Pathways and Guidelines

Pathways and guidelines are listed alphabetically.

If you cannot find what you are looking for please send an email to

Acute Kidney Injury (AKI) Alerts

Process for AKI e-Alerts and summary actions for GPs:

Autism including Asperger’s and ADHD Pathway

The Autism including Asperger’s and ADHD Pathway is available here.

See also:

British Pregnancy Advisory Service (BPAS)

British Pregnancy Advisory Service (BPAS) provides 'Termination of Pregnancy Services (TOPS)' in Shropshire and Telford & Wrekin.

Clinic Locations:

  • BPAS Shrewsbury - Radbrook Green Surgery, Bank Farm Road, Radbrook, Shrewsbury. SY3 6DU
    Session times: Monday 09.00 - 16.30 and Tuesday 08.30 - 17.00
  • BPAS Telford - Based in the Open Clinic Sexual Health Services, Bishton Court, Ironmasters Way, Telford. TF3 4JE
    Session times: Wednesday 8.00 - 17.30

Booking appointments

Call 03457 30 40 30 (open 24/7) - patients can self-refer



More information on can be found at

Cardiology GP Referral/Management Pathways

COPD Prescribing Guidelines

Prescribing guidelines for Management of COPD in Primary Care:

Diabetes (Type 2)

Disease-modifying anti-rheumatic drugs (DMARDs)

Please see the 'Shared care agreements' page for drug-specific shared care agreement documents


Information on how to access to Faecal Calprotectin Testing within Primary Care:

NHS 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

Individual Funding Requests (IFR) Policy

  • Please see our Commissioning Policies page for the Individual Funding Requests Policy and Individual Funding Requests Form.

IRefer access and use of Guidelines for MRI and other Imaging Referrals

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.

If you have any queries please contact the CCG Primary Care Team by email to

Medicines Management Guidelines and Guidance 

For any documents regarding Medicines Management Guidance or Policies refer to the Medicines Management pages

Musculoskeletal (MSK) Pathways

The following Musculoskeletal (MSK) Pathways are available: 

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

The Pain Management Pathway zip file contains the following documents: 

  • Pain Pathway - March 2014[pdf] 208KB

Paediatric Pathways

The Paediatric Pathway zip file contains the following documents:

  • 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

Respiratory Viral Nose and Throat Swab Procedure

Shropshire Diabetes Guidelines

NHS 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)