Hertfordshire and West Essex ICB
Prescribing, Policies and Pathways
Prescribing, Policies and Pathways
| Medicine / Guideline | Indication | Place |
|---|---|---|
| A Prolonged Jaundice Screen | South and West Hertfordshire | |
| Abdomen and Pelvis CT to rule out Pancreatic Cancer | South and West Hertfordshire | |
| Access To Mental Health Services Guidance | East and North Hertfordshire, South and West Hertfordshire, West Essex | |
| Acromioclavicular Joint (ACJ) | South and West Hertfordshire | |
| Acute and Chronic Otitis Media/Glue Ear and Indications for Grommets | Hertfordshire and West Essex ICB | |
| Alcohol Related | Hertfordshire and West Essex ICB | |
| Alternatives To Admission | East and North Hertfordshire | East and North Hertfordshire | |
| Alternatives To Admission | West Essex | West Essex | |
| Alternatives To Admission| South West Hertfordshire | South and West Hertfordshire | |
| Arrhythmia | South and West Hertfordshire | |
| Atrial Fibrillation (AF) | Hertfordshire and West Essex ICB | |
| Back Pain | East and North Hertfordshire | |
| Bladder-Renal Cancer | Suspected | Hertfordshire and West Essex ICB | |
| Brain and Central Nervous System Cancers | East and North Hertfordshire | |
| Brain MRI for the exclusion of Brain and CNS Cancer | South and West Hertfordshire | |
| Breast Cancer - Suspected (Adults >16 years) | Hertfordshire and West Essex ICB | |
| Breast Screening Service | Hertfordshire and West Essex ICB | |
| Breathlessness | Non-Acute | Hertfordshire and West Essex ICB | |
| Bronchiectasis in Adults | Hertfordshire and West Essex ICB | |
| Bunions | Hertfordshire and West Essex ICB | |
| Care Planning | Hertfordshire and West Essex ICB | |
| Carpal Tunnel Syndrome | South and West Hertfordshire | |
| Carpometacarpal Joint Osteoarthritis | South and West Hertfordshire | |
| Cervical Screening Decision for Adults with Learning Difficulties | South and West Hertfordshire | |
| Cervical Spine and Pain | South and West Hertfordshire | |
| Chest Pain | South and West Hertfordshire | |
| Child Sexual Exploitation | Hertfordshire and West Essex ICB | |
| Children's Cancer | Hertfordshire and West Essex ICB | |
| Chronic and Acute Sinusitis | Hertfordshire and West Essex ICB | |
| Chronic Pelvic Pain Endometriosis | South and West Hertfordshire | |
| Community Breast Pain | East and North Hertfordshire | |
| Community LRTI Pneumonia Intravenous Antibiotic pathway for Housebound Care Home patients Pathway | East and North Hertfordshire | |
| COPD Pathway | East and North Hertfordshire | |
| Cough in Adults | Hertfordshire and West Essex ICB | |
| COVID Virtual Ward | East and North Hertfordshire | |
| COVID-19 Oximetry at Home | East and North Hertfordshire | |
| COVID-19 Respiratory Disease Update | Hertfordshire and West Essex ICB | |
| COVID-19 treatments: Information for clinicians | COVID-19 | Hertfordshire and West Essex ICB |
| Croup | Paediatrics | Hertfordshire and West Essex ICB | |
| CT Request and 2WW Non-Specific Symptoms Referral Pathway | South and West Hertfordshire | |
| CYP Eating Disorders and Emotional Distress | Hertfordshire and West Essex ICB | |
| De Quervains Pathway | South and West Hertfordshire | |
| Deep Vein Thrombosis (DVT) | East and North Hertfordshire | |
| Dementia | Hertfordshire and West Essex ICB | |
| Depression | Hertfordshire and West Essex ICB | |
| Dermatology / Skin Lesions / Skin Health for Adults over 16 years old | Hertfordshire and West Essex ICB | |
| Diabetes | South and West Hertfordshire | |
| Diabetes - Structured Education for Type 2 | East and North Hertfordshire | |
| Diagnosing Asymptomatic Heart Murmur | Hertfordshire and West Essex ICB | |
| Divarication of Recti | Hertfordshire and West Essex ICB | |
| Division of Ankyloglossia (Tongue Tie) | Hertfordshire and West Essex ICB, South and West Hertfordshire, West Essex | |
| Drug Titration and Review for Neuropathic Pain | Hertfordshire and West Essex ICB | |
| Dupuytren's Contracture - Assessment | Hertfordshire and West Essex ICB | |
| Ear Ache | Adult | South and West Hertfordshire | |
| Ear Infection | Adult | Hertfordshire and West Essex ICB | |
| Ear Wax | Adult and Children | South and West Hertfordshire | |
| Ear Wax Removal - Microsuction - Adults Only | Hertfordshire and West Essex ICB | |
| Elbow Pain | Hertfordshire and West Essex ICB | |
| End of Life (EOL) | Hertfordshire and West Essex ICB | |
| Endometriosis | Hertfordshire and West Essex ICB | |
| Epilepsy, Fits and Seizures | Hertfordshire and West Essex ICB | |
| Exercise Protocol for the Management of CHD (Exercise for Cardiac Conditions) | East and North Hertfordshire | |
| Faecal Immunochemical Test (FIT) process pathway for suspected Lower GI Cancer | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Falls Pathways | Hertfordshire and West Essex ICB | |
| Foot & Ankle Pain and Disorders excluding Bunions | Hertfordshire and West Essex ICB | |
| Foot Health for Diabetic Patients | East and North Hertfordshire | |
| Foot Symptoms | Adults Only | Hertfordshire and West Essex ICB | |
| Foreskin Problems - Paraphimosis & Phimosis & Circumcision | Hertfordshire and West Essex ICB | |
| Frailty | Acute, Urgent and Emergency | Hertfordshire and West Essex ICB | |
| Frailty Identification | Hertfordshire and West Essex ICB | |
| Fungal Nail Management | Hertfordshire and West Essex ICB | |
| Galstones | South and West Hertfordshire | |
| Ganglion | Hertfordshire and West Essex ICB | |
| Gender Dysphoria | Hertfordshire and West Essex ICB | |
| Glenohumeral Joint (Shoulder Pain) | South and West Hertfordshire | |
| Gynaecological Cancers - Suspected | Hertfordshire and West Essex ICB | |
| Haematological Cancer – Suspected | Hertfordshire and West Essex ICB | |
| Haematospermia | South and West Hertfordshire | |
| Haematuria | South and West Hertfordshire | |
| Haemorrhoids | Hertfordshire and West Essex ICB | |
| Hand and Wrist including Dupuytren's, Trigger Finger and Carpal Tunnel | Hertfordshire and West Essex ICB | |
| Head and Neck Cancer - Suspected | East and North Hertfordshire | |
| Headache | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Hearing Loss/Deafness | Adult | Hertfordshire and West Essex ICB | |
| Heart Failure Suspected | Hertfordshire and West Essex ICB | |
| Heart failure with reduced ejection fraction (HFrEF) in primary care (Confirmed) | Follow up pathway | Hertfordshire and West Essex ICB | |
| Heart Valve Disease | South and West Hertfordshire | |
| Heavy Menstrual Bleeding (HMB) - Primary Care | Hertfordshire and West Essex ICB | |
| Hip Pain | Hertfordshire and West Essex ICB | |
| Hyperhidrosis Management | Hertfordshire and West Essex ICB | |
| Hypertension in Adults - Diagnosis and Initial Management | Hertfordshire and West Essex ICB | |
| Incidental Post-Menopausal Ovarian Cyst | South and West Hertfordshire | |
| Incidental Premenopausal Ovarian Cyst | South and West Hertfordshire | |
| Infertility | East and North Hertfordshire | |
| Inflammatory Bowel Disease (IBD) | East and North Hertfordshire | |
| Irritable Bowel Syndrome (IBS) | South and West Hertfordshire | |
| Knee Pain | Hertfordshire and West Essex ICB | |
| Learning Disabilities | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Left Ventricular Systolic Dysfunction (LVSD) Management | Hertfordshire and West Essex ICB | |
| Limping Child | Paediatric | Hertfordshire and West Essex ICB | |
| Liver Function Test (LFT) | Hertfordshire and West Essex ICB | |
| Loin Pain Renal Colic | South and West Hertfordshire | |
| Lower GI - Non Cancer Suspected | South and West Hertfordshire | |
| Lower GI/Colorectal Cancer Suspected | East and North Hertfordshire, South and West Hertfordshire | |
| Lower Leg Wounds, including Ulcers | Hertfordshire and West Essex ICB | |
| Lung Cancer - Suspected | East and North Hertfordshire, South and West Hertfordshire | |
| Male LUTS | Hertfordshire and West Essex ICB | |
| Management of MSK conditions in patients with previous cancer | South and West Hertfordshire | |
| Management of Unscheduled Bleeding on Hormone Replacement Therapy (HRT) | South and West Hertfordshire | |
| Medication Overuse Headache | South and West Hertfordshire | |
| Migraine with or without Aura | Hertfordshire and West Essex ICB | |
| Modern Slavery and Human Trafficking | Hertfordshire and West Essex ICB | |
| Motor Neurone Disease (MND) | Hertfordshire and West Essex ICB | |
| Multiple Sclerosis (MS) | Hertfordshire and West Essex ICB | |
| Neck Pain | Hertfordshire and West Essex ICB | |
| Neuropathic Pain Drug Titration and Review | East and North Hertfordshire | |
| Non-Alcoholic Fatty Liver Disease (NAFLD) | East and North Hertfordshire | |
| Nose Bleeds | Hertfordshire and West Essex ICB | |
| Otitis Externa | East and North Hertfordshire | |
| Paediatric Abdominal Pain | Hertfordshire and West Essex ICB | |
| Paediatric Acute Otitis Media | South and West Hertfordshire | |
| Paediatric Asthma | Hertfordshire and West Essex ICB | |
| Paediatric Constipation | Hertfordshire and West Essex ICB | |
| Paediatric Diarhoea and Vomitting | Hertfordshire and West Essex ICB | |
| Paediatric Fever | Hertfordshire and West Essex ICB | |
| Paediatric Lymphadenopathy | Hertfordshire and West Essex ICB | |
| Paediatric Nasal Congestion | South and West Hertfordshire | |
| Paediatric Obstructive Sleep Apnoea | Hertfordshire and West Essex ICB | |
| Paediatric Sepsis | Hertfordshire and West Essex ICB | |
| Paediatric Suspected Bronchiolitis | Hertfordshire and West Essex ICB | |
| Paediatric Suspected UTI | Hertfordshire and West Essex ICB | |
| Palpitations | East and North Hertfordshire, South and West Hertfordshire | |
| Plastics Referral Pathway (including scar revision) | Hertfordshire and West Essex ICB | |
| Post-Menopausal Bleeding Management | East and North Hertfordshire | |
| Postcoital Bleeding in Primary Care Management | Hertfordshire and West Essex ICB | |
| Pre Diabetes | Hertfordshire and West Essex ICB | |
| Prostate Cancer - Suspected | Hertfordshire and West Essex ICB | |
| PSA Pathway | Hertfordshire and West Essex ICB | |
| Pulmonary Rehabilitation | East and North Hertfordshire | |
| Rapid Onset Isolated Visual Loss (No other neurological symptoms or signs) | Hertfordshire and West Essex ICB | |
| Respiratory Conditions Referral Pathway | South and West Hertfordshire | |
| Rhinitis | Adults | Hertfordshire and West Essex ICB | |
| Rhinitis of Newborn | South and West Hertfordshire | |
| Risk feeding - Identification & management | Hertfordshire and West Essex ICB | |
| Rotator Cuff Injury or Inflammation | South and West Hertfordshire | |
| Safeguarding | Hertfordshire and West Essex ICB | |
| Sarcoma - Suspected Cancer | East and North Hertfordshire | |
| Seasonal Allergic Rhinitis (Hay Fever) | Hertfordshire and West Essex ICB | |
| Shoulder Instability Pathway | South and West Hertfordshire | |
| Shoulder Pain | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Sinusitis and Facial Pain | Adults | Hertfordshire and West Essex ICB | |
| Skin Cancer Suspected - Pigmented Lesion/ Melanoma/ SCC/ BCC | Hertfordshire and West Essex ICB | |
| Skin Tears | East and North Hertfordshire | |
| Snoring and Sleep Apnoea Management in Adults | Hertfordshire and West Essex ICB | |
| Spinal and Low Back Pain |SWH | South and West Hertfordshire | |
| Stroke | Hertfordshire and West Essex ICB | |
| Tennis and Golfers Elbow | South and West Hertfordshire | |
| Test Syncope Care | South and West Hertfordshire | |
| Throat Symptoms | Adult | South and West Hertfordshire | |
| TIA (Transient Ischemic Attack) | East and North Hertfordshire | |
| Tonsillitis and Tonsillectomy | Hertfordshire and West Essex ICB | |
| Tremor in Primary Care |Initial Assessment | Hertfordshire and West Essex ICB | |
| Trigger Finger/Thumb | South and West Hertfordshire | |
| Urinary Incontinence (UI) | East and North Hertfordshire | |
| Urinary Incontinence (UI) Initial Assessment of Women: dipstick urine testing pathway | Hertfordshire and West Essex ICB | |
| Urinary Tract Infections (UTIs) | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Urogynaecology - Female Incontinence and Prolapse | Hertfordshire and West Essex ICB | |
| Urology Cancer - Suspected (excluding Prostate) | Hertfordshire and West Essex ICB | |
| Varicose Veins Management | Hertfordshire and West Essex ICB | |
| Weight Management | Hertfordshire and West Essex ICB |