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:

Blood Transfusion Request Acceptance Policy

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 Information/Guidance

Individual Funding Requests (IFR) Policy

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

Minor Eye Conditions Service (MECS) 

This is a free service to access if you are registered with a GP in Shropshire or Telford and Wrekin.

MECS (Minor Eye Conditions Service) is provided by Community Health and Eye Care Limited (CHEC).

Local accredited opticians can offer appointments if you need advice or treatment for a recent eye condition.

When to use MECS

Recent eye conditions that can be treated by the service include:

  • Red eye
  • Dry eye, gritty and uncomfortable eyes
  • Irritation and inflammation of the eye
  • Significant recent sticky discharge from the eye or watery eye
  • Recently occurring or sudden increase of flashes and floaters
  • Painful eye
  • Ingrowing eyelashes
  • Recent and sudden reduced vision
  • Something in your eye

How do I book an appointment with the service?

Participating opticians can offer appointments if you need advice or treatment for a recent eye condition.

You will be asked some questions about your symptoms, to assess how quickly you need to be seen by the service.  Depending on your symptoms, you will be seen within one or two working days.

Appointments are available during normal working hours.  Some opticians offer appointments at the weekend.

CHEC does not book appointments, but patients can ring CHEC on 01743 297027 or 01772 717167 (Monday to Friday, 9am to 5pm) or email to find out where their nearest optometry practice is so that they can attend for the Minor Eye Conditions Service (MECS).

You can use MECS if you are registered with a Shropshire or Telford and Wrekin GP.

What happens next?

  • If your condition is more serious, the optician will book you an urgent appointment at a hospital eye clinic
  • If you need a routine appointment with a hospital, the optician will make a referral for you
  • If your eye condition is related to your general health, you may be advised to make an appointment with your GP
  • If you need medication, you may be advised to contact your local pharmacist

For further information contact 01743 297027 or 01772 717167.

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).


Paediatric Pathways

‘The Big 6’ is an initiative aimed at helping primary care health professionals when assessing and treating the most common childhood illnesses.  

A series of clinically approved assessment tools and advice sheets for children aged 0-16 are available to download below:

The assessment tools have been designed as a guide, however, as always it is important to note that it does not override the individual responsibility of the healthcare professional to make decisions appropriate to the circumstances of the individual patient in consultation with them.

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)