Australian Commission on Safety and Quality in Healthcare - Infection Prevention and Control

NSW Health - Infectious Diseases

NSW Health - Infectious Diseases (Factsheets)

NSW Health - Infectious Diseases (Control Guidelines)

Multicultural Health Communication Services

Hepatitis B information for parents

if you have condition that affects your bone health, a referral from your GP or specialist physician is required.  You will be bulk billed under Medicare in this case.

If you do not have a bone health issue OR if you do not fall into a Medicare rebate category a service fee between $80 to $130 will be charged.

• We use DXA imaging to assess bone density and total body composition in both adults and children.
• We provide support and services for clinical trials and studies involving osteoporosis.
• We provide imaging support to the Secondary Fracture Prevention Service at the Royal Hospital for Women and the Prince of Wales Hospital, a comprehensive multidisciplinary service which aims to optimise bone health through specialist endocrinology and physiotherapy care.

People, aged 5 and above, who require assessment of bone health or body composition.

A simple non-invasive scanning procedure, lasting about 15 minutes.

People referred by their GP’s or medical specialists for DXA imaging for investigation or management of osteoporosis, or for body composition testing to assess for fat, lean muscle and bone proportions.

• GP Referral
• Medicare card,
• We accept EFTPOS, master and visa card if paying for our service

www.healthybonesaustralia.org.au

The Gynaecological Cancer Centre opened in November 1986 with 7 beds in the gynaecology ward, 2 dedicated oncology nurses and a secretary.

Within 18 months new patient referrals had increased at least four-fold and oncology was requiring an ever increasing number of beds.  With the late Dr. John Greenwell, Medical Superintendent, a proposal was written for a new state-of-the-art Gynaecological Cancer Centre.  Macquarie House was renovated by the Benevolent Society to provide administrative offices, 25 inpatient beds, outpatient and brachytherapy facilities.

This Centre was officially opened by Hon Peter Collins MLA, Minister for Health in March 1990 and  became the benchmark for Gynaecological Oncology units throughout Australia and New Zealand and was replicated at the major Women’s Hospital in Singapore.

Today the Centre has weekly outreach clinics and surgery in Canberra and fortnightly clinics in Wollongong. 

The unit treats 350 new invasive cancers per year;  performs 330 major operations per year and undertakes over 1000 cycles of chemotherapy per year. 

Clinical research covers surgical management of vulvar, cervical and ovarian cancer, nutrition, lymphoedema and the laboratory is developing a screening test for ovarian cancer.

The Gynaecology Team

Our multidisciplinary team includes:

· Dr Erin Nesbitt-Hawes

· Dr Lalla McCormack

· Dr Juman Farjo

· Dr Jason Chow

· Dr Karen Chan

· Dr Amy Sesel

· Dr Yasmin Tan

· Dr Stefaan Pacquee

· Dr Basia Lowes

· Dr Madeleine Sheppard

· Prof Jason Abbott

· Dr Ha Ryun Won

· Dr Surya Krishnan

· Prof Rebecca Deans

· Dr David Rosen

· Dr Sarah Livingstone

· Dr Louise Fay

· Dr Kevin Koh

· Nursing team: Therese, Iris, Eimear, Jenna, Gemma & Hweeling

· Administration team: Jo, Lachlan, Sabreena, Remi & Tom

The Menopause Hub Team

All patients attending the Gynaecology Outpatients Department requires a valid GP referral before we can book you an appointment.

Please note that we only accept electronic referrals (eReferrals). This is an electronic referral that is submitted on your behalf by your GP. This replaces paper, faxed and e-mailed referrals. We do not accept faxed, e-mailed or paper referrals.

Once we have received your referral from your GP through our eReferrals system, the nursing team and/or medical team will triage your referral to ensure you will be seen in the appropriate clinic. A letter with your appointment date and time will be sent to your postal address. This booking process may take 7-10 working days to complete.

You will receive a SMS notification(if your GP consents for you to receive these updates in your referral) once the referral has been received, accepted by our clinic and triaged by the nurses.

Please allow 2-3 weeks for your appointment letter to arrive from when we have received your referral. If it has been over 3 weeks and you have not received your appointment letter, please call (02) 9382 6248.

Please note: Referrals to the Chronic Pain Service clinic requires a completion of a questionnaire returned to: NSWH-cppservice@health.nsw.gov.au in addition to a GP or specialist referral before an appointment can be made.

See Menopause hub page for menopause referrals Click HERE

Gynaecology Outpatients Department only accepts eReferrals. Please see: https://www.seslhd.health.nsw.gov.au/services-clinics/directory/electro…

HealthLink eReferrals are integrated with multiple software programs, including Medical Director, Best Practice, Genie, Medtech Evolution, Shexie Platinum and Zedmed.

These Smartforms integrate with GP practice systems to streamline the completion and submission of electronic referrals. There is no charge for use of eReferrals.

SmartForms can be launched directly from practice management software.

Referrers who do not have access to these systems can access SmartForms via the HealthLink Portal. A HealthLink account is required.

User Guide for accessing and completing eReferrals:

• Best Practice: https://vimeo.com/clanwilliamhealth/healthlink-smartforms-bestpractice
• Medical Director: https://vimeo.com/clanwilliamhealth/healthlink-smartforms-medicaldirect…
• Genie: https://vimeo.com/clanwilliamhealth/healthlink-smartforms-genie
• MyHealthLink Portal: https://vimeo.com/clanwilliamhealth/healthlink-smartforms-myhealthlink & https://www.healthlink.com.au/user-guide/myhealthlink-portal/
• HealthPathways: https://sesydney.communityhealthpathways.org/

Referrals may be rejected from the clinic is there is insufficient information provided.

Please note: Gynaecology Outpatients Department at RHW does not accept referrals for simple routine pap smears

See Menopause hub page for menopause referrals - click HERE

The current wait for an appointment can vary from 3-9 months depending on the specialty clinic that you are required to attend.

As this is a public clinic you will not be able to choose which consultant you are able to see. Clinic appointments are covered by residents, registrars, fellows and consultants. The consultant will oversee your appointment but you may not be directly seen by them.

We sometimes have requests by patients to be seen by a female doctor. We will endeavour to facilitate this but are unable to guarantee that a female doctor will be available. This may mean additional wait times for your appointment or require your appointment to be rescheduled.

This is a public hospital clinic, if you have a valid GP or specialist referral and Medicare card you will not be billed.

If you do not have a valid Medicare card, you will have to pay a fee. (Please contact hospital cashier reception for a schedule of charges).

If you are from a country which has a Reciprocal Healthcare Agreement, you will not need to pay for your appointment. If this applies, we may ask to see a copy of your visa and passport.

If you are having a procedure for insertion of an Intra Uterine Device (IUD),  the IUD is not included in your visit. You will need to get a prescription from your GP and then purchase your IUD device from your local pharmacist before your appointment. Please ensure you bring the IUD to your procedure.

Clinic appointments can vary between 15 mins- 2 hours dependent on the specialty clinic you are attending.

As this is a public clinic, there may be unavoidable delays and additional waiting times.

• Medicare card
• GP or specialist referral letter
• Any scans or blood tests results
• Your IUD (if you’re booked for an IUD insertion)

All patients booked into a urodynamics procedure are required to have a urine test 2 weeks prior to their scheduled appointment.

Please see your GP for this urine test and ask them to forward the results to fax: (02) 9382 6246.

If there are any issues in getting urine test, please contact (02) 9382 6248 and ask to speak to one of the nurses to organise a urine test at the clinic.

For Information about this procedure please click on the link below:

Urodynamics Procedure Information Sheet

For Information about this procedure please click on the link below:

Hysteroscopy Procedure Information Sheet

For Information about this procedure please click on the link below:

Mirena and IUD Procedure Information Sheet

Visiting hours are between 10am-8pm.

Macquarie is a 24 bedded ward consisting of both single and double rooms.

We aim to provide one if you are a private patients covered for a single room, but unfortunately this cannot be guaranteed.

• Generally not. There are extenuating circumstances where this may be considered through consultation with the Nurse Unit Manager.
• If the patient is under 16 a parent or guardian is required to be present throughout the admission.

This is dependent on what you are being admitted for. Speak with your Doctor and they will be able to give you an approximate timeline.

The hospital can cater for all dietary requirements. You are however welcome to bring in food, or purchase food from the canteen downstairs if you prefer. There is a fridge in the patient lounge where it can be labelled and stored throughout your stay.

Interpreters of all languages are available 24hrs over the phone. When required we can also organise face to face interpreters, however these bookings need to be made in advance.

Anyone who holds a Medicare care or private health insurance.

In addition to hospital services we also provide tertiary referral services.

Waiting times are variable and will differ depending on the reason and urgency of your admission. Please speak to your medical doctor for approximate timelines.

• Medicare card and/or private health insurance details
• Any relevant test results
• Nightwear
• Shoes/slippers
• Toiletries
• Small amounts of money
• Pen
• If needed, reading glasses / hearing aids / dentures and the appropriate storage containers
• If needed, can bring a hair dryer, however this will require electrical testing before use. Please only use hair dryers/hair straighteners in the bathrooms.
• Reading material – books, magazines
• Comfortable clothes for the day you are discharged
• All current medications and/or vitamins in original packaging

• Valuables and jewellery
• Large amounts of money
• Bath towel
• Electronics at your own risk

Clinic appointments are covered by both the consultant and a registrar, this is a public clinic and you may see the registrar for your appointment but this will be overseen by your consultant.

As this is a public clinic unfortunately there are sometimes unavoidable delays and there may be wait times as a consequence. We suggest you bring something to occupy yourself whilst waiting.

This is a public hospital clinic and women with a Medicare card will be bulk billed for their clinic appointments.

Chemotherapy at the RHW is ordered in from a specialist chemotherapy pharmacy called Slade . We send your prescription to Slade then they send us the medication/chemotherapy to administer. We then bill Medicare on your behalf. Most drugs are 100% covered by PBS but there are some medications you may need that may have a PBS co-payment (the same as if you took any other script to your own pharmacy). Slade will bill you directly in this instance by sending an invoice to your home.

Medicare ineligible patients will have a fee to pay up front (please contact reception for up to date schedule of charges).

1-3 weeks

• Medicare card
• Referral letter
• GP health summary
• List of current medications
• Scan and other results

Cancer Treatments Online :   www.eviq.org.au

NSW Cancer Council : www.cancercouncil.com.au

Ovarian Cancer Australia  : www.ovariancancer.net.au

NHMRC Trials Centre :  www.ctc.usyd.edu.au

Palliative Care Australia : https://palliativecare.org.au/

Care Opinion: https://www.careopinion.org.au/

‘A Guide To Understanding Cervical Screening Test Results’: https://www.health.gov.au/sites/default/files/documents/2022/07/national-cervical-screening-program-a-guide-to-understanding-your-cervical-screening-test-results-national-cervical-screening-program-a-guide-to-understanding-your-cervical-screening-test-results.pdf

Our Mob and Cancer:  https://www.ourmobandcancer.gov.au/

Australian Cancer Trials: https://www.australiancancertrials.gov.au/

Cancer Australia: https://www.canceraustralia.gov.au/

Look Good Feel Better: https://lgfb.org.au/

Mummy's Wish: https://mummyswish.org.au/

Dreams2Live4: https://dreams2live4.org.au/

Isolated Patients Travel and accommodation Assistance Scheme: https://www.iptaas.health.nsw.gov.au/

All women who have a cancer diagnosis or who are suspected to have a gynaecological cancer diagnosis.  We also care for women who have a genetic mutation that makes them susceptible for gynaecological malignancy.

You will meet our team of administration officers, doctors and nurses.  In the surgical clinics you will be treated in a personalised way and have your history taken, scans reviewed and a physical examination.  We will make a personalised treatment plan in conjunction with you and give our recommendations to your care based on the best available evidence and clinical practice guidelines.

In the preadmission clinic you will meet our nursing team who will do some assessments, provide information, education and discuss research.  We will do some bloods test, an ECG and other tests.  You will meet an anaesthetist who will talk with you about your anaesthetic, the risks and pain relief after your operation.

Yes you are encouraged to bring a support person to the clinic with you.  You can bring more than 1 person if you need but no more than 2 at the moment with ongoing COVID-19 pandemic restrictions.

Yes, you are welcome to get a second opinion or to see us for a second opinion.

Most gynaecological cancers are treated with surgery and or other treatment modalities such as chemotherapy and radiation treatment.

The average wait for surgery with our team would be around two weeks from the time we see you.  Sometimes we do the surgery much sooner but never longer than 30 days from when you see us in clinic.

Yes, all patients needing surgery will need to attend the preadmission clinic.  The preadmission clinic will take 3 to 4 hours.

Yes you may need more tests.  The doctor will discuss with you and explain why you may need more test.  We can help arrange these for you.

The surgical oncology clinic appointment will generally takes around an hour.  This will include completion of paperwork and seeing the doctors and/or nurses. 

1-3 weeks

• Medicare card
• Referral letter
• GP summary
• List of current medications
• Test and scan results

The role of the Colposcopy clinic is to carry out further investigations for an abnormal Cervical Screening Test result and/or the presence of symptoms.

Women with pre cancer changes of the cervix, vulva and or vagina.

Colposcopy is the examination of the cervix using a colposcope.  The procedure is not painful, but may be slightly uncomfortable, similar to having a pap smear.  We may also take a biopsy (small piece of tissue) from the cervix or vagina.

You may experience some bleeding or discharge particularly if you have undergone a biopsy. You will be advised about after care by our team.

The appointment will take approximately 30 minutes but the colposcopy procedure is quick and will only take 5 to 10 minutes.

Yes. You can attend with your period.

Yes. You can return to work the same day as Colposcopy.

We can provide you with a medical certificate of attendance for your workplace if necessary.

There is NO cost for patient who have a Medicare card.

There is a cost involved for Medicare ineligible patients. Please contact the service to discuss.

4 weeks to 5 months.

Appointments are triaged depending on the urgency of the referral.

• Medicare card
• Referral
• Any relevant test results

https://www.health.gov.au/sites/default/files/documents/2022/07/nationa…

• Recurrent Miscarriage Clinic
• Obstetric Medicine Clinic
• Reproductive Endocrine Clinic
• Reproductive Survivorship Clinic
• Urology Clinic
• Andrology Services
• Counselling Services
• Preimplantation Genetic Diagnosis (PGD) Services
• Donor Services

Affordable Fertility Treatments

Prior to attending your initial consultation at the FRC we ask all patients to attend your GP to have the following investigations ordered (please refer to https://www.fertilityandresearchcentre.com.au/get-started)

In your initial consultation, you will have the opportunity to speak with fertility consultant and their team and go through your medical history and investigation results. Intending patients and their partners must attend this consultation. Depending on the results of the investigations, the clinician may order additional tests and rebook you for a follow-up appointment. They will also discuss what treatments are available to help you achieve a healthy pregnancy and schedule a follow-up appointment to sign consents for the treatment they recommend. Please arrive on time for your appointment and bring in your Medicare card and photo ID. Our administrative team members will then ensure all your personal details are correct.

Fertility Preservation

Once a referral has been received the FRC will contact you within 2 business days to arrange a consultation and investigations.

Early Pregnancy Clinic:

On arrival to the EPAS the woman and/or partner are initially seen and triaged by a midwife who will take a brief history, retrieve scan and blood test results that have been previously completed, particularly blood group, Full Blood Count and ßhCG (pregnancy hormone). The midwife will also offer information, support and counselling as needed by the woman and their partner.

The woman is then seen by either a Resident (doctor) or Registrar (doctor) attending the clinic. The doctor will take a detailed history, and may perform an abdominal and/or vaginal examination. An ultrasound scan and further blood tests will also be ordered. In some cases a formal scan is ordered in the Ultrasound Department of the RHW. At the end of the visit the patient is informed of the blood and scan results. If the pregnancy is ongoing the women are discharged back to the care of their GP.

Women requiring a surgical procedure are admitted, generally to the Day Surgery Unit or the Gynaecology Ward. For some women further blood tests and/or scans are required before a diagnosis can be made, in which case follow up appointments are made to the Early Pregnancy Assessment Service. Women can expect to be at EPAS for approximately 3-4 hours.

Affordable Fertility Treatment:

• NSW Residents
• IVF Treatment is only available to women under the age of 41 years.
• We offer other affordable fertility treatments to women under 43 years.

Fertility Preservation:

• NSW Residents
• Cancer diagnosis includes males/ females of reproductive age as well as children and young adults.
• Can be pre or post cancer treatment.

EPAS:

• NSW Residents
• Women who have bleeding and/or pain before 20 weeks pregnancy
• Women who require a  ßhCG follow up
• Women who have had an ectopic pregnancy treated as an outpatient with methotrexate
• Women who are having a miscarriage treated non surgically 
• Women with a non viable pregnancy on ultrasound.

• Fertility Treatment: 3-4 months depending on clinician.
• Fertility Preservation: You will be contacted by the Fertility and Research Centre within 2 business days of receiving your referral.
• EPAS Services: As required

• Copy of relevant medical diagnosis
• Investigations
• Previous treatments (if applicable)
• Referral
• Medicare Card