Pathways and Guidelines
Pathways and guidelines are listed alphabetically.
If you cannot find what you are looking for please send an email to email@example.com.
Process for AKI e-Alerts and summary actions for GPs:
The Autism including Asperger’s and ADHD Pathway is available here.
- Atrial Fibrillation Pathway (August 2018)
- Heart Failure Pathway (August 2018)
- Hypertension Pathway (August 2018)
Prescribing guidelines for Management of COPD in Primary Care:
Diabetes (Type 2)
Information on how to access to Faecal Calprotectin Testing within Primary Care:
- Suspected IBDIBS Pathway (July 2018)
Shropshire CCG has commissioned Shrewsbury and Telford Hospital NHS Trust (SaTH) to provide a Faecal Calprotectin testing service as part of a primary care pathway for adults presenting to their GP with lower gastrointestinal symptoms.
Immunisation and Vaccination Queries pathway
- Immunisation and Vaccination Queries pathway (August 2018)
Individual Funding Requests (IFR) Policy
- Please see our Commissioning Policies page for the Individual Funding Requests Policy and Individual Funding Requests Form.
Infection Prevention and Control Guidelines and Guidance
The Infection Prevention and Control Guidelines and Guidance zip file contains the following documents:
- Scabies Infestations and Outbreaks Management - A Guide for General Practitioners - May 2015 [pdf] 183KB
To support good practice in referrals NHS Shropshire CCG has subscribed to the online access to Radiology Referral Guidelines (iRefer) from the Royal College of Radiologists.
The CCG has procured a number of concurrent licences for Primary Care colleagues to have online access to the guidelines. In addition the CCC agreed, in March of this year, that decisions concerning direct access referrals for Radiology and particular for MRI scans should be made in line with these guidelines.
Some technical connectivity issues have now been clarified so practices can now start using the guidelines as part of the referral process.
- An updated version of the process is available here
- Guidance on how to locate the correct guideline is available on the The Royal College of Radiologists (RCR) website
If you have any queries please contact the CCG Primary Care Team by email to SHRCCG.PrimaryCare@nhs.net.
- Community Antibiotic Policy December 2017 (Issue 6.1)
- Anticoagulant use in Stroke Prevention in Atrial Fibrillation - January 2015 (NOACs-prescribing-guidance)
- A Guide to Monitoring Blood Glucose for patients with diabetes in care homes-April 2015
- Treatments for Dry Eyes - July 2015
Musculoskeletal (MSK) Pathways
The following Musculoskeletal (MSK) Pathways are available:
- Carpal Tunnel Pathway
- Foot and Ankle and Shoulder Pathway (December 2014)
- Hip Pathway (Feb 2018)
- Knee Pathway (Feb 2018)
- Mechanical-Spine-LBP (January 2014)
- Physiotherapy (MSK) Referral Pathway (October 2018)
- Spine RJAH Referral Guide (January 2014)
- See also: Muscles, Joints and Bones (Musculoskeletal MSK)
NHSE High Impact Interventions: Elective Care - MSK Triage:
Changes to the pathway for orthopaedic referrals
From 1st April 2018, all routine orthopaedic referrals should be sent via NHS Shropshire CCGs Referral Assessment Service (RAS). They will be reviewed and triaged by the Shropshire Orthopaedic Outreach Service (SOOS). For more information please see here.
Musculoskeletal Patient Leaflets
You can access a range of patient leaflets on the RJAH website (including Achilles Tendinopathy, Plantar Fasciitis, Acute Tibalis Posterior Tendonitis (Medial Ankle Pain), Hallux Valgus (Bunion) and Metatarsalgia).
Pain Management Pathway
- Pain Pathway - March 2014[pdf] 208KB
- Bronchiolitis guidelines
- Clinical assessment tool for use with paediatric pathways
- Gastroenteritis in children under 5
- Wheezing in children under 2 years
- Wheezing in children over 2 years
Shropshire Diabetes Guidelines
Shropshire CCG guidelines for the management of type 2 diabetes (for more supporting documents go to the Endocrine drug formulary section)
Value Based Commissioning Policies
(formerly Policy for Procedures of Limited Clinical Value)
- Please see our Commissioning Policies page.