Does receiving a leaflet about the symptoms of gynaecological cancers affect women's attendance at their GP practice?

INTERVENTION: Intervention: Educational leaflet on the symptoms of gynaecological cancer sent by post from their GP practice. Control: No leaflet sent. Eligible women were identified from GP electronic records and randomised into equal intervention and control groups using SystmOne which also printed address labels for the leaflet mail‐out to the experimental group and flagged membership of the study and group membership on the electronic record for subsequent data extraction. The data was extracted for the 4‐month time period starting on the day after the GP practice mail out date (for both experimental and control groups). CONDITION: Gynaecological cancers ; Cancer PRIMARY OUTCOME: The proportion of eligible women who consult their GP for symptoms indicative of; gynaecological cancers. This was measured by the presence, and dates, of one or more Read codes in the women's electronic patient record that related to the symptoms described in the educational leaflet and which were indicative of gynaecological cancers. The data was extracted for the 4‐month time period starting on the day after the GP practice mail out date (for both experimental and control groups) SECONDARY OUTCOME: The proportions of eligible women whose GP practice electronic record contained evidence of referrals, diagnostic tests and diagnoses assosiated with gynaecological cancers. These was measured by the presence, and dates, of one or more Read codes in the women's electronic patient record that related to referrals, diagnostic tests and diagnoses associated with gynaecological cancers. The data was extracted for the 4‐month time period starting on the day after the GP practice mail out date (for both experimental and control groups) INCLUSION CRITERIA: 1. Women registered with one of the study GP practices 2. Aged 40 years or over