Abdominal aortic aneurysm (AAA) screening is a way of detecting asymptomatic swelling (aneurysm) of the aorta.
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Advice & Guidance from Secondary Care and Psychiatry

Information about seeking advice & guidance from secondary care to avoid unnecessary referrals and safely obtaining timely and safe management advice. Consultant Connect service. Urgent Connect GP Liaison Service
Anal Fissure

Anal fissure is a benign tear in the ano-derm, the skin lining the lower half of the anal canal.
Anal Fistula

An anal fistula is an abnormal communication between the anal canal / lower rectum and the perineal, perianal or buttock skin
Artificial Eye

For wearers of an artificial eye or cosmetic shell and there are over 50 clinics in England for prosthesis checking and polishing with provision of a replacement when necessary.
Audiology Complex Direct Referral Service

Audiology direct referral service for Hearing Loss, Tinnitus, Hearing or Listening Difficulties
Blepharoplasty

Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids.
Breast Abscess and Mastitis Management

The clinical procedure aims to improve the care for patients and enable early recognition and treatment of breast abscesses or mastitis, and ensures that the patient is prescribed the correct antibiotics, and arrangements are made for them to be admitted to the hospital or seen as soon as possible by a clinician
Breast Enlargement Reduction Revision & Gynaecomastia

(Gender reassignment, & reconstructive surgery after cancer or trauma is not included in this policy)
Breast Screening (Mammography)

Breast screening aims to find breast cancer at an early stage, often before there are any symptoms. To do this, an x-ray is taken of each breast (mammogram). Early detection may often mean simpler and more successful treatment
Cataract Removal in Adults

Cataract surgery is a procedure used to treat cataracts, where changes in the lens of the eye cause cloudy, blurry, or misty vision.
Chalazion

A chalazion also known as a meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of a blocked meibomian gland.
Chest Wall Deformity (Pectus carinatum / Pectus excavatum)

Treatment of pectus excavatum or pectus carinatum is considered a cosmetic procedure.
Community Dental Service



Dental treatment for children, adults and older people in Coventry who because of a mental or behavioural impairment or disability, are unable to access general practice dental care.
Community ENT Clinic (Community Assessment Service CAS)

Information about the services provided by our community ENT specialties
Complementary & Alternative Therapies

Complementary and alternative therapies are not routinely funded
Constipation – adults

Constipation is a common condition that affects people of all ages. It can mean that you're not passing stools regularly or you're unable to completely empty your bowel.
Dental Treatment (in an emergency)

How to access dental care during Covid-19 restrictions (from NHS Website)
Diabetic Eye Screening Service for Retinopathy

Diabetic retinopathy, also known as diabetic eye disease, is when damage occurs to the retina due to diabetes.
Dupuytrens Disease

Dupuytren’s contracture (Dupuytren's disease) is a condition that affects the hands and fingers.
Endoscopy – Direct to Test Gastroscopy and Flexible Sigmoidoscopy (DTT)

Endoscopy, gastroscopy and flexible sigmoidoscopy provided by Nuffield Health Warwickshire Hospital for NHS patients across Coventry and Warwickshire via e-Referrals ERS
Face Lifts and Brow Lifts

A facelift (rhytidectomy) is cosmetic surgery to lift up and pull back the skin to make the face tighter and smoother.
Family History of Bowel Cancer

Some lower GI tract cancers are caused by inherited germline mutations.
Fractured Nose

A nose fracture is a break in the bone or cartilage over the bridge, or in the sidewall or septum .
Gallstones – Cholecystectomy

Gallbladder removal surgery, also known as a cholecystectomy, is a very common procedure.
Genetic Services

Clinical genetics is a specialist regional service based at Birmingham Women’s Hospital.
Grommets & Myringotomy (Adults)

Treatment for Otitis Media with Effusion (OME) in adults normally requires prior approval before treatment starts in secondary care
Grommets and Myringotomy, Removal of Adenoids for the Treatment of Glue Ear(Children)

Policy for removal of adenoids and treatment of glue ear
Hallux Valgus – Bunion

A bunion is a bony deformity of the joint at the base of the big toe. The medical name is hallux valgus.
Hernia Repair (Adults)

A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall.
Hip Pain & Hip Replacement (Adults)

Most cases of hip pain in adults that are treated with surgery are caused by osteoarthritis, the most common type of arthritis in the UK.
Hyaluronic injections for osteoarthritis

Osteoarthritis is a condition that causes joints to become painful and stiff. It's the most common type of arthritis in the UK.
Hydrocoele (adult)

A hydrocele denotes a pathological accumulation of serous fluid in a body cavity.
Kidney Stones

Kidney stone disease is when a solid piece of material (kidney stone) occurs in the urinary tract.
Knee Arthroscopy

An arthroscopy is a type of keyhole surgery used both to diagnose and treat problems with joints.
Low Back Pain


These are guidelines for most patients most of the time. Like all guidelines, there are exceptions. Acute back pain is for 6 weeks
Lower urinary tract symptoms (men)

The lower urinary tract consists of the bladder, prostate gland and urethra.
Macular disorders – Wet Age Related Macular Degeneration (Wet AMD) Diabetic Macular Oedema, Retinal Vein Occlusion

A range of problems can affect the macula. Treatment may be with Anti–Vascular Endothelial Growth Factor therapy, also known as anti-VEGF, that blocks vascular endothelial growth factor.
Nasal Discharge, Obstruction, Chronic Rhinosinusitis

Nasal discharge is a very common problem, especially amongst children. Policy on Cchronic Rhinosinusitis
NHS Eye Care Services

The service has been developed to divert patients away from GP practices to an eye care professional able to see and treat many common eye conditions, helping to release GP capacity.
Overactive Bladder

Overactive bladder is a problem with bladder-storage function that causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (incontinence).
Paediatric Orthopaedic Problems Age 0 – ≤15 years

Management and referral of common orthopaedic problems in childhood Age 0 - ≤15 years
Paramedic Acute Visiting Service (PAVS)


Practices can request a Paramedic to visit a patient at home on behalf of a GP. The key objective is to reduce avoidable hospital admissions by providing a timely response to patients requiring a visit, and ensuring patients are cared for at home if appropriate.
Pelvic Health Physiotherapy COCHC – RKB


Pelvic physiotherapy services provided at the City of Coventry Health Centre by UHCW
Penile Implants

A penile implant is a medical device that is custom-fit and surgically placed into a penis.
Peripheral Arterial Disease (PAD), Intermittent Claudication & Critical Limb Threatening Ischaemia

Referral and assessment of Peripheral Arterial Disease (PAD) for Coventry & Warwickshire
Phimosis and Circumcision (Adult)

Phimosis is a condition in where the foreskin of the penis is too tight to be pulled back to reveal the glans.
Physiotherapy Services – MSK Hub and Integrated Pathways



Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.
Pilonidal Sinus

Pilonidal sinus is a condition caused by chronic infection of abscess cavities, containing hair, in the natal cleft.
Prostate Specific Antigen Testing (PSA)

Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland.
Prosthetics for Limb Loss or Deficiency & Amputee Rehabilitation

The Amputee Clinic at UHCW is a satellite service as part of Selly Oak, Birmingham service
Rectal Bleeding

Rectal bleeding (bleeding from the bottom) is often noticed as small amounts of bright-red blood on toilet paper.
Recurrent Tonsillitis and Tonsillectomy (Adults & Children)

Surgery to remove the tonsils is known as a tonsillectomy.
Retinal Vein Occlusion

Retinal vein occlusion is one of the most common causes of sudden painless unilateral loss of vision.
Rhinoplasty Septorhinoplasty Septoplasty

Rhinoplasty changes the appearance of the nose often using a graft or implant. Septorhinoplasty straightens or repairs the septum that separates the nostrils and alters the shape of the nose. Septoplasty repairs a deviated septum to improve breathing.
SAU Surgical Assessment Unit: Direct Access Numbers

Referral pathways for surgical assessment and management of surgical emergencies avoiding ED. This service does NOT assess dental pain
Scoliosis (Paediatric)

Assessment in secondary care is advised for any child with a suspected scoliosis who is still growing.
Snoring (Adults)


Snoring is caused by the vibration of the soft tissue in your head and neck as you breathe in.
Squint (Pre-School)

A squint (strabismus) is a condition where the eyes point in different directions.
Throat – persistently sore, tight, irritable

Sore throats are very common and usually nothing to worry about.
Tinnitus

Tinnitus is the term for hearing sounds that come from inside your body, rather than from an outside source.
Trigger Finger – Adults

Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb.
Urinary Tract Infection (UTI) & Recurrent UTI

Urinary tract infections (UTIs) are common infections. In order to avoid misdiagnosis of UTI and the subsequent overtreatment / misuse of antibiotics please adhere to the following principles when using dipsticks.
Varicose Veins

Varicose veins are swollen and enlarged veins – usually blue or dark purple – that usually occur on the legs.