HNY Policy and Pathway Repository - Hull

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...

Document · By Gary Hepworth On 29 Jul 25, 13:24

height/crypt depth ratio (VH/CD) will often become reduced below a normal value of 3-...Follow Up: Secondary care 3-monthly visits (first year)...

Document · By Gary Hepworth On 11 Jul 25, 09:37

: XX/XX/XXXX Age: XX years NHS: XXX XXX XXXX Group By: ▼ (Results returned: 20...Worklist Type Worklists Directory of Services Enquiries Reports Alerts ...

Document · By Gary Hepworth On 11 Jul 25, 09:29

: XX/XX/XXXX Age: XX years NHS: XXX XXX XXXX Group By: ▼ (Results returned: 20...Worklist Type Worklists Directory of Services Enquiries Reports Alerts ...

Document · By Polly Fulchini On 14 Oct 25, 10:20

In young people (20s and 30s), history should include specifically seeking a history...▪ Typically presents <50 years of age, most commonly in the late...

Document · By Gary Hepworth On 26 Sept 25, 10:30

referral source/lead professional and CYP GP within 7 days of discharge Initial 3

Document · By Gary Hepworth On 4 Jul 25, 08:47

(Level 3) Beulens 36 reported that baseline retinopathy levels (ETDRS ≥20) of...J Med Screen 13(3): 152-5. ...

Document · By Gary Hepworth On 7 Jul 25, 07:36

diabetes Week 2 - Physical Activity (chair based resistance exercises) Week 3...fat awareness Week 7 - Physical Activity session and progress review Stage...

Document · By Polly Fulchini On 4 Mar 26, 16:40

activity results in fatigue, palpitation, shortness of breath or chest pain Class 3:...unplanned visit to HF clinic within last 12 months · Prior inotropic use · LVEF...

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)...

Web Content Article · By Gary Hepworth On 3 Jul 25, 07:48

Box 3—GP ongoing management including annual review · Review symptoms annually (notably...Gluten-free (GF) products Community Diagnostic Centre Community Diagnostic Centre...

Document · By Gary Hepworth On 4 Jul 25, 09:19

Document · By Gary Hepworth On 8 Jul 25, 10:37

Publication Date: Approved by HNY IPMOC February 2024 Review Date: January 2026...to 30mg 3 to 5mg 20 35 to 55mg 5 to...

Document · By Gary Hepworth On 29 Jul 25, 12:45

laxative is limited but some patients may benefit from polyethylene glycol. 3....PMID: 33903147. 3....Lancet. 2020 Nov 21;...

Document · By Gary Hepworth On 4 Jul 25, 08:29

glucose to confirm. 2) Advise avoid sugar containing drinks including fruit juices. 3)

Web Content Article · By Gary Hepworth On 13 Aug 25, 14:48

to be referred to A&E Exclude Red Flag Criteria Acute pain / pain of less than 3...months or more (if less than 3 months there is a risk of the...

Document · By Gary Hepworth On 14 Aug 25, 10:03

Consideration for simple MSK problems with a duration of symptoms less than 3-6 weeks...Please avoid referring simple MSK problems with a duration of symptoms less than...

Web Content Article · By Gary Hepworth On 31 Jul 25, 13:26

Phlebotomy Referral Form Dec 2024 Hull and ERY Joint Paediatric Referral Form Jaunary 2026...Venepuncture Joint competency Booklet ["East Riding","Hull"] [] Paediatrics...

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

RDC Advanced Specialist Nurse Date first issued November 2020 Review Date July 2026...Version 3 (issued July 2024) Approved by Rapid Diagnostic...

Document · By Polly Fulchini On 11 Feb 26, 09:51

RDC Advanced Specialist Nurse Date first issued November 2020 Review Date July 2026...Version 3 (issued July 2024) Approved by Rapid Diagnostic...

Web Content Article · By Polly Fulchini On 6 Aug 25, 13:14

PIRADS or Likert score 3 It isn’t possible to tell from the scan whether you have...Year 1 of active surveillance: measure PSA every 3-4 months, or...

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

< LLN LLN = Lower Limit of Normal PEF = Peak Expiratory Flow PEF variability 20%

Web Content Article · By Polly Fulchini On 17 Mar 26, 16:45

>5 x 109/L Refer urgently (suspected cancer) to haematology if: Lymphocytosis >20...sweats Unexplained fever > 38°C Lymphadenopathy Splenomegaly If lymphocytosis...

Web Content Article · By Gary Hepworth On 7 Aug 25, 12:55

requiring menopause care including the following: Poor symptom control after trial of 3...hysterectomy and sterilisation ["Hull","East Riding"] [] Gynaecology Gynaecology...

Web Content Article · By Polly Fulchini On 14 Aug 25, 10:51

faecal incontinence that is not present on day of attendance or are greater than 3...gait disturbance) Thoracic pain Weight loss care Fever Previous malignancy Age <...

Document · By Gary Hepworth On 13 Aug 25, 14:44

· Who are a minimum of 18 years old · Who have experienced pain for more than 3...months - less than 3 months will be accepted if there is a high...

Document · By Polly Fulchini On 25 Nov 25, 12:08

used to regulate mood • Underlying painful condition resolves or stable for...

Document · By Polly Fulchini On 5 Aug 25, 12:00

surgery, or, if it is closed call NHS 111 Increase blue inhaler to 10 puffs over 20...breathe If your child needs to use their inhaler more than once in any day or...

Web Content Article · By Polly Fulchini On 17 Jun 25, 14:08

History: Establish nature of leakage and request patient completes a 3-day bladder...Cystoscopy for uncomplicated lower urinary tract symptoms Gynaecology Urology...

Web Content Article · By Polly Fulchini On 6 Aug 25, 11:49

hands or feet, or more than 1 joint, are referred to a rheumatology service within 3...the-inflammatory-arthritis-pathway/ ["Vale of York"] ["York and Scarborough Teaching...

Document · By Polly Fulchini On 20 Nov 25, 13:11

☐ 3. Must have a bowel and bladder problem ☐ 4.

Document · By Gary Hepworth On 26 Sept 25, 10:18

Uses up to 20 real words and may be connecting words in familiar phrases, e.g ‘all...close family - using vowel sounds or m, b, p only, or child sounds nasal ...

Document · By Gary Hepworth On 29 Jul 25, 10:35

CHCP HULL & EAST RIDING FRACTURE LIAISON SERVICE – GUIDANCE FOR REFERRERS This guidance is intended for clinicians referring into the Hull & East Riding Fracture Liaison Service for patients: ·...

Document · By Polly Fulchini On 30 Sept 25, 15:03

Selby Hospital In-patient Unit Selby inpatient unit is a 20 bed facility, with

Web Content Article · By Polly Fulchini On 18 Feb 26, 16:28

Important Update – IFR System Change Please note that from 1 March 2026, Humber and...IFR inbox: hnyicb.individualfundingrequests@nhs.net In addition, from 31st March...

Web Content Article · By Gary Hepworth On 3 Jul 25, 10:57

","North Lincolnshire"] ["Northern Lincolnshire & Goole"] Dietetics Dietetics 2026

Web Content Article · By Polly Fulchini On 21 Jan 26, 10:15

alternative therapies Lumbar discectomy South Tees pain service proforma - March 2026

Document · By Gary Hepworth On 16 Oct 25, 07:49

1.8.2019 Latest Issue Date: December 2024 Review Date: 30th November 2026...19 6.7 Diabetic Injectable Medication: Change of Dose (non-urgent change) .......

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

Management of Patients with MGUS Regular monitoring (every 3-6 months) should include...Care ["Vale of York"] ["York and Scarborough Teaching Hospitals"] Haematology...

Web Content Article · By Gary Hepworth On 3 Jul 25, 14:24

1129341000000105 CHSA (Canadian Study of Health and Aging) Clinical Frailty Scale level 3...- terminally ill Y29de 1129411000000100 ["Hull"] [] Integrated Care Centre...

Document · By Gary Hepworth On 11 Jul 25, 09:37

change in medication US is justified in pts with persistently raised ALT (3-...the likelihood of malignancy include :history of irradiation, male sex, age...

Web Content Article · By Polly Fulchini On 18 Mar 26, 12:17

Thrombocytopenia flowchart One Column None provided Platelets < 150 ×10⁹/L Platelets < 20...LFTs D/W on call Haematology to arrange urgent direct assessment if: Platelets <...

Document · By Gary Hepworth On 7 Jul 25, 10:42

LDL-Cholesterol Correction factors 3....per week  Weight management: the recommended body mass index (BMI) is between 20...2.0 2.2 2.2...

Document · By Gary Hepworth On 11 Dec 25, 09:22

I will complete a 3 yearly venepuncture update ....Age 3 months to 12 years. ALL Babies Age 0 - 3...

Document · By Polly Fulchini On 19 Nov 25, 12:21

Investigate other causes + repeat in 3-6 months if still symptomatic.

Document · By Polly Fulchini On 2 Dec 25, 11:21

be generated by adipocytes in obese individuals, causing low level elevations (<20

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

It usually presents with 1-3 day history of coryzal symptoms followed by the appearance...Peak of illness is typically 3-5 days....positive airway...

Web Content Article · By Polly Fulchini On 6 Aug 25, 12:49

back pain that started before the age of 45 years and has lasted for longer than 3...months, with: 4 or more of the additional criteria below OR Exactly...

Web Content Article · By Gary Hepworth On 2 Jul 25, 13:05

North Lincolnshire"] [] Community Diagnostic Centre Community Diagnostic Centre 2026

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

If your child needs to use their inhaler more than once in any day or 3-4 times...of the spacer - this is the opening at the opposite end to the mouth piece. ...

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

months Age 3-6 months with temperature ³ 39°C Craniofacial syndromes, e.g....Delayed antibiotics: start if symptoms do not start to improve within...

Document · By Gary Hepworth On 7 Jul 25, 08:57

, such as infection Annexe 2: Type 1 diabetes and eating disorders (T1DE) 20...https://www.legislation.gov.uk/ukpga/1983/20/contents...

Web Content Article · By Polly Fulchini On 13 Aug 25, 08:58

If bleeding significant or concerns about viability: refer to EPAU 16-20 weeks: Light...If bleeding significant or abdominal pain present: Gynae SHO on Bleep 661 Over...

Web Content Article · By Polly Fulchini On 10 Sept 25, 12:56

term PPI treatment is safe ( but should be used at the minimum effective dose) (3)...10-20% of people have episodes of reflux more than weekly and...

Web Content Article · By Polly Fulchini On 30 Jul 25, 13:49

Primary care admin support 🗎 RSS Gateway & e-RS Booking Guide - updated 01/05/2026...before they are displayed) RSS/Primary Care pathway changes FAQ - updated...

Document · By Gary Hepworth On 4 Jul 25, 08:07

Young People: diagnosis and management (August 2015), (updated December 2015) 3.