The guidelines provide advice for management of patients in primary care. The guidance covers investigations to consider for specific symptoms and conditions as well as referral thresholds for specialist care. These thresholds have been agreed for adoption by NW London GP and consultant leads across NHS North West London and hospital trusts. These guidelines have been developed through the NW London out patient transformation programme and further guidelines will be added as this work progresses.
In addition to the guidelines, please do not forget to check our planned procedures with threshold policies (PPwT).
This guidance is not intended to be used as a performance management resource.
Feedback on the new guidelines or any aspects of the NW London outpatient transformation programme would be most welcome.
Please get in touch by emailing nhsnwl.communications.nwl@nhs.net
Advice, tips and expectations
Purpose: To clearly share tips and expectations around advice & guidance, referrals, appointments and elective activity.
Email any additional tips / comments to nhsnwlicb.outpatient@nhs.net
Antimicrobial
Cancer
Cardiology
This guidance is intended to support general practice. The guidance has been developed after careful consideration of the information and clinical opinion available to the speciality transformation working group, including consultant and GP leads for NWL Trusts and CCGs. Whilst it has been produced with significant input from clinicians, it provides general advice only and does not replace any part of a clinician’s responsibility to assess each clinical case on its own merits, when exercising their clinical judgement. The CCG will not, therefore, accept liability for any loss, damage or inconvenience arising as a consequence of any use of or the inability to use any information in this guidance.
Children and Young People
The NW London Children & Young People Transformation Programme coordinate the production of information to support GPs and other health professionals as they provide care for children and young people (CYP).
Chronic kidney disease
Covid
Dermatology
NHS North West London have adopted the NHS Scotland dermatology guidelines. These can be accessed at http://www.dermatology.nhs.scot/dermatology-pathways/pathways
When requesting advice and guidance, or making a referral, you are urged to include appropriate photographs.
Diabetes
Diagnostics
NW London Imaging Network
Endocrinology
ENT
Example referral forms
General surgery
Gastroenterology
Gynaecology
Haematology
Hepatology
HIV medicine
Improving chronic non-cancer pain management
Lipids
London Care Record
Maternity and post-birth
Mental health
Musculoskeletal services
Neurological symptoms
Ophthalmology
Palliative and end of life care
Patient Activation Measure (PAM)
Polio - Information for clinicians
Post Covid Syndrome Service
The guidelines provide advice for management of patients in primary care. The guidance covers investigations to consider for specific symptoms and conditions as well as referral thresholds for specialist care. These thresholds have been agreed for adoption by NW London GP and consultant leads across all NW London CCGs and hospital trusts. These guidelines have been developed through the NW London out patient transformation programme and further guidelines will be added as this work progresses.
Rego advice and guidance
The Rego platform is now available across the ICB (Integrated Care Board), making it easier for clinicians in primary care and acute hospitals to collaborate. Rego is a digital platform that offers GPs a single, reliable, and efficient way to access specialist advice, and it aims to align and integrate referral management processes in the future.
Referral form templates
Respiratory
Urology
xx EMIS guide to accessing guidelines
xxx ERS standard operating procedure guide
Disclaimer: This guidance is intended to support general practice. The guidance has been developed after careful consideration of the information and clinical opinion available to the speciality transformation working group, including consultant and GP leads for NW London Trusts and CCGs. Whilst it has been produced with significant input from clinicians, it provides general advice only and does not replace any part of a clinician’s responsibility to assess each clinical case on its own merits, when exercising their clinical judgement on whether to follow the pathway, this includes issues concerning patient choice.
This guidance is not intended to be used as a performance management resource.