HNY Policy and Pathway Repository - York

ASTHMA GUIDANCE

High quality asthma care - Humber and North Yorkshire Health and Care Partnership

Asthma Management Plans

• Level 1 
• Level 2 
• Level 3 
• Fostair Mart 
• Symbicort Smart  
• My Asthma Plan - for paediatric patients

Support for patients to stay healthy and live well with a long-term condition (asthma)

HOUSING CONDITIONS

NICE (2020) state if a person has repeated or worsening respiratory symptoms such as a cough or wheezing, to ask about their housing conditions. If these are a concern, signpost them to request a housing assessment from the local authority. Details of how to request this can be found below:

• City of York Council - By calling 01904 551550 or visiting https://www.york.gov.uk/housing
• East Riding County Council - By calling 01482 393939 or visiting www.eastriding.gov.uk/housing
• Selby District Council - By calling 01757 705101 or visiting https://www.selby.gov.uk/housing
• Ryedale District Council - By calling 01653 600666 (Extension 43625) or visiting https://www.ryedale.gov.uk/living-here/housing.html
• Hambleton District Council - By calling 01609 779977 or visiting https://www.hambleton.gov.uk/housing

GREEN INHALER SWITCH

The purpose of this pack is support Primary Care and Community Pharmacy to deliver consistent messaging and support to patients about the greener inhaler switches

• Public facing comms
• GP pharmacy comms

LONG COVID

• Long Covid Management and Referral Guidance for YSTHFT Post COVID-19 MDT Assessment Service
• COVID-19 Yorkshire Rehab Screening Tool (C19-YRS) for patients to complete
• EMIS letter template 
  • Guide on how to import EMIS letter template
• SystmOne Referral proforma can be found in the reporting unit here: Set up>Referrals & Letters>”New” Word Letter template>NECS>GP Referral to Post Covid MDT Assessment

COPD & PULMONARY REHABILITATION GUIDANCE

Diagnosing and Treating Chronic Obstructive Pulmonary Disease (COPD) - Humber and North Yorkshire Health and Care Partnership

• Pathway for Pulmonary Rehabilitation

• York Pulmonary Rehabilitation Referral form

• Home oxygen information

  • Home oxygen assessment and referral (HOS-AR) form
  • Home oxygen assessment and referral (HOS-AR) palliative form

YTHFT COPD Management Plans 

• Level 1 
• Level 2 
• Level 3 

Rescue packs

• GP information
• Patient information

PLEURAL SERVICES – YORK HOSPITAL

Our Pleural Service provides comprehensive, consultant-led assessment and management of the full spectrum of pleural conditions. The service is delivered by a dedicated multidisciplinary team comprising Consultant Respiratory Physicians, Physician Associates, and Advanced Clinical Practitioners, ensuring safe, timely, and high-quality care.

Procedures and Services Provided:

1. Thoracic Ultrasound

Real-time ultrasound imaging to assess pleural fluid, guide safe procedures, and support rapid diagnostic decision-making.

2. Pleural Procedures

• Diagnostic pleural aspiration
• Therapeutic pleural aspiration
• Intercostal chest drain insertion
• Indwelling pleural catheter (IPC) insertion for long-term outpatient management

3. Day-Case Management of Pleural Effusions

Most diagnostic and therapeutic pleural interventions are organised as day-case procedures, minimising hospital admission while maintaining high standards of safety and monitoring.