Gynaecology

United Lincolnshire Hospitals NHS Trust provides gynaecological services for the diagnosis and treatment of conditions of the female reproductive system and women’s health across Lincolnshire.

What we do

Our gynaecological services are delivered through outpatient clinics, inpatient and emergency services at various sites across the county. Day case gynaecological surgery is undertaken at Lincoln, Boston, Grantham, Louth and Gainsborough. Inpatient ward care is at Lincoln and Boston. A full range of investigations and procedures are available across site locations throughout the Trust.

How to access and receive our services

Referrals can be made by GPs, A&E, sexual health clinics or other health professionals. We do not have any clinics that you can refer yourself to.

If you are referred for early pregnancy assessment you will be contacted by nursing staff, with an ultrasound scan appointment.

If you are referred to the termination of pregnancy clinic you will be contacted by adminstration staff with an appointment.

If you are referred by your GP for an investigation, procedure or as a gynaecology outpatient an appointment may be made by the ‘Choose and Book’ procedure.

If your GP has any concerns about the possibility of cancer they will refer via our rapid access, two week wait service.

If you have had an abnormal cervical screening test (smear) we are informed by the laboratory. You will receive an appointment from the hospital to come and see us in colposcopy.

If you are attending for a procedure you will be sent an information leaflet with your appointment.

We have access to translation line and leaflets in different languages, wheelchair access, step free access, disabled parking spaces, and assistance with RNID and hearing needs.

What to expect when you come to us

Gynaecology outpatients/ speciality clinics

When you arrive at the outpatients department you may be able to use the self check in stand if available or advise the receptionist that you have arrived. You may have your weight and height recorded by nursing staff prior to seeing a doctor or nurse specialist. You will be asked about your general health, medication and your current problem, you may be examined with a nurse present. The doctor or nurse specialist will discuss, plan and arrange any investigations necessary that you may need. In some clinics you may be treated on the same day.

Emergency gynaecology

You may be referred to Branston Ward at Lincoln or M2 at Pilgrim by your GP or A&E for assessment. You cannot refer yourself. Sometimes your GP will have completed a letter for you to hand to the ward. We aim to see patients within 15 minutes for initial assessment and to be seen by medical staff within four hours. You might have to wait to be seen as you will be assessed by the doctor on call, who is also responsible for all emergencies within the maternity wing. If an ultrasound scan is required it is not always possible for this to be arranged on the same day.

Clinics

Some clinics are held on wards, others in outpatient departments. You will be advised where to check in on your appointment letter.

Range of clinics

  • Hysteroscopy and ablative/excisional treatments
  • Colposcopy
  • Urogynaecology
  • Post menopausal bleed clinic
  • Gynaecology oncology
  • Menopause
  • Pelvic pain
  • Vulval and Perineal assessment
  • Subfertility
  • Early Pregnancy Assessment
  • Termination of Pregnancy Service
  • Recurrent miscarriage

Gynaecology clinics and speciality clinics are at Lincoln, Boston, Grantham, Louth and Gainsborough. There are weekly gynaecology satellite clinics at Sleaford, Spalding and Skegness. We work together with Trent Cancer Network and have Nottingham consultants in our clinics. Some surgery will only be undertaken at Nottingham.

Early pregnancy

Early pregnancy assessment is for women under 20 weeks pregnant. This service can be accessed for pain or bleeding in early pregnancy via your GP. GP’s leave a message on the early pregnancy answer phone and then you will be contacted by a member of the nursing staff with an appointment for scan and assessment. We aim to provide an appointment within 48 hours however, this is not always possible. If you are bleeding heavily or in severe pain your GP can refer you as an emergency to Branston Ward or M2 by contacting the doctor on call.

Termination of pregnancy service

Termination of pregnancy by tablet and pessaries (medical method) or by surgery is available within the Trust for pregnancies at 12 weeks and under. Referrals must be made by your GP to the termination of pregnancy service answer phone. You will then be contacted with an appointment. At your appointment you will have an ultrasound scan, counselling and choice of method, a blood test will be performed. You will be given a date and location for your selected method of termination.

For those counselled at Lincoln the surgical terminations are currently performed at Louth.

General gynaelogical clinic

  • Menopause
  • Pelvic pain
  • Perineal repair
  • Recurrent miscarriage
  • Polyps
  • Ovarian cysts
  • Abnormal bleeding

For disabled access information about the gynaecology department at Pilgrim Hospital, Boston please see our DisabledGo accessibility guide.

Colposcopy

Light and magnification is used to look at the cervix. To assist diagnosis and treatment of the cervix following an abnormal cervical screening test (smear), in the prevention of cervical cancer.

For disabled access information about the colposcopy department at Grantham and District Hospital, please see our DisabledGo accessibility guide.

Hysteroscopy

A camera looks into the womb for diagnosis of abnormalities within the womb to detect abnormalities, polyps and heavy periods.

Ablative techniques

Mini- touch and thermochoice can be used in women who have completed their family in the treatment of heavy periods.

Fertility

Blood tests and a range of investigations are planned to try and establish a cause for not becoming pregnant. Treatment can be given or referral to Nottingham if appropriate.

Urogynaecology

Investigations into bladder problems, a flow test is performed then a catheter inserted into your rectum and bladder which are connected to a monitor, fluid will be introduced, you will be asked to do a series of movements and the monitor analyses what is happening in your bladder. This helps establish the best method of treatment.

Students

Sometimes medical students or nurses may be observing the clinic. If this is the case the nurse will ask you beforehand if you mind. Obviously doctors and nurses need to learn and this is an important part of their training. They will not be taking any part in your treatment, just observing. If you do not want to participate in their training please let the nurse know.

Safety and security

The main entrance doors to Branston ward and M2 are locked at times. Patients and visitors ring the doorbell and are spoken to via intercom to establish who they are and why they are coming into the ward, before they are allowed to enter. Please do not allow others to follow you onto the ward.

Our team

Our gynaecological service is led by a dedicated and highly skilled team of consultants and nurses, supported by teams of nursing, support and administrative staff who have expert knowledge in their particular field of gynaecological interest

Key staff
Head of Service: Sue Bennion
Medical Director: Oderi Oteri
Matron (Gynaecology) : Ellen Ewer

Contact details

Inpatient wards
Lincoln County Hospital: Branston Ward – 01522 573132 / 01522 573492
Pilgrim Hospital, Boston: M2 – 01205 445431

Outpatient clinics
Lincoln County Hospital, Greetwell Road Lincoln LN2 5QY, 01522 573200
Pilgrim Hospital, Boston, Sibsey Road, Boston, Lincolnshire PE21 9QS, 01205 445426
Grantham Hospital, 101 Manthorpe Road, Grantham, Lincolnshire NG31 8DG, 01476 464740
County Hospital, Louth, High Holme Rd, Louth, Lincolnshire LN11 0EU, 01507 600100 EXT 1247
John Coupland Hospital, Ropery Road, Gainsborough, Lincolnshire, DN21 2TJ, 01427 816 500
Skegness and District General Hospital, Dorothy Avenue, Skegness, Lincolnshire, PE25 2BS, 01754 762 401
Johnson Community Hospital, Spalding Road, Pinchbeck, Spalding, Lincolnshire, PE11 3DT, 01775 652 000

Useful websites

Generic

https://patient.info

https://www.nhs.uk

https://www.rcog.org.uk/en/patients/

https://www.fpa.org.uk/

www.healthtalk.org

https://www.nhs.uk/video/Pages/Menstrualcycleanimation.aspx

https://www.bashh.org/public/public-and-patient-information/

Condition-specific websites

Cervical screening

https://www.bsccp.org.uk/women/

https://www.gov.uk/government/collections/cervical-screening-information-leaflets

https://www.nhs.uk/video/Pages/cervical-screening.aspx

https://www.jostrust.org.uk/about-cervical-cancer/cervical-screening-smear-test-and-abnormal-cells/abnormal-cervical-screening-results/colposcopy 

Lichen sclerosis

http://www.bad.org.uk/shared/get-file.ashx?id=74&itemtype=document

Fertility

www.fertilitynetworkuk.org/

https://www.hfea.gov.uk/

Menopause

https://www.menopausematters.co.uk/

https://www.daisynetwork.org.uk/ – a support group for women with premature ovarian failure

PCOS

https://www.verity-pcos.org.uk/

Ovarian cysts

https://www.nhs.uk/video/Pages/Ovariancysts.aspx

Gynaecological cancers

https://www.rcog.org.uk/en/patients/menopause/gynaecological-cancers/

Useful websites for professionals:

https://www.fsrh.org/standards-and-guidance/

https://www.fsrh.org/…/documents/ukmec-2016-summary-sheets

https://www.menopausematters.co.uk/

https://www.rcog.org.uk/en/guidelines-research-services/guidelines/

https://pathways.nice.org.uk/

https://www.gov.uk/guidance/cervical-screening-programme-overview

https://www.guidelinesinpractice.co.uk/clinical-area/womens-health

http://www.bad.org.uk/for-the-public/patient-information-leaflets/lichen-sclerosus

https://thebms.org.uk/

https://www.cancerresearchuk.org/health…cancer…/nice-cancer-referral-guideline

https://www.bashh.org/guidelines

Consultants