The objective of this document is to review the outcomes from the Unscheduled Bleeding on HRT GP direct access pilot, which commenced in November 2023 at University Hospitals Dorset NHS Foundation Trust.

The evaluation will provide information and insight to inform proposals for the sustainability of this GP direct access pathway so it can be embedded as business as usual.

This evaluation outlines the national strategic context, current pilot service delivery, benefits, risks, and issues, as well as outcomes including patient experience feedback.

Published: August 2025