Postmenopausal bleeding (PMB) accounts for a significant proportion of urgent gynaecological referrals and requires timely investigation to exclude endometrial malignancy. Despite existing Trust protocols, gaps were identified in referral appropriateness, triage efficiency, and compliance with national standards. This Quality Improvement Programme (QIP) aimed to streamline the PMB pathway for women not on hormone replacement therapy (HRT) and enhance adherence to National guidelines.