HNY Policy and Pathway Repository - Hull

Document · By Polly Fulchini On 18 Sept 25, 12:46

about making healthy changes go to cruk.org/health Ref: UR01-Text Only January 2026...©Cancer Research UK (2026)

Document · By Polly Fulchini On 14 Aug 25, 13:48

any of the following which are present on the day of attendance and are less than 3...Isolated foot drop (Oxford grade < 3) Progressive...

Document · By Polly Fulchini On 14 Aug 25, 13:48

Document · By Polly Fulchini On 4 Nov 25, 11:18

Nutrition Action Plan Risk Intervention Monitoring Low risk: • MUST =0 • BMI >20...: • MUST =1 • BMI 18.5-20 • 5-10% unplanned weight...

Document · By Polly Fulchini On 4 Nov 25, 11:18

Refeeding syndrome 3....: · MUST =1 · BMI 18.5-20 · 5-10% unplanned weight loss in last 3-6 months Establish...6 months ·...

Document · By Polly Fulchini On 13 Aug 25, 12:44

Document · By Polly Fulchini On 7 Aug 25, 13:34

Check lying and standing blood pressure. 3.

Document · By Polly Fulchini On 15 Dec 25, 14:42

☐ 3 Capable of only limited self-care, confined to bed or chair more than 50%...Hyperlink to Guidance Suspected Colorectal Cancer (FIT not required for the below...

Web Content Article · By Polly Fulchini On 10 Feb 26, 12:19

consciousness, change of personality or memory) Consider acute admission for investigations 3....Hospitals"] Urgent Suspected Cancer Urgent Suspected Cancer Neurology...

Web Content Article · By Polly Fulchini On 6 Aug 25, 10:02

This advice is intended to be specific for adults hyperuricaemia and with stage 3-...None provided What should I do about a high serum urate in an adult with stage...

Document · By Polly Fulchini On 19 Aug 25, 12:44

Dermatome Map to be used in conjunction with GP Assessment for Acute Low Back Pain with radicular symptoms. 3The ‘evidence based’ dermatome map representing the most consistent tactile...

Document · By Polly Fulchini On 28 Aug 25, 10:18

Bleeds per 100 patient years Aged 65-74 1 0-2 Low 2.4 Sex category: female 1 3...Check bloods every 3 months....present: 30 mg OD 30 mg...

Document · By Polly Fulchini On 14 Aug 25, 08:40

Sexual health support for young people Chlamydia Testing Emergency Contraception (EC) STI advice, testing and Contraception Pregnancy Testing Free Condoms The effects of alcohol and drugs ...

Web Content Article · By Gary Hepworth On 2 Sept 25, 09:36

Three Columns Jo Devon The Tier 3 Specialist Weight Management Service offers appointments...investigation This guidance is intended for clinicians referring into the Tier...

Document · By Polly Fulchini On 4 Nov 25, 11:18

Some patients with CKD Stage 3 (particularly Stage 3b)....Extra 200ml bottle 320 20 £2.18 Fresubin Protein Energy 200ml bottle 300...

Document · By Polly Fulchini On 15 Dec 25, 14:42

habit to increased frequency of defaecation and looser stools (odds ratio 5.4*) · >20%...of FIT in patients with signs or symptoms of suspected colorectal cancer. 2022...

Document · By Gary Hepworth On 5 Feb 26, 10:11

habit to increased frequency of defaecation and looser stools (odds ratio 5.4*) · >20%...of FIT in patients with signs or symptoms of suspected colorectal cancer. 2022...

Document · By Polly Fulchini On 30 Jul 25, 11:51

Hospitals NHS Foundation Trust Suspected Gastroenteritis • The passage of ≥ 3...1100 16 92 13 1150 16 96 14 1200 17 100 15 1250 18 105 16 1300 18 109 18 1400...

Web Content Article · By Polly Fulchini On 30 Jul 25, 11:33

months old or >39C if over 3 months old....117 20 1500 21 125 25 1600 23 134 30 1700 24 142 35 1800 25 150 40 1900 26 195 ≥...Scarborough Teaching...

Document · By Polly Fulchini On 2 Oct 25, 13:42

arm of a chair or a table, the cuff should be roughly at the level of your heart. 3....AM                         PM                         ...

Document · By Polly Fulchini On 24 Sept 25, 14:09

Yorkshire Integrated Pharmacy and Medicines Optimisation Committee Review: October 2026...Yorkshire Integrated Pharmacy and Medicines Optimisation Committee Review:...

Web Content Article · By Polly Fulchini On 6 Aug 25, 12:02

Prescribe 20 micrograms (800 international units) of vitamin D with at least 1000...years harms from stopping bisphosphonate after 3 years of...

Web Content Article · By Polly Fulchini On 10 Mar 26, 15:07

This is usually asymptomatic, with spontaneous bleeding being more common once <20...Immediate referral if platelet count 3 months....Unexplained...

Document · By Gary Hepworth On 7 Apr 26, 11:03

Diabetic Retinopathy Screening Programme CHANGES TO PATIENT DETAILS GP Details GP: GP Practice: Current Patient Demographics Patient Name: Patient Address: (inc Post Code) ...

Web Content Article · By Polly Fulchini On 3 Mar 26, 15:24

maxillofacial cancer Unexplained ulceration in the oral cavity OR vermillion of lip for >3...below ["North Yorkshire"] ["Harrogate and District"] Urgent Suspected Cancer...

Document · By Polly Fulchini On 11 Sept 25, 13:17

20Downloads/Members/Medicines%20management/Area%20prescribing%20committee/201803-04%20...-%20APC%20Memo%20Enclosure%20-%20Guidance%20for%20Safe%20a...

Web Content Article · By Polly Fulchini On 5 Aug 25, 15:09

5–15y 500 mg TDS for 3 days Cefalexin 3–11m 125 mg BD for 3 days Avoid if severe...[Viewed 18 Aug...

Document · By Polly Fulchini On 17 Sept 25, 14:53

parent/carer • Cool peripheries • Pale, mottled, ashen • Cold extremities • CRT >3...cough induced vomiting • Moist mucous membranes • 50-75% fluid intake over...

Document · By Polly Fulchini On 11 Sept 25, 11:51

Humulin I Type 1 diabetes always on insulin Ÿ If <8mmol/l reduce insulin by 10 to 20%...Ÿ If >20mmol/l Increase insulin by 10 to 20% to reduce...

Document · By Polly Fulchini On 24 Sept 25, 14:09

Humulin I Type 1 diabetes always on insulin Ÿ If <8mmol/l reduce insulin by 10 to 20%...Ÿ If >20mmol/l Increase insulin by 10 to 20% to reduce...

Document · By Polly Fulchini On 2 Oct 25, 09:38

40 80- Fluvastatin 21% 27% 33% Pravastatin 20% 24% 29% Simvastatin 27%...pooled placebo-controlled trials, a decrease in haemoglobin from baseline of ≥...

Web Content Article · By Gary Hepworth On 3 Jul 25, 14:28

referred for 1:1 care within the home Multiple falls despite falls team intervention 3...or more ED attends or admissions in past 3 months 2 or...

Web Content Article · By Polly Fulchini On 2 Oct 25, 09:20

than 2 years Statins are contraindicated in pregnancy and should be discontinued 3...NICE Guidelines do not recommend the use of fibrates, omega 3...

Document · By Gary Hepworth On 7 Apr 26, 11:03

Humber Diabetic Eye Screening Programme Hull Royal Infirmary Anlaby Road HULL HU3 2JZ Tel:01482 674474 Email: hyp-tr.retinal.screening@nhs.net ...

Web Content Article · By Polly Fulchini On 30 Jul 25, 13:02

visiting toilet after meals Encourage child to sit on the toilet for 5-10 minutes 20...-30mins after breakfast After lunch/when home from school...

Web Content Article · By Polly Fulchini On 6 Aug 25, 13:31

Lower testosterone levels increase the risk of more aggressive tumours; 15–20% increased...Statement 3: People with intermediate- or high-risk...

Document · By Polly Fulchini On 2 Oct 25, 09:38

WITH AVAILABLE THERAPIES Approximate reduction in LDL-C Statin dose mg/day 5 10 20...40 80 Fluvastatin 21% 27% 33% Pravastatin 20% 24% 29%...

Web Content Article · By Polly Fulchini On 17 Jun 25, 15:39

PCOS, unopposed oestrogen, tamoxifen) refer urgently and request USS If more than 3...If swabs and examination are normal- trial of treatment: Mirena/COCP/ POP for...

Document · By Polly Fulchini On 16 Sept 25, 08:54

may be poor.1 The haemoglobin concentration should rise by about 2 g/100 mL (20... g/litre) over 3–4 weeks....Best Practice: Iron Deficiency...

Web Content Article · By Polly Fulchini On 10 Feb 26, 15:04

for >6 weeks (lung cancer excluded) High / cervical dysphagia persisting for > 3...Suspected Cancer Urgent Suspected Cancer Ear, Nose and Throat Ear, Nose and Throat...

Web Content Article · By Polly Fulchini On 11 Feb 26, 09:40

request via Gateway Unexplained ulceration in oral cavity or vermillion of lip for >3...Cancer Ear, Nose and Throat Ear, Nose and Throat Oral & Maxillofacial Surgery...

Web Content Article · By Polly Fulchini On 30 Jul 25, 14:23

three episodes of pain that occur over at least three months in children aged over 3...abnormalities, spinal tenderness Consider safeguarding General Points Affects...

Web Content Article · By Polly Fulchini On 5 Aug 25, 08:37

asthma drug doses Treatment Age (years) Dose (mg) Prednisolone (oral) <2 10 2-5 20...of York"] ["York and Scarborough Teaching Hospitals"] Paediatrics Respiratory...

Web Content Article · By Polly Fulchini On 13 Aug 25, 09:49

heavy bleeding, with shortening of menstrual cycle (eg < K- 5/21) for more than 3...day Norerithisterone may not be suitable for all patients (as theoretically...

Web Content Article · By Polly Fulchini On 17 Jul 25, 11:57

classification, a patient shall be said to have giant cell (temporal) arteritis if at least 3...permanent partial or complete loss of vision in one or both eyes occurs in...

Web Content Article · By Gary Hepworth On 2 Sept 25, 10:51

Healthcare Professional referral forms can be sent via email to CHCP.247111@nhs.net 3....warfarin ( in case of Aspirin, we can proceed but patient will need to stop this...

Web Content Article · By Polly Fulchini On 6 Aug 25, 13:41

tests, Weight loss, Night pain Presenting features: More common in women, age 20...unrefreshed (0-3) Cognitive symptoms...

Document · By Polly Fulchini On 24 Sept 25, 14:21

Risk of progression: Less than 1 in 50 chance of referable eye disease within 3...years Risk of progression: Just over 1 in 20 chance of...

Document · By Polly Fulchini On 28 Aug 25, 10:40

Cardiology Palpitations Referral Form Page 3 of 3 Patient Details Patient Name

Web Content Article · By Polly Fulchini On 11 Feb 26, 09:14

habit to increased frequency of defaecation and looser stools (odds ratio 5.4*) >20%...Change In Bowel Habit >3 weeks....Urgent Suspected Cancer...

Document · By Polly Fulchini On 30 Jul 25, 13:28

4 Types of Poo Type 1, 2 or 3 on the Bristol stool chart shows some degree...Encourage them to try on waking and about 20-30minutes after...

Web Content Article · By Polly Fulchini On 11 Feb 26, 10:03

please tick on referral form Pigmented lesion with a weighted 7-point checklist of 3...7 Point Check List for assessment of pigmented lesions Suspicion is greater if...

Web Content Article · By Polly Fulchini On 6 Aug 25, 11:40

below are present: Musculoskeletal: Pain in 2 or more limbs daily for at least 3...months, widespread pain for ≥3 months Recurrent joint...

Web Content Article · By Polly Fulchini On 13 Aug 25, 08:48

Dysmenorrhoea: Period pains not associated with underlying pathology Usually D1-3...Endometriosis, adenomyosis, PID presents in 20-30yrs olds Pain...

Web Content Article · By Gary Hepworth On 24 Sept 25, 12:47

Triage completed within 3 working days from receipt of referral to decision and booking...Rejection notification to referrer if appropriate within...

Web Content Article · By Polly Fulchini On 17 Jun 25, 13:51

hysterectomy) Uterine Prolapse: graded 1 (minimal descent), 2 (cervix at introitus), 3(...weekly- note this may damage rubber in condoms Estring 7.5micrograms/24hours for...

Web Content Article · By Polly Fulchini On 11 Sept 25, 14:41

or 5% is a much more expensive treatment for actinic keratoses, and can be used 3...lesions: Cryotherapy – not on lower legs (thermal injury takes too long to heal); ...

Document · By Polly Fulchini On 2 Oct 25, 13:42

reduction in the number of first hospital admission relating to heart failure (overall 20%...information for GPs Review due: September 2020 Version 1.0 Author: LA ...

Document · By Polly Fulchini On 6 Aug 25, 09:09

. • About 1 in 10 children aged 5 and 1 in 20 children aged 10 still wet the bed...Author: Dr Rebecca Brown and Dr Luke McLaughlin Index What causes bedwetting...

Web Content Article · By Polly Fulchini On 6 Aug 25, 10:56

Only 10-20% solely psychogenic None provided History Taking The main goal here is...to ascertain the underlying cause (see diagrams 1-3)...