FOI 2026/1745

I am writing to request information under the Freedom of Information Act 2000. Please could you supply me with the following…

Question 1.

• The latest version of the local guidelines used for the treatment of Uterine Fibroids.
• If there are no local guidelines written, then which National Guidelines are your clinicians directed to use?

Question 2.

• The latest version of the local guidelines used for the treatment of Endometriosis.
• If there are no local guidelines written, then which National Guidelines are your clinicians directed to use?

Question 3.

• Which Hospitals within your catchment area are centres for the treatment of Uterine Fibroids and Endometriosis?

Question 4.

• Can I have a link to the formulary of formularies that cover the hospitals listed in Question 3.

If this information is already publicly available, please direct me to the relevant electronic link.

I would prefer to receive the information in as an electronic link or copy if possible.

1. NHS Greater Manchester ICB (NHS GM) does not currently hold any dedicated Greater Manchester-wide guidance or pathways on the management of uterine fibroids.

The Greater Manchester Medicines Management Group (GMMMG) formulary links to the relevant national NICE guidance:

https://www.greatermanchesterformulary.nhs.uk/chaptersSubDetails.asp?FormularySectionID=6&SubSectionRef=06.07.02&SubSectionID=C100&drugmatch=5520#5520

Individual providers may hold additional local guidelines which are not centrally maintained by NHS GM or GMMMG.

2. NHS GM does not currently hold any dedicated Greater Manchester-wide guidance or pathways on the management of endometriosis.

The GMMMG formulary links to the relevant national NICE guidance:

https://www.greatermanchesterformulary.nhs.uk/chaptersSubDetails.asp?FormularySectionID=6&SubSectionRef=06.04.01.02&SubSectionID=A100&drugmatch=4404#4404

https://www.greatermanchesterformulary.nhs.uk/chaptersSubDetails.asp?FormularySectionID=6&SubSectionRef=06.07.02&SubSectionID=C100&drugmatch=5520#5520

There are also local Greater Manchester resources which touch on specific aspects of care but are not comprehensive guidelines:

• A prescriber leaflet on the use of dienogest for the management of endometriosis:
  https://gmmmg.nhs.uk/guidance/information-leaflets-for-primary-care/

• GMMMG menopause guidance, which includes a brief section on management of menopause in people with endometriosis:
  https://gmmmg.nhs.uk/guidance/clinical-guidance-and-pathways/

Individual providers may hold additional local guidelines which are not centrally maintained by NHS Greater Manchester ICB or GMMMG.

3. All NHS Trusts in the GM footprint are commissioned to deliver treatment for Uterine Fibroids and Endometriosis.

If you require any information from them please contact them via their FOI team outlined below:

Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)

Stockport NHS Foundation Trust – Freedom of information – Stockport NHS Foundation Trust

Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log

The Christie NHS Foundation Trust – Freedom of information disclosure logs (christie.nhs.uk)

Pennine Care NHS Foundation Trust – Freedom of Information :: Pennine Care NHS Foundation Trust

Greater Manchester Mental Health NHS Foundation Trust – Freedom of Information | Greater Manchester Mental Health NHS FT (gmmh.nhs.uk)

4. The Greater Manchester formulary is available at:
   https://www.greatermanchesterformulary.nhs.uk/

The NHS GM does not hold information on any additional provider-specific formularies that may be used locally by individual trusts or hospitals.