Search - Hull - HNY Policy and Pathway Repository

icg-emis-web-7.6-non-urgent-upper-endoscopy

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

their lifestyle choices are leading to gastroscopies • Losing weight, where BMI > 25

gastroenterology document dyspepsa Topic: Pathway York Specialty: Gastroenterology & Hepatology

Document · By Polly Fulchini On 28 Aug 25, 12:40

Click to request Troponin on ICE If the “More Info” button pressed If “No” is selected Test is cancelled with this message If “Yes” is selected Test is allowed to be requested with this...

cardiology document troponin slides Topic: Pathway York Specialty: Cardiology

Digital Weight Management Programme - practice poster

Document · By Polly Fulchini On 24 Sept 25, 14:27

Online support for a healthy lifestyle NHS Digital Weight Management Programme If you are living with obesity and have diabetes or high blood pressure, or both, you could benefit from the...

documents endocrinology diabetes digital weight management Topic: Pathway York Specialty: Endocrinology

Rapid Diagnostic Centre - First six months audit summary

Document · By Polly Fulchini On 20 Aug 25, 09:34

rejected referrals 13 Rejection rate 4.62% Number of cancer diagnoses 25...9.32% Referrals by gender Male = 132 Female = 149 Cancers diagnosed...

usc urgent suspected cancer 2WW urgent rapid diagnostic centre vague symptoms Topic: Pathway York Specialty: Urgent suspected cancer

Diabetes Care in Last Days of Life - Management Algorithm

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

insulin or usual insulin if pt requests this with reduction in dose by 25%...Consider stopping insulin if insulin requirement <10 units (Based on ...

usc document urgent suspected cancer two week wait 2ww palliative end of life Topic: Pathway York Specialty: Urgent suspected cancer

Best practice guidelines - Main Principles of Diabetes Care at End of Life

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

insulin or usual insulin if pt requests this with reduction in dose by 25%...Consider stopping insulin if insulin requirement <10 units (Based on ...

documents endocrinology diabetes diabetes management Topic: Pathway York Specialty: Endocrinology

HNYCA_Suspected_Lower GI_referral_form_Sept25

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

SUSPECTED CANCER REFERRAL FORM: LOWER GI (COLORECTAL) CANCERS Date of Referral: Click or tap here to enter text. Patient details Mandatory Surname: First name: Title: DOB: Click or tap...

cancer usc urgent suspected cancer suspected lower gi Hospital Trust: York and Scarborough Teaching Hospitals NHS Foundation Trust Topic: Pathway York Specialty: Gastroenterology & Hepatology Urgent suspected cancer

NEW VERSION Gastroenteritis_clinical_pathway

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

14 1200 17 100 15 1250 18 105 16 1300 18 109 18 1400 20 117 20 1500 21 125 25...1600 23 134 30 1700 24 142 35 1800 25 150 40 1900 26 159 ...

pathway image leaflet gastroenteritis Topic: Pathway York Specialty: Paediatrics & Child Health

Asthma - Formulary for Inhaled Preparations Containing Corticosteroids

Document · By Polly Fulchini On 30 Jul 25, 15:58

puff BD Flixotide Evohaler 125 - 2 puffs BD 12+ 4+ 16+ Seretide Evohaler 125/25

image paediatrics asthma Topic: Pathway York Specialty: Paediatrics & Child Health

Digital Weight Management Programme - referral guidance

Document · By Polly Fulchini On 24 Sept 25, 14:27

with overweight in England is 25.6 million (62%), of which 11.4 million adults (25%...Since the COVID-19 pandemic, there has also been a 25%...

documents endocrinology diabetes digital weight management Topic: Pathway York Specialty: Endocrinology

Post-coital bleeding

Web Content Article · By Polly Fulchini On 13 Aug 25, 10:35

Think Chlamydia under age 25....Routine examination and swabs (remember increased risk of chlamydia if aged < 25

pathway gynaecology post-coital bleeding Topic: Pathway York Specialty: Gynaecology

Dysmenorrhoea

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

Consider Pelvic Inflammatory Disease (acute or chronic) especially in the under 25s...uterine mobility and tenderness/ retrovaginal nodules (endometriosis) Smear - if over...

pathway gynaecology dysmenorrhoea Topic: Pathway York Specialty: Gynaecology

sexual-health-support-for-young-people-ny

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

Compass REACH – Support all children and young people aged 9 to 19 (and up to 25

sexual health images yorsexual health Topic: Pathway York Specialty: Gynaecology

CYP Emotional Health

Web Content Article · By Gary Hepworth On 26 Sept 25, 09:31

331000 Cornerhouse (support on sexual health, relationships and sexuality) (Ages 10-25...9.30am-4pm 0808 802 5544 The Warren young person’s counselling service (Ages...

paediatrics cyp emotional health hull Topic: Pathway

Gastroenteritis in children (0-5 years old)

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

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatrics gastroenteritis Topic: Pathway York Specialty: Paediatrics & Child Health

Vasectomy services

Web Content Article · By Polly Fulchini On 6 Jan 26, 11:06

In Leeds the limit is 25 stone and in Wakefield the limit is 20 stone.

urology vasectomy services Topic: Pathway York Specialty: Urology

Nausea and Vomiting

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

Hypothermia and hypotension – sedation Histamine Antagonists Cyclizine 25

usc document urgent suspected cancer two week wait 2ww palliative end of life Topic: Pathway York Specialty: Urgent suspected cancer

Bell's palsy

Web Content Article · By Polly Fulchini On 7 Aug 25, 12:41

Its incidence is 25-35:100000....no consensus regarding the optimum dosing regimen, but options include: Giving 25

pathway ent bells palsy Topic: Pathway York Specialty: ENT

Paediatric blood

Web Content Article · By Polly Fulchini On 25 Mar 26, 13:53

hdft.paediatricappointments@nhs.net ["North Yorkshire"] ["Harrogate and District"] Paediatrics 2028-03-25

paediatric blood Hospital Trust: Harrogate and District NHS Foundation Trust Specialty: Paediatrics & Child Health Topic: Pathway

Palpitations

Web Content Article · By Polly Fulchini On 24 Mar 26, 16:59

["North Yorkshire"] ["Harrogate and District"] Cardiology 2028-03-25

harrogate palpitations Hospital Trust: Harrogate and District NHS Foundation Trust Specialty: Cardiology Topic: Pathway

Asthma in children (acute)

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

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 SpO2 <92%,...

pathway asthma acute Topic: Pathway York Specialty: Paediatrics & Child Health

lower GI Referral Guidance

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

as a single symptom, which is always provoked by eating, causing weight loss · 25%

Specialty: Urgent Suspected Cancer Topic: Pathway

HNYCA_Suspected_LGI_Cancer_Referral_Guidance_sept_25_v1.0

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

as a single symptom, which is always provoked by eating, causing weight loss · 25%

cancer usc urgent suspected cancer suspected lower gi Topic: Pathway York Specialty: Gastroenterology & Hepatology Urgent suspected cancer

Community acquired pneumonia (CAP) in children

Web Content Article · By Polly Fulchini On 5 Aug 25, 12:44

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatric pneumonia Topic: Pathway York Specialty: Paediatrics & Child Health

PA06-PIL Constipation parent leaflet

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

and Vegetables 21 Recommended fluid intake 23 About Impaction 24 Disimpaction 25...where poo has bypassed other hard poo, out of the child’s control (overflow). ...

paediatrics leaflet constipation Topic: Pathway York Specialty: Paediatrics & Child Health

Recurrent abdominal pain in children

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

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway pain paediatrics recurrent abdominal pain Topic: Pathway York Specialty: Paediatrics & Child Health

Bronchiolitis in children

Web Content Article · By Polly Fulchini (Test) On 20 Jun 25, 14:02

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Worsening work...

pathway paediatric bronchiolitis lungs respiratory Topic: Pathway York Specialty: Paediatrics & Child Health

Brain Cancer

Web Content Article · By Gary Hepworth On 26 Jun 25, 12:13

Cancer (Urgent Suspected Cancer/2ww) Cancer (Urgent Suspected Cancer/2ww) 2025-06-25

Cancer 2ww Brain Topic: Pathway

Polyclonal immunoglobulins / hypergammaglobulinaemia

Web Content Article · By Polly Fulchini On 10 Mar 26, 15:45

biliary cirrhosis or alcohol induced liver disease Connective tissue disease (~25%

haematology Polyclonal immunoglobulins hypergammaglobulinaemia Hospital Trust: South Tees Hospitals NHS Foundation Trust Specialty: Haematology Topic: Pathway

Sore throat (acute) in children

Web Content Article · By Polly Fulchini On 30 Jul 25, 10:36

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatrics sore throat Topic: Pathway York Specialty: Paediatrics & Child Health

Croup

Web Content Article · By Polly Fulchini On 5 Aug 25, 09:07

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Stridor at rest...

pathway paediatrics croup Topic: Pathway York Specialty: Paediatrics & Child Health

Macrocytosis (high MCV)

Web Content Article · By Polly Fulchini On 10 Mar 26, 14:05

Reticulocytosis - reticulocytes are ~25% larger than normal RBC.

haematology pathway macrocytosis Hospital Trust: South Tees Hospitals NHS Foundation Trust Specialty: Haematology Topic: Pathway

Guidelines for Pharmacological Management of Overactive Bladder Syndrome

Document · By Polly Fulchini On 24 Sept 25, 10:19

dementia, elderly, anticholinergic burden score >3 Mirabegron 50 mg daily, reduce to 25

document over active bladder syndrome women management in primary care Topic: Pathway York Specialty: Gynaecology Urology

Intermenstrual bleeding

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

than 3 episodes of IMB; organize examination and swabs Remember chlamydia in under 25s

pathway gynaecology menstrual Topic: Pathway York Specialty: Gynaecology

Paraprotein

Web Content Article · By Polly Fulchini On 10 Mar 26, 15:37

Multiple myeloma - 25% have no serum paraprotein (abnormal SFLC ratio only). <1%...chains) initially at 3 months, followed by 6-12 monthly intervals unless there is a...

haematology paraprotein Hospital Trust: South Tees Hospitals NHS Foundation Trust Specialty: Haematology Topic: Pathway

Accelerated hypertension

Web Content Article · By Polly Fulchini On 18 Mar 26, 16:47

vitals, arterial BP, urine output) IV antihypertensives** (Goal: lower BP up to 25%

Hospital Trust: Harrogate and District NHS Foundation Trust Specialty: Cardiology Topic: Pathway

Acute otitis media (AOM) in children

Web Content Article · By Polly Fulchini On 30 Jul 25, 09:13

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatric acute otitis media Topic: Pathway York Specialty: Paediatrics & Child Health

Asthma in children (chronic)

Web Content Article · By Polly Fulchini On 30 Jul 25, 15:22

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 None...

pathway paediatrics asthma Topic: Pathway York Specialty: Paediatrics & Child Health

YorSexual health (YSH) – contraception and sexual health

Web Content Article · By Polly Fulchini On 17 Jun 25, 13:40

patients via the YSH website including: Online access for chlamydia kits for under 25s

pathway gynaecology sexual health contraception Topic: Pathway York Specialty: Gynaecology

Chronic fatigue syndrome in children

Web Content Article · By Polly Fulchini On 6 Aug 25, 09:27

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Abnormal...

pathway paediatrics chronic fatigue syndrome Topic: Pathway York Specialty: Paediatrics & Child Health

Polycystic ovarian syndrome

Web Content Article · By Polly Fulchini On 13 Aug 25, 10:21

Symptoms of hyperandrogenism: Weight loss- particularly if BMI >25 can improve sx

pathway gynaecology polycystic ovaian syndrome PCOS Topic: Pathway York Specialty: Gynaecology

Monoclonal gammopathy of undetermined significance (MGUS)

Web Content Article · By Polly Fulchini On 19 Nov 25, 12:10

normal for the paraprotein concentration to slowly increase, but a sudden increase (>25%

haematology paraprotein bands mgus Topic: Pathway York Specialty: Haematology

Pre-school wheeze in children

Web Content Article · By Polly Fulchini On 5 Aug 25, 11:26

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 SpO2 <92%,...

pathway paediatric wheeze Topic: Pathway York Specialty: Paediatrics & Child Health

Snoring

Web Content Article · By Polly Fulchini On 12 Aug 25, 08:47

BMI > 25.

pathway ent nose snoring Topic: Pathway York Specialty: ENT

Community Gynaecology Service

Web Content Article · By Gary Hepworth On 7 Aug 25, 12:36

screening programme (comprising routine cervical cytology tests for women ages 25

gynaecology Community Topic: Pathway

Constipation in children

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

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatrics constipation Topic: Pathway York Specialty: Paediatrics & Child Health

Fever (age under 5 years)

Web Content Article · By Polly Fulchini On 5 Aug 25, 14:14

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 For emergency...

pathway paediatrics fever Topic: Pathway York Specialty: Paediatrics & Child Health

Urinary tract infections in children

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

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 < 3 months...

pathway paediatrics uti Topic: Pathway York Specialty: Paediatrics & Child Health

Nocturnal enuresis

Web Content Article · By Polly Fulchini On 6 Aug 25, 08:44

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Day and night...

pathway paediatrics bed wetting nocturnal enuresis Topic: Pathway York Specialty: Paediatrics & Child Health

Gastro-oesophageal reflux in children

Web Content Article · By Polly Fulchini On 30 Jul 25, 14:58

BP Neonate <4w 40-6 120-160 >60 Infant <1 y 30-40 110-160 70-90 Toddler 1-2 yrs 25...-35 100-150 75-95 2-5 yrs 25-30 95-140 85-100 Exclude Red Flag...

pathway paediatrics Gastro-oesophageal reflux Topic: Pathway York Specialty: Paediatrics & Child Health

Summary of National Guidance for Lipid Management NEW version-4

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

or ezetimibe produce an additional LDL-C reduction of approximately 50% (range 25

documents endocrinology lipid disorders Topic: Pathway York Specialty: Endocrinology

Living with Diabetes - Diabetes Structured Education

Web Content Article · By Gary Hepworth On 4 Jul 25, 09:02

The programme has been developed over more than 25 years of rigorous research.

pathway diabetes Topic: Pathway

Heavy menstrual bleeding (menorrhagia and polymenorrhagia)

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

Examination: Consider infection (especially if under 25 or change in partner) Abdominal

pathway gynaecology menstrual menstrual bleeding Topic: Pathway York Specialty: Gynaecology

Change in bowel habit / rectal bleeding

Web Content Article · By Polly Fulchini On 10 Sept 25, 09:24

In most cases it is “simple” (75%) and rarely “complicated” 25% (abscess/fistula/

pathway gastroenterology change in bowel habit rectal bleeding Topic: Pathway York Specialty: Gastroenterology & Hepatology

Rosacea

Web Content Article · By Polly Fulchini On 16 Sept 25, 10:48

carvedilol 3.125-6.25mg up to tds, propranolol 10-40mg up to tds) or clonidine (25

pathway dermatology rosacea Topic: Pathway York Specialty: Dermatology

Management of suspected prostate cancer in primary care (before referral for secondary care assessment)

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

Mostly a disease of older men (aged 65–79 years) but around 25% of cases occur in

pathway urology prostate cancer Topic: Pathway York Specialty: Urology

Groin hernia

Web Content Article · By Polly Fulchini On 10 Sept 25, 15:14

ligament through the internal inguinal ring and along the inguinal canal direct (25%

pathway general surgery groin hernia Topic: Pathway York Specialty: Gastroenterology & Hepatology

Vitamin B12 deficiency

Web Content Article · By Polly Fulchini On 18 Mar 26, 12:33

need for B12 testing because neurological impairment occurs with a normal MCV in 25%

b12 Hospital Trust: Harrogate and District NHS Foundation Trust Specialty: Haematology Topic: Pathway

North Yorkshire and York Lipid Guidance v3

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

low-density lipoproteins (LDL) cholesterol reduces risk of a cardiovascular event by 25%

documents endocrinology lipid disorders Topic: Pathway York Specialty: Endocrinology

Actinic (solar) keratoses

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

times a week until side effects improve max. area of skin treated at one time, 25

pathway dermatology actinic keratoses Topic: Pathway York Specialty: Dermatology

HNY Policy and Pathway Repository - Hull

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