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:

Cardiology GP Referral/Management Pathways

COPD Prescribing Guidelines

Prescribing guidelines for Management of COPD in Primary Care:

Diabetes (Type 2)


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

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.

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 


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 

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

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)