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Gynaecology Assessment Unit (GAU)

What we do

We are a consultant-led specialised unit for women who present with acute symptoms suggestive of a gynaecological cause.

During your visit you will have a consultation with a doctor or specialist nurse and may be offered an examination including an internal examination.  You may also need investigations as part of your management.

Referrals

Women with gynaecological conditions may be referred via the following:

  • Accident & Emergency department
  • Urgent Care Centre
  • GP/ Patient care access line (PCAL)
  • Early Pregnancy Unit
  • From another speciality

Referrals from the areas mentioned above are accepted by the Gynaecological doctor on call who can be reached via the hospital's switchboard. The unit does not take self-referrals.

This unit is for women with emergency gynaecological problems who need to be seen; for example:

  • Red / swollen / painful lump outside the vagina known as Bartholin’s or vulval abscess with signs of systemic infection
  • Sudden unexpected Heavy Vaginal bleeding which is on going/ with evidence of anaemia / with haemodynamic compromise
  • Sudden unexpected severe abdominal pain
  • Post operative problem for women who have had gynaecological surgery within last 30 days
  • Vaginal bleeding or pain in early stages of pregnancy between 6 to 14 weeks pregnant, presenting outside of Early Pregnancy Unit working hours and other emergency gynaecological conditions.

If your symptoms are not severe or are long-standing you will be referred to a routine gynaecology clinic for ongoing care and investigations.

What happens at the unit?

On arrival please report to the reception where you will be asked to complete a form regarding your personal details. You may bring a person to accompany you if you wish to do so. Children are not allowed on the unit.

Shortly after your arrival you will then be seen by a healthcare assistant or nurse for a check of your blood pressure, temperature and other observations. You will be asked to provide a urine sample.

Our doctors and trained nurses will do their best and aim to see you within four hours of your arrival to the unit. However, emergency patients who require immediate medical care are treated by the same staff and this can result in delays. We will keep you informed as far as possible of how long you can expect to wait to be seen.

Your consultation will be with either our on call gynaecology doctors or specialist nurse. He or she will assess you and plan any investigations necessary. These investigations may include vaginal swabs, blood and urine tests. An ultrasound scan may be requested if required.

What happens after your consultation?

The on call doctor or specialist nurse may decide on one of the following:

  • You are medically fit and able to go home
  • You can go home but will be contacted by the unit with results of certain investigations
  • You need a follow up in the unit to assess your symptoms or to get specific investigation results back
  • You are referred back to your GP or to another specialty in hospital
  • You require admission to the hospital ward for observation, investigation and treatment
  • You are referred to a gynaecology clinic once you go home for on going care.

Discharge from the unit

After you have been discharged your GP will be informed of your visit to our unit as part of your care unless you request otherwise

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Blood taking, York Hospital

Due to COVID-19, from Monday 6 April the Phlebotomy service at York Hospital outpatient department will be closed until further notice.

We will continue to offer a blood taking services for patients who have urgent bloods requests only, at the nearby Nuffield Hospital. The urgency will have been identified during your medical appointment. Please access the Nuffield Hospital via the main reception and from there you will be directed to Phlebotomy. Please take a seat and wait to be called.

Patients who have routine blood test for yearly check-ups should not attend. Instead, please contact your GP to request an appointment at the GP surgery for your bloods to be taken.


Maternity services

If you are due to have a baby, please visit our website for up to date information about maternity services at this time https://bit.ly/39ANleP


Haematology and Oncology services

With effect from Monday 6 April there will be temporary changes to the Haematology and Oncology services at Scarborough and York Hospital.  These decision have been made on the grounds of patient safety in the current coronavirus pandemic.  Find out more here.


Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.


Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.