Conservative management of prolapse—competency framework for primary care has been published by the Primary Care Women’s Health Forum (PCWHF).

Pelvic organ prolapse is a common condition, affecting up to half of all women who have had children with one in five reporting related symptoms.

This competency framework aims to:

  • assess and advise regarding management options
  • improve patient choice and experience by offering pessary management in the community
  • ensure that standards of care are consistent and evidence based
  • develop pathways that deliver quality, cost-effective, and streamlined care.

A pathway for the primary care management of prolapse is also included, offering a suggested pathway for assessment, management, and referral of patients with prolapse. Areas covered by the framework include:

  • offering pessaries
  • managing complications
  • documentation and competency requirements for practitioners.