Referrals and appointments

Referral and appointment information

Your GP must refer you using the NHS e-Referral Service (formerly known as Choose and Book) addressed to the Chelsea and Westminster Appointment Office. Referrals should be directed to the specific specialist clinic in accordance with criteria outlined within the service guideline. Specialist clinics are:

  • Menopause over age of 40
  • Premature ovarian insufficiency, age under 40 at diagnosis
  • Premenstraul syndrome (PMS) or premenstraul dysphoric disorder (PMDD)
  • Hormone implants (first appointment within the menopause clinic)

PMS & PMDD referrals

  • It is essential that women complete a 3 month symptom diary prior to their first visit to aid diagnosis and select the best treatment plan.

  • Please note that women with a pre-existing or current of history of background  psychological or mental health illness will need to be under regular review with their GP or specialist mental health practitioner before referrals can be accepted or treatment started. Referrals must include a mental health plan where applicatble

We are a specialist team, which means you will not necessarily see the same consultant or clinician at each appointment. Once effective treatment has been established, you will be discharged back to the care of your GP. This is often possible within 1–2 appointments over a 3–6 month period.

Please note if you miss your appointment you may need a new referral from your GP.

  • If you need to change or cancel your appointment please call our appointments office

Telephone appointments

In some instances, you may be offered a telephone appointment. Please allow a one-hour window from the time of your appointment for availability. Only accept this appointment if you:

  • have access to a phone, preferably a mobile number
  • have registered your number with the hospital
  • will accept an unknown or withheld number
  • will be in a suitable environment to talk

If you cannot make the appointment you must reschedule by contacting the appointment office. If we cannot contact you after 2 attempts you will be sent an appointment to be seen back at the hospital. Please note, there is no number for you to call back on. We cannot call international numbers. 

Implant appointments

If you require estrogen or testosterone implants, your GP must refer you to menopause clinic directly to the menopause clinic.

  • You must ensure you’ve had your blood test done before your appointment otherwise you may have to rebook your appointment
  • Serum estradiol results should be between 200–600pmol at the next appointment  Implants may not be replaced if your serum estradiol blood test is >800pmol
  • Please defer your appointment by two months if your levels are too high
  • If your blood test is done via the GP you must bring the result with you to the appointment

Appointment Office

T: 020 3315 6666 (New patient appointments)
T: 020 3315 3236 (Follow-up patient appointments)

Postmenopausal bleeding (suspected endometrial cancer)

PMB may occur 12 months after your last menstrual period (LMP) or after being on continuous combined HRT (ccHRT) for 6 months or more.

If you have post menopausal bleeding (PMB), your GP must refer you for an urgent hysteroscopy to the Gynaecology Rapid Access Service (GRAS). The majority of women will not have endometrial cancer, but this must be excluded. 

Do not delay investigation—the Gynaecology Rapid Access Service is a one-stop clinic which involves a trans-vaginal ultrasound scan, hysteroscopy with diagnosis, and treatment if necessary.


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