing our patients’ conditions while they are on waiting lists, and it is deeply worrying to see their health deteriorating, becoming more complex to treat, and affecting their quality of life while they wait. “As GPs, we carry the additional risk of patients’ conditions worsening while they wait many months for specialist treatment. It is part of our normal practice now to ask women we have referred to a gynaecologist to let us know if their symptoms are worsening, so that we can alert the hospital waiting list and expedite the referral if needed. “Women’s health – including gynaecology - is
a key part of the RCGP curriculum. There is a lot of support we can and do offer but in many cases, the most appropriate course of action is to refer to specialist care and services; however, access is patchy and waiting lists are far too long. Cutting waiting lists will benefit everyone across the NHS, particularly outpatients, and we need to see everything being done to make this possible.”
Conclusion RCOG concludes that women deserve to access better care quickly and easily and professionals deserve to have the time, tools and training to deliver the best care they can for their patients.
To view the full report, scan the QR code above.
https://tinyurl.com/3bxnpjfb
While many of the recommendations in the RCOG’s Left for too long report remain relevant, it is clear that the situation for women has continued to worsen. Therefore, more targeted support is now needed to address gynaecology waiting times. The RCOG recommends that governments
across the UK provide immediate support so women can see a rapid improvement to their care while they wait for their vital treatment. However, this must also be supported by sustainable long-term funding and resources, and this will require an increase in current spend allocations across England, Wales, Scotland, and Northern Ireland.
References 1. RCOG, Waiting for a way forward, 2024, Accessed at:
https://tinyurl.com/3bxnpjfb
2. RCOG, Left for too long report, 2022. Accessed at
https://tinyurl.com/2e3dkctf
CSJ
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Валерия Стоганенко -
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