HEADLINES: DIRECTORY of UPDATES

Fertility – Cryopreservation of Gametes and Embryos Reminder:All patients about to embark on a treatment within an NHS pathway of care that might cause infertility should be offered an opportunity to discuss their circumstances with a fertility specialist, regardless of potential eligibility for cryopreservation

Bronchiolitis Addition of Primary Care management flowchart

Community Autism Support Service CASS Updated information resource

Neurodiversity & Autism Dynamic Support Register – Information & Advice for Patients and Families Updated information resource

SEND Information, Advice and Support Service SENDIASS New page

Family Hubs (Coventry) and Children & Family Centres (Warwickshire) New page

Community Atrial Fibrillation (AF) Service Updated content

Primary Care Surge Service (Coventry & Rugby GP Alliance) Provision update

Primary Care Gynaecology Service (PCGS) Updated sites and referral criteria

How to Import Documents and Templates into EMIS Refreshed page

How to Unprotect a Document in EMIS to Edit a Field Entry New page

Adult & Children Safeguarding Additional Warwickshire information and uploaded Multi-Agency referral form and links

Reversal of Male and Female Sterilisation ICB commissioning policy update

Functional Electrical Stimulation (FES) New page. ICB commissioning policy

Benign Skin Lesions (including Sebaceous Cysts) ICB commissioning policy update

Complementary & Alternative Therapies ICB commissioning policy update

MRI Scanning – Open or Upright ICB commissioning policy expiry date refresh

Hip Pain & Hip Replacement (Adults) ICB commissioning policy expiry date refresh

Hallux Valgus – Bunion ICB commissioning policy expiry date refresh

Hyperhidrosis of Palms and Axillae ICB commissioning policy update

Hand & Wrist Loss of Function ICB commissioning policy expiry date refresh

Spinal injections ICB commissioning policy expiry date refresh

Haemorrhoids & Haemorrhoidectomy ICB commissioning policy expiry date refresh

Abnormal Uterine Bleeding ICB commissioning policy expiry date refresh

Ganglion (Hand & Wrist) ICB commissioning policy expiry date refresh

Dupuytrens Disease ICB commissioning policy expiry date refresh

Dilatation and Curettage for Menorrhagia ICB commissioning policy expiry date refresh

Knee Arthroscopy ICB commissioning policy update

Carpal Tunnel Syndrome (CTS) ICB commissioning policy expiry date refresh

Snoring (Adults) ICB commissioning policy expiry date refresh

Chalazion ICB commissioning policy expiry date refresh

Aesthetics Policy (Coventry & Warwickshire ICB) ICB commissioning policy update and refresh

Incident Reporting – Learning from Patient Safety Events (LFPSE) Incident Reporting replaces Datix

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Updated with ICB statement commission position on NHS treatments and referrals to online support services

Freedom to Speak Up Lead for General Practice Information about how to approach the Freedom to Speak Up Lead

Gender Identity Clinic Referrals Updated guidance. Primary Care are no longer allowed to refer children and young people into this service

NHS Health Checks in Warwickshire New page

EMIS: How to hide documents from the records when sent via Accurx personal contact

November 2024

Advice & Guidance from Secondary Care and Psychiatry Advice on how to omit GP mobile numbers from GP Advice Line referral form

Adult Mental Health (Community Mental Health Team IPU 3-8) Direct link added to Advice and Guidance page

Palliative Care Services Updated Coventry Specialist Palliative Care Treatment pathway. Updated referral advice. New referral form pending

WM Familial Hypercholesterolaemia Service Updated flowchart and revised BLANK referral form (2022 version) pending LMC approval. EMIS merge document awaited

The Myton Hospices Information about new telephone support line (non personalised care)

Continuous Positive Airway Pressure (CPAP) New ICB guidance and policy document

Rhinoplasty Septorhinoplasty Septoplasty New ICB guidance and policy

Female Genital Prolapse Revised ICB guidance and policy

Hernia Repair (Adults) Revised ICB guidance and policy

Chronic Fatigue Syndrome (CFS) and Myalgic Encephalomyelitis (ME) – out of area assessment, diagnosis and management New page with ICB policy

Nasal Discharge, Obstruction, Chronic Rhinosinusitis New guidance and ICB referral advice for rhinosinusitis

Grommets and Myringotomy, Removal of Adenoids for the Treatment of Glue Ear(Children) New ICB referral advice for Adenoidectomy

Snoring (children) page refreshed

Biological and Synthetic Mesh or Equivalents new page with information and ICB policy about biological mesh or equivalents

Circumcision (Male) Revision of policy and referral guidelines

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Amendments to referral criteria and BMI definitions of obesity (taking into consideration central adiposity) reflecting ICB and National commissioning policy

The National Medical Examiner Scheme. Death Certification MCCDs. Coroner. Cremation Updated Coronial referral links for Coventry and Warwickshire

Children’s Bladder and Bowel Service (Coventry & Warwickshire) Minor typographical updates

October 2024

POST COVID SYNDROME (Adult) SWFT Updated public facing graphics and content

POST COVID SYNDROME (Adult) Local services Updated public facing graphics and content

Breast Screening (Mammography) Updated screening schedule

Breast Screening Updated screening schedule

GP Liaison Nurse & Consultant Connect Advice Updated availability and contact details

Coventry & Warwickshire Community Dermatology Service – Adult Updated link and content

Children’s Bladder and Bowel Service (Coventry & Warwickshire) Updated content

Pregnancy – Exposure to Chickenpox or Shingles Updated content

Speech and Language Therapy (SALT) Updated BLANK referral form

Community Stroke Services – across Coventry and Warwickshire Updated content

Community Parkinsons Disease Nursing Specialist Service Updated contact and referral details

West Midlands Child and Young Person Sexual Assault Service and Blue Sky Centre (SARC) Updated content and additional contact number

Community Nursing and Therapy Team Updated flow chart and referral details

September 2024

2WW Orthopaedic/sarcoma Updated consultant details on referral form

Inflammatory Bowel Disease IBD – Crohn’s Disease & Ulcerative Colitis Updated contact email address

Skin 2WW incorporating Teledermatology Teledermatology adopted across Coventry and Warwickshire

Chronic Obstructive Pulmonary Disease Updated contact details and minor textual editing

Respiratory@home Virtual Ward Additional information on self referral pathways and where to source free Covid testing for the vulnerable

Primary Care Gynaecology Service (PCGS) Updated content with emphasis on priority geographical areas

Monkeypox (Mpox) Additional link to UKHSA Stakeholder Toolkit

POST COVID SYNDROME (Adult) Local services George Eliot’s Long Covid Service will no longer require all patients to have a chest xray prior to referral. A chest xray still be required for those patients with shortness of breath or other respiratory symptoms.

Adult Neurodevelopmental Services (ANDS) CWICB guidance about referral to alternative providers

School Health & Wellbeing Service Updated content, referral criteria and unified referral process for Coventry

On Track in Schools (Rugby) Social inclusion project for Rugby based young people at risk of exclusion from education and society

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

Community Dental Service Updated referral details for South Warwickshire

POST COVID SYNDROME (Adult) UHCW Updated referral email following migration from CWPT to UHCW

Community Stroke Services – across Coventry and Warwickshire New page. Services in Coventry and Warwickshire

Wheelchair Requests & Repairs Updated referral email following migration from CWPT to UHCW

Community Atrial Fibrillation (AF) Service New Community AF Service based in Nuneaton for management of newly diagnosed cases of AF

Tissue Viability Team Updated referral email following migration from CWPT to UHCW

Parkinsons Disease Nursing Specialist Service Updated referral email following migration from CWPT to UHCW

Community Nursing and Therapy Team Updated referral email following migration from CWPT to UHCW

Primary and Secondary Care Interface Working Relationship Consensus (Coventry & Warwickshire ICB) Addition of LMC approved response to Secondary Care when GPs have concerns about workload and unreasonable requests

Infectious Diseases & Tuberculosis (TB) Updated referral email and flowcharts following migration from CWPT to UHCW

Fertility – Specialist Treatment of Infertility Updated CWICB policy and referral criteria

Fertility – Cryopreservation of Gametes and Embryos Updated CWICB policy and referral criteria

Grommets & Myringotomy (Adults) Updated CWICB policy and referral criteria

Varicose Veins Updated CWICB policy and referral criteria

Fertility – Seminal Fluid Analysis (SFA) Updated CWICB policy and referral criteria

Dementia – Alzheimers Society Details of post diagnostic support provided by the Alzheimers Society across Warwickshire

Death Certification & Cremation Arrangements from 9 September 2024 Summary of changes under new arrangements and link to guidance for completion of MCCD by the Attending Practitioner

The National Medical Examiner Scheme. Death Certification MCCDs. Coroner. Cremation Interim guidance on the Medical Examiner System in Coventry and Warwickshire from the 9 September 2024 implementation date

Monkeypox (Mpox) General update

August 2024

Paediatric Orthopaedic Problems Age 0 – ≤15 years Updated age range for referrals (used to be 17 or under)

Chronic Obstructive Pulmonary Disease Updated North Warwickshire referral email address for pulmonary rehab and respiratory physio

Coventry Integrated Musculoskeletal Service Single Point of Access New trial single point of MSK triage for referrals for T&O, Rheumatology, Spinal Neurosurgery, Pain Clinic

CW RISE (Child & Adolescent Mental Health Services CAMHS) see below

Mental Health Crisis Management see below

Adult Mental Health (Community Mental Health Team IPU 3-8)

With immediate effect, two of Coventry and Warwickshire Partnership NHS Trust’s urgent mental health care services are changing their names.

Mental Health Access Hubs are changing their name to Adult Crisis Resolution and Home Treatment (CRHT) Teams.
Arden Mental Health Acute Team (AMHAT) is changing its name to the Mental Health Liaison Team

Pharmacy First Correction of minor typo

Hepatitis B / C Screening. Hep C U Later programme Details of self test programme for Hep C

Psychological Support For People Living with Cancer (South Warwickshire only) Details of psychological support for those living with cancer available in South Warwickshire

Psychological Support for People Living with Cancer under the care of University Hospitals Coventry and Warwickshire NHS Trust Oncology and Haematology Details of psychological support for those living with cancer under the care of UHCW (Oncology & Haematology)

July 2024

Vasectomy Update: Marie Stopes International MSI is no longer accepting vasectomy referrals

Faecal Immunochemical Testing (FIT) for Occult Blood Restored functioning link to patient leaflet

2WW Lower GI Minor updates to EMIS and blank referral forms. Updated version footer

Sleep Clinic Updated functioning link to The Good Sleep Guide

Memory Clinic Links to Memory Assessments now restored (MMSE now copyrighted so no longer available)

Paediatric Physiotherapy Updated page with working links and updated referral address on referral form

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Now contains link to refreshed CWICB policy

Perinatal Mental Health Updated contact details. Referral form updated to reflect new out of hours referral route

Coventry & Warwickshire ICB Corporate Structure Who’s who in the corporate structure

Targeted Lung Health Checks Update: Now being rolled out in North Warwickshire. Process and patient information

Respiratory@home Covid Medicine Delivery Unit New information regarding CWICB Self referral process for accessing treatments for high risk patients

Flu Vaccination Updated to reflect latest NHS guidance

Diabetes Area Resources Page Updated T1 Diabetes Group Education Forms with revised clinic locations and contact details

Eating Disorders (Adults) Coventry & Warwickshire Updated EMIS and blank referral forms

CRGPA Contacts at a Glance Updated Coventry & Rugby GP Alliance contact details (login required)

NHS Type 2 Diabetes Path to Remission (T2DR) for Coventry & Warwickshire Updated functional link to access EMIS xml search files and details of Primary Care incentives (login required)

June 2024

Acute Kidney Injury (AKI) Addition of two useful patient leaflets

Numerous updates to reclassify 76 pages with a patient self referral capability and with their own tab on Home Page

Information and Advice for Neurodivergent People and their Families v2 2023 Temporarily withdrawn pending review of content by service providers

NHS Talking Therapies Service (Improving Access to PsychologicaI Therapies IAPT, Healthy Minds) New self referral QR code added

Chronic Pain Opioid Management Revised content, references and patient leaflet

Children’s Bladder and Bowel Service (Coventry & Warwickshire) New referral email address

Individual Funding Requests (IFRs) Updated CWICB policy document (terms of reference)

Anal itch (Pruritis ani) Refreshed page

Anal Fissure Refreshed page

Anal Sepsis Refreshed page

Rectal Bleeding Updated page referencing latest 2WW Lower GI referral pathway

Neurodiversity & Autism Dynamic Support Register – Information & Advice for Patients and Families Updated page with information and links to multidisciplinary community support (DSR)

Gender Identity Clinic Referrals Updated page. Information about referral pathways to Gender Identity Clinics coordinated on behalf of NHSE. Referral links

May 2024

Blood Test Appointments (Urgent, Online and Domiciliary Requests) Updated pathway to request urgent General Practice Team blood test appointments. Login required

NHS Talking Therapies Service New referral form

Electronic Referral Service eRS New page. A reminder of processes for referring via eRS for those practices in Coventry & Rugby affected by RSS changes. FAQs for interim arrangements

Blood Test Appointments (Online and Domiciliary Requests) Confirmation that walk in blood test appointments are not available

Coventry & Warwickshire Community Dermatology Service New referral forms

Pathology Services & Blood Sciences Updated to latest version Pathology Directory v16 2024

Coventry & Warwickshire Community Dermatology Service – Adult Updated referral and exclusion criteria

Adult Neurodevelopmental Service (ANDS) Clarification of minimum age for referral into the service (≥17 years)

Breast Abscess and Mastitis Management New guidance for suggested management of breast abscess or mastitis

Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH) Updated graphics reflecting correct referral thresholds

Chronic Kidney Disease (CKD) Additional dietary advice for patients with CKD

Abdominal Aortic Aneurysm Screening (AAA) Updated contact details for Familial AAA screening

Prosthetics for Limb Loss or Deficiency & Amputee Rehabilitation Updated referral and satellite clinic information

Respiratory@home Virtual Ward Removal of outdated referral forms Please update your system forms

Mental Health Crisis Management Updated title to reflect Mental Health content

April 2024

NHS Type 2 Diabetes Path to Remission (T2DR) for Coventry & Warwickshire Additional EMIS search plus user guide

Crisis Management Updated 24/7 access data – 111 contact and single access for all ages from April 2024

Adult Mental Health (Community Mental Health Team IPU 3-8) Updated 24/7 access data – 111 contact and single access for all ages from April 2024

Coeliac Disease Confirmation that EMA test will be automatically requested by the laboratory after a significantly raised TTG antibody

Transient Ischaemic Attack (TIA) and Stroke (age over 16) Updated page. UPDATED REFERRAL FORM WITH NEW EMAIL ADDRESS – please use new form

Diabetes Area Resources Page Updated information on Type 1 DM classes including CARBS 4-1 and Step by Step NEW REFERRAL FORM

West Midlands Child and Young Person Sexual Assault Service and Blue Sky Centre (SARC) Updated page. Updated provider of CYPSAS

Coventry & Warwickshire Sexual Health Hub New provider. New page. New referral pathway. Updated access times and locations

Respiratory@home Virtual Ward New referral form

Infectious Diseases & Tuberculosis (TB) Updated page

Hearing Loss (Deafness) Coventry & Warwickshire Refreshed page. Minor updates

Pain Management Services (Coventry & Rugby) Updated page and content

NHS Type 2 Diabetes Path to Remission (T2DR) New service to promote remission of type 2 DM by strict dietary control and adjusting medication. New referral forms.

Dementia – Admiral Nurse Service Added blank referral form.

Pathology Services & Blood Sciences Minor update to faecal calprotectin guidelines

Irritable Bowel Syndrome Minor update to faecal calprotectin guidelines

March 2024

Abdominal Aortic Aneurysm Screening (AAA) Updated contact and referral details. Updated AAA Screening flowchart.

Paediatric Eczema Care Plan Convenient and easy to use care plan added (blank and EMIS versions)

Advice for Neurodivergence – Information & Advice for Patients and Families Latest information leaflet added

Primary Care Surge Service Change to referral process, form added to be submitted to CRGPA.

POST COVID SYNDROME (Adult) SWFT New South Warwickshire pathway for Post Covid Syndrome

Measles Infection Addition of FAQs for clinicians and patients

Stoma Care Updated contact details for stoma advice

Chronic Obstructive Pulmonary Disease Updated information. Notification of extended waiting for COPD referrals

Chronic Obstructive Pulmonary Disease – Spirometry Updated referral form including MRC Score requirement. EMIS version updated.

Urinary Tract Infection (UTI) & Recurrent UTI New Evidence Based Intervention link to support referral decision making

Prostate Specific Antigen Testing (PSA) New Evidence Based Intervention link to support referral decision making

NHS Talking Therapies Service (Improving Access to PsychologicaI Therapies IAPT, Healthy Minds) Former IAPT resource rebranded as NHS Talking Therapies. Content and links edited

Heart Failure (Suspected and Established) New email address for raised BNP: twwheartfailureecho@uhcw.nhs.uk. Referral form updated with new email address

Advice & Guidance from Secondary Care and Psychiatry Updated email referral form for Psychiatry Advice Line

Breast Screening (Mammography) New referral email: highrisk.screening@andrews

February 2024

Learning Disability Updated contact information

Learning Disability Annual Health Checks Updated contact information

Consensus: Primary and Secondary Care Interface (Coventry & Warwickshire ICB) Useful ICB consensus documenting good principles underlying effective working relationships within the healthcare system

Non-Specific Symptoms Pathway for Suspected Cancer (Coventry & Rugby patients only) Adoption of universal county-wide form

Non-Specific Symptoms Pathway for Suspected Cancer (North Warwickshire Patients Only) Adoption of universal county-wide form

Non-Specific Symptoms Pathway for Suspected Cancer (South Warwickshire Patients only) Adoption of universal county-wide form

Paediatric Orthopaedic Problems Referral email address changed, content updated

Dementia Assessment & Community Service Contact number and email address changed

Early Intervention in Psychosis Contact number changed

Mental health self-help resources Link to the Recovery and Wellbeing Academy changed

Children and young person mental health Contact number changed

Psychosis teams Contact number changed

Crisis management – Contact number changed

Adult Mental Health Contact number and email address changed

Pharmacy First Details of new Pharmacy First initiative for treatment of simple conditions. Includes management pathways

Squint (Pre-School) RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Nasolacrimal Duct Obstruction (Infants) RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Red eye (children) RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Squint (adults) RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Retinal Vein Occlusion RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Raised intra-ocular pressure RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Macular disorders – Wet Age Related Macular Degeneration (Wet AMD) Diabetic Macular Oedema, Retinal Vein Occlusion RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Dry Eyes RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Chalazion RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

Cataract Removal in Adults RSS triage service unavailable February and March 2024. Referral should br direct to provider. Advice & Guidance may be used for referral advice

January 2024

After COVID: POST COVID Syndrome LONG COVID (Adult) Pathway modified to 4+ weeks of symptoms to reflect NICE guidance

Adult Neurodevelopmental Service (ANDS) Addition of OPTIONAL additional information questionaires for patients to complete when referred for autism or ADHD

Skin 2WW incorporating Teledermatology GPs now to use NEW teledermatology form in anticipation of county-wide role out of pilot

Anaemia (adults) – Investigations and Management Updated page with new investigation flowchart for anaemia in Primary Care

Respiratory Diagnostic Service (Community Diagnostic Centre) Handwritten referrals to GEH no longer accepted

Breathlessness Pathway for Coventry & Warwickshire Handwritten referrals to GEH no longer accepted

Sleep Clinic Handwritten referrals to GEH no longer accepted

Home Oxygen Service – Assessment & Review HOS-AR Handwritten referrals to GEH no longer accepted

Ambulatory Pleural Clinic Updated Pleural Clinic Secretary contact number

Measles Infection Updated links: National Measles Guidelines & West Midlands GP MMR Toolkit

Thyroid Function Testing Protocol – Results Management & Referral Updated content and reference ranges

Ferritin high Updated content and reference ranges

Guidance on Allergy and Specific IgE testing Updated content and graphics

Electrolyte Abnormalities Updated content and graphics

Paraproteins Updated content

Area Prescribing Committee NetFormulary General updates to graphics and links

Net Formulary (APC) – A Simple Guide General updates to graphics and links

Chronic Obstructive Pulmonary Disease – Spirometry Updated contact details for Community Acute Exacerbation Pathway

B12 and Folate Testing Updated content and download

Skin 2WW incorporating Teledermatology New Teledermatoloy pilot for Rugby patients initially before wider roll out. New 2WW Teledermatology referral forms for pilot use

Low Vision Clinic (LVA Clinic) New page detailing referral information, new referral email address and services provided

Hyperhidrosis of Palms and Axillae Details of updated CWICB commissioning policy

Hallux Valgus – Bunion Details of updated CWICB commissioning policy

Adult Neurodevelopmental Service (ANDS) Updated links. New link to all age Community Autism Support Service page

Community Autism Support Service CASS Updated content. New referral details and information about all age services available for Coventry & Warwickshire residents

December 2023

Contraception & Sexual Health (Integrated Sexual Health) New HIV referral pathway

Diabetes Care & NHS Diabetes Prevention Programme (DPP) Local ICB funding support for new DPP referrals will cease after 31 December 2023

Learning Disability Updated page with GP Role in LeDeR information. Updated LeDeR information and referral link. New Constipation management resources. Bristol Stool Chart.

Respiratory@home Virtual Ward UPDATED REFERRAL FORMS and Patient Pack

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Update highlighting referral criteria to avoid inappropriate referrals

Chronic Obstructive Pulmonary Disease – Spirometry UPDATED CONTACT NUMBER FOR COMMUNITY SERVICE

November 2023

Adult Neurodevelopmental Service (ANDS) Updated content and links

Peripheral Arterial Disease (PAD), Intermittent Claudication & Critical Limb Threatening Ischaemia Updated content with “Hot Foot Clinic” referral information and county wide referral information

Weight Management Services and Pathways Updated page with new management pathways for Coventry and Warwickshire

Lower GI 2WW Updated page to incorporate North Warwickshire referral information

Measles Infection CWICB Urgent update with measles information and resources

Death Certification (MCCD) & Cremation 4 Forms Revised 25 March 2022 Revised wording of FAQs to reflect which GPs should complete Cremation Form 4

Giant Cell Arteritis / Temporal Arteritis (MSK Rheumatology) Updated rheumatology guidelines and pathway for management of GCA

Migrant Health New information about Safe Surgeries programme for Coventry & Warwickshire practices

Eating Disorders (Adults) Coventry & Warwickshire Updated referral forms with new referral address. NEW EMIS MERGE FORM

Coventry & Warwickshire Community Dermatology Service – Adult New EMIS merge form

Diabetes Area Resources Page Additional links to GLP1 and SGLT2 patient leaflets from the APC

CW RISE (Child & Adolescent Mental Health Services CAMHS) Updated referral guidance for Eating Disorders

Adult Neurodevelopmental Service (ANDS) Updated contact details and referral email

Pathology Services & Blood Sciences Updated Calcium reference ranges and confirmation of change to Syphilis antibody confirmation method

October 2023

Breathlessness Pathway for Coventry & Warwickshire New Breathlessness Pathway at North Warwickshire Community Diagnostic Centre

Eating Disorders (Adults) NEW REFERRAL EMAIL ADDRESS

Lower GI 2WW Details of new 2WW Lower GI Pathway incorporating FIT testing before referral. NEW REFERRAL FORMS

Heart Failure (Suspected and Established) UPDATED REFERRAL EMAILS

Jaundice & Liver Disease Content updated to consolidate content

Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH) Now sole source of updated information on NAFLD

Patient Advice and Liaison Service PALs New page with PALs contact details and service information

Non-Specific Symptoms Pathway for Suspected Cancer (South Warwickshire Patients only) New page to be read in the context of revised 2WW Lower GI Pathway NEW REFERRAL FORM

Eating Disorders (Adults) Updated page with NEW REFERRAL EMAIL ADDRESS

Coventry & Warwickshire Community Dermatology Service – Adult Details of new provider of Community Dermatology Service NEW REFERRAL FORM

Diabetic Eye Screening Service for Retinopathy Details of new provider for this service In Health Intelligence

Hip Pain & Hip Replacement (Adults) Updated ICB Hip Resurfacing Policy for Adults

Cataract Removal in Adults Updated ICB Cataract Removal Policy

Complementary & Alternative Therapies Updated ICB Policy

Menopause and Hormone Replacement Therapy (HRT) Updated HRT guidance regarding 2WW referrals

September 2023

Community Nursing and Therapy Team A reminder has been added to include patient details in any uploaded images attached to the referral form

UHCW Children’s Emergency Department Update Details of opening of new ED facilities

Drugs, Alcohol & Substance Misuse (Adult) CGL The prescribed opiate support service for Coventry patients provided by CGL is no longer accepting referrals

Gynaecology 2WW Updated guidance. Clearer referral advice. PMB and Tamoxifen related endometrial hyperplasia guidance links. NEW referral form

Head & Neck 2WW Minor update Updated form with age guidance

Lower GI 2WW Significant revisions including NEW REFERRAL FORM incorporating requirement to perform FIT testing pre-referral. New flow chart including exceptions to the guidance.

Non-Specific Symptoms Pathway for Suspected Cancer (Coventry & Rugby patients only) Details of new referral pathway for Coventry & Rugby patients and allows for referral on the basis of a clinician’s “gut feeling” and other safeguarded actions

Faecal Immunochemical Testing (FIT) for Occult Blood Revisions to accommodate new pathways and patient leaflet

Healthy Mind Service (Improving Access to PsychologicaI Therapies IAPT) Updated page with new Healthy Mind Service branding and self referral portal. Updated contact details

WOMENtalk Relaunched service in Coventry & Nuneaton. Activity based support programme for women with mental health concerns. Professional or self referral. New referral form

Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH) Easier to understand referral thresholds using FIB-4 levels in NAFLD

After COVID: POST COVID Syndrome LONG COVID (Adult) Reminder added to Gateway page that symptoms of carbon monoxide poisoning could potentially mimic Long Covid symptoms

August 2023

Respiratory Physiotherapy Outpatient Services George Eliot Hospital New page detailing Adult Outpatient Respiratory Physiotherapy Services for Warwickshire patients. New referral form

Breast 2WW New links to assist with breast examination for GPs

GP Liaison Nurse & Consultant Connect Advice New information about GP Liaison access at Warwick Hospital SWUFT

July 2023

Blood Test Appointments (Online and Domiciliary Requests) UPDATED REFERRAL FORM. Please update form in use

Child Death Overview Panel CDOP New page detailing the purpose and obligations associated with CDOPs

Paediatric Physiotherapy Updated content, referral advice and NEW REFERRAL FORM – please replace old form

Primary Care Gynaecology Service (PCGS) Updated text and guidance

MRI Scanning – Open or Upright Requests for Open or Upright MRI imaging now require CW ICB Prior Approval via tick box form

Individual Funding Requests (IFRs) Updated ICB related content, REFERRAL FORM, and patient leaflet

Mental Health Matters Helpline & Safe Haven Details of new Safe Haven service provided across Warwickshire from July 2023

Contraception & Sexual Health (Integrated Sexual Health) Updated Warwickshire sexual health links

Gambling Harms and Addiction (West Midlands) Gambling support for all those affected by the impact of gambling addiction

Anaemia (Children) Added to Paediatrics location as well as Pathology

Continence Services Updated CWPT referral information and TWOC pathway & referral criteria

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Clarification of pre-referral requirements (including age ≥18) to tier 3 weight management services. New link to British Obesity & Metabolic Surgical Society GP Hub

Respiratory@home Covid Medicine Delivery Unit Details of revised service provision for delivery of Covid medicines. Includes Secondary Care referral form for access to centralised resources

Speech and Language Therapy (SALT) Updated content. UPDATED REFERRAL FORMS – please replace old forms

June 2023

Knee Pain (Adults) Updated MSK pathway and flowcharts with management and referral guidance

Non-Specific Symptoms Pathway for Suspected Cancer (Coventry & Rugby patients only) Addition of a blank Word referral document for reference purposes

Chronic Kidney Disease (CKD) Updated management advice for CKD “3 actions in 3 months”

Urgent Treatment Centres UTCs Coventry & Warwickshire ICB New page detailing services, locations and operating hours

Consultant Connect – Telephone Advice & Guidance Updates on Dermatology and 2WW Paediatrics reminder

Vasectomy Central Surgery Rugby is no longer accepting referrals

Orthopaedics / Sarcoma 2WW Minor update

Non-Specific Symptoms Pathway for Suspected Cancer (Coventry & Rugby patients only) Minor updates

2 Week Wait Guidance Minor updates

Tumour Markers in Cancer Diagnosis Minor updates

Cancer – Resources for Professionals Minor updates

Head & Neck 2WW Updated referral guidance

CW RISE (Child & Adolescent Mental Health Services CAMHS) Compass Coventry early intervention service added

Children & Young Person Mental Health Compass Coventry early intervention service added

Chronic Obstructive Pulmonary Disease – Spirometry NEW PULMONARY REHAB referral email address – please amend your records

Family Health & Lifestyles Service Updated page with new links

Stop Smoking in Pregnancy Support New page with contact details for service

School Health & Wellbeing Service Refreshed page

May 2023

FWT Services – MAMTA New page for MAMTA service for antenatal support

Family Nurse Partnership FNP Updated page

Health Visitor Service Refreshed page

Breastfeeding & Infant Feeding Updated page

Ultrasound – Non Obstetric Ultrasound (NOUS) Minor updates including latest waiting times

Drugs, Alcohol & Substance Misuse (Adult) CGL Details of a new Prescribed Opiate Support Service for Coventry patients

GP Liaison Nurse & Consultant Connect Advice Updated details and referral information. UHCW wayfinding map

Sepsis Guidance Updated links. Age related & Pregnancy Specific Sepsis Tools. GP Sepsis Manual

Cancer – Resources for Professionals Updated 2WW contacts

CWPS Pathology Handbook / Directory Latest v14 published

SAU Surgical Assessment Unit – Direct Access Numbers Updated contact details. Additional phone number. Email contact currently unavailable

Miscarriage & Recurrent Miscarriage Update including shortcut to Tommy’s Miscarriage Support Tool

April 2023

Low Priority Procedures Carpal Tunnel Syndrome Referral Form Restored functioning link to EMIS document

Learning Disability Updated MS Word referral form

Prior Approval Hip Replacement Surgery Restored functioning link to EMIS document

Head & Neck 2WW Page refreshed. EMIS form correct. Blank MS Word form replaced with latest version in correct format

Chronic Kidney Disease (CKD) Change of recommended medication from Empagliflozin 10mg to Canagliflozin 100mg od

Consultant Connect – Telephone Advice & Guidance Ophthalmology at UHCW no longer answering Telephone Advice & Guidance (A&G) queries via Consultant Connect.

Home Oxygen Service – Assessment & Review HOS-AR Updated GEH referral email and referral form

Respiratory Diagnostic Service (Community Diagnostic Centre) Updated George Eliot Hospital information. Referrals for spirometry can be accepted from the ICS geographical area. New GEH referral form (must be signed by a clinician)

Chronic Obstructive Pulmonary Disease – Spirometry Updated George Eliot Hospital information. Referrals for spirometry can be accepted from the ICS geographical area

Non-Specific Symptoms Pathway for a Possible Cancer Diagnosis New service for Coventry & Rugby patients initially to support referral for possible cancer based on high level of GP suspicion

Drugs, Alcohol & Substance Misuse (Adult) CGL Updated page with updated referral form. Please replace outdated form

Blood Test Appointments (Online and Domiciliary Requests) Updated page

Dementia – Admiral Nurse Service Minor updates

Severe Mental Illness Annual Health Check Service (Coventry & Rugby GP Alliance) New page detailing service

Paramedic Acute Visiting Service (PAVS) Minor updates

Primary Care Surge Service (Coventry & Rugby GP Alliance) New page with details of service for Primary Care

DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) Minor updates

Private: Coventry & Rugby GP Alliance Contact details at a glance. This is a private page. You must be logged in to access.

March 2023

Cancer Screening & Early Diagnosis Update with addition of Cervical Screening in Primary Care guidance

Ophthalmology 2WW Reviewed page. No significant changes

Cancer Transformation Team: Page deleted

Skin 2WW Revised and updated content

Orthopaedics / Sarcoma 2WW Revised and updated content

Lower GI 2WW Revised and updated content

Haematology 2WW Revised and updated content

Gynaecology 2WW Revised and updated content

GI Upper & Jaundice 2WW Revised and updated content

Breast 2WW Revised and updated content

Lung 2WW Revised and updated content

Head & Neck 2WW Revised and updated content

Urology 2WW Revised and updated content

Brain & CNS 2WW Revised and updated content

Cancer Screening & Early Diagnosis Revised and updated content

2 Week Wait Guidance Revised text

Cancer – Patient Information & Resources Rebranded page – formerly Cancer Resource Page. Additional resources for patients

Cancer – Resources for Professionals New page with useful links for healthcare professionals

Chronic Kidney Disease (CKD) Revised text

Inappropriate General Practice Workload Links to LMC supported EMIS merge documents to respond to requests for inappropriate secondary care generated requests

GP Liaison Nurse & Consultant Connect Advice Updated content including reminder to direct surgical patients to Surgical Assessment Unit (SAU) after contacting SAU first

February 2023

Chronic Kidney Disease (CKD) Updated indications and algorithm for SGLT-2 inhibitors in CKD

GP Gateway Login access enabled for North and South Warwickshire

Community Autism Support Service New page with details of Mind CASS support across North & South Warwickshire and Coventry

Anal (Skin)Tags & Pruritis Ani Updated patient leaflet

Low Back Pain Revised page with new interactive flowchart. New management resources including StarT Back Screening Tool

MENtalk (Sky Blues in the Community) Details of new Saturday session for MENtalk

GP IT Support Contact Details Telephone and email contact details for CWPT IT and Innovate (formerly SWFT IT)

Patient Group Directions (PGDs) Updated useful links to immunisation scheduling and essential contacts

Community Ambulatory Service (ECG – Holter and Event Recorder) Minor alteration to text

HBV and HCV Screening in Primary Care Deletion of obsolete attachment

SAU Surgical Assessment Unit – Direct Access Numbers Updated contact details. Please phone SAU direct rather than using bleep

2WW / Cancer Title of homepage shortcut tab changed from 2WW to Cancer

Primary Care Gynaecology Service (PCGS) Updated email and telephone contact details

Dyspepsia and GORD Update on eligibility of practices from South Warwickshire

January 2023

Physiotherapy Services – MSK Hub and Integrated Pathways Updated page with link to self management resources

First Contact Practitioners (FCP) – MSK Hub Updated page with link to self management resources

Consultant Connect – Telephone Advice & Guidance Updates and FAQs regarding integration into records with EMIS and SystmOne. News of drop in sessions for Warwickshire practices

Ultrasound – Non Obstetric Ultrasound (NOUS) Details of a replacement community based ultrasound service provided by Healthshare

Chronic Obstructive Pulmonary Disease – Spirometry Updated information for North Warwickshire patients

Home Oxygen Updated information and HOS-AR form for North Warwickshire patients

Snoring in Adults Updated version of Epworth Sleepiness Scale

Sleep Clinic Updated version of Epworth Sleepiness Scale

Scarlet Fever and Invasive Group A Streptococcus (iGAS) Infection Reminder of infection control procedures

Community Dental Service Updated acceptance criteria and NEW FORMS – PLEASE UPDATE EXISTING FORM

Incident Reporting DATIX New page with a reminder of how to report significant clinical events

DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) Updated page

December 2022

Migrant Health Updated incident specific recommendations for TB testing in children arriving from Ukraine

Faecal Immunochemical Testing (FIT) for Occult Blood NEW FORMS – PLEASE UPDATE EXISTING FORM

Lower GI 2WW NEW FORMS – PLEASE UPDATE EXISTING FORM. Amended emphasis on FIT testing in referral process

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Amended information. New patient information. New complications of surgery guidance. Top tips for Primary Care.

Notification of Infectious diseases Addition of EMIS compatible merge form

Migrant Health Details of new resources for Hong Kong British National Overseas BN(O) Visa Holders

Employment support for ex-Forces NHS patients – The Poppy Factory Details of “The Poppy Factory” Employment Support for ex-veterans

Scarlet Fever and Invasive Group A Streptococcus (iGAS) Infection Updated information on complications. Advice on antibiotic use and availability. Advice on use of solid preparations where liquids may be limited

Contraception & Sexual Health (Integrated Sexual Health) Updated guidance. Psychosexual counselling and Lost IUD/IUS services no longer provided by ISH

Bariatrics & Obesity Surgery (Specialist Weight Management Service) Additional pathway for management of post operative complications

Paediatrics – Suspected Childhood Cancer (2WW) Additional referral guidance and leaflets to assist with management of childhood cancer

Adult & Children Safeguarding New Warwickshire Safeguarding Referral Template. Consolidation of safeguarding pages. On-line Coventry MASH referral form via platform.

Covid-19 :

Multiple pages have been modified to edit interim Covid changes instigated during the pandemic

Coeliac disease UHCW no longer performs OGD D2 Biopsy for diagnosis purposes. See updated text

November 2022

Post Coital Bleeding (PCB) Updated entry. A reminder to prescribers that acidifying agents such as boric acid suppositories are intended to be sourced over the counter OTC.

Respiratory@home Virtual Ward Updated title, text and new downloadable patient pack

How to Import Documents and Templates into EMIS Technical ‘How To’ guide for EMIS users

Diabetes Care & NHS Diabetes Prevention Programme (DPP) Updated page with new links to local resources for diabetes care and information

Primary Care Gynaecology Service (PCGS) New Primary Care Gynaecology Service to shortcut extended secondary care waiting times. Requires completion of Data Sharing Agreement and uploading of EMIS Template onto surgery computer system.

Migrant Health Details of a new counselling service contracted by Public Health to support asylum families lodged in Warwickshire hotel locations

Back Pain: Suspected Ankylosing Spondylitis & Spondyloarthritis (MSK Rheumatology) Addition of EMIS compatible form for referral of inflammatory back pain

Advice for Neurodivergence – Information & Advice for Patients and Families Comprehensive life support resource for individuals and families with Neurodivergence (Autism ADHD Dyspraxia)

Adult Neurodevelopmental Service (ANDS) Updated link to Neurodivergence Support for individuals and families

Pelvic Health Physiotherapy COCHC – RKB Details of Pelvic Health Physiotherapy Service delivered by UHCW at the City of Coventry Health Centre

Consultant Connect – Warwick Gynaecology Pre-Referral Telephone Advice & Guidance New 4 week trial of pre-referral advice & guidance for SWFT Gynaecology referrals into Warwick Hospital ONLY

Migrant Health New link to Gov.uk improvement of Roma health resources

Back Pain: Suspected Ankylosing Spondylitis & Spondyloarthritis (MSK Rheumatology) Revised content and new referral form using online SPADE tool

MENtalk (Sky Blues in the Community) Additional content. New referral email address

UHCW Hospital at Home Services New page. New self contained outreach service from UHCW to facilitate earlier discharge of heart failure patients with remote monitoring and administration of diuretics at home

October 2022

Palliative Care Services Updated contact information for Dr Hazel Coop

SafeCall for Young Victims of County Lines, their Families and Professionals National support for victims of County Lines

HBV and HCV Screening in Primary Care Updated contact details for Clinical Virology Team

Adult Mental Health (Community Mental Health Team IPU 3-8) Details of new Peer Mentoring Support Service PMSS for young people transitioning into adult services from childrens’ services, moving out of child care and in need of support or young people in need of support for the first time

Advice & Guidance Dermatology New locally provided A&G service with integration into EMIS record

Adult Mental Health (Community Mental Health Team IPU 3-8)Young Black Men’s Mental Health Project Details of new project for young black men 11-25 to assist with mental health issues

The Myton Hospices Updated refreshed content

Pathology Services & Blood Sciences Notification of change of laboratory reference ranges

Paediatric Allergy Service New section on Pollen Food Syndrome (PFS) and when to refer with attached GP leaflet

September 2022

No Caller ID lifted from University Hospital Coventry and Warwickshire NHS Trust’s telephone calls to patients from 20 September People are now be able to see 02476 964000 when calls are made from any of UHCW services. Patients have fed back that due to the number of inappropriate calls they receive, they often don’t answer their phones to unknown callers.

Scarlet Fever and Invasive Group A Streptococcus (iGAS) Infection New page raising awareness of rising seasonal cases of notifiable Group A streptococcal diseases

NHS Diabetes Prevention Programme (DPP) New Provider July 2022 Advance notification that the “Know Your Risk” Tool for patients will be withdrawn from 15^th November 2022 affecting patient’s ability to self refer

After COVID: POST COVID Syndrome LONG COVID (Adult) Updated consolidated page after removal of outdated duplicate information. Coventry & Warwickshire Long Covid Support Group and Return to Work information accessible here

Migrant Health Addition of useful link to My Health Service Navigator web page resources

Ultrasound (Non Obstetric Ultrasound Service) THIS SERVICE IS CURRENTLY UNAVAILABLE AS PML ARE NO LONGER ACCEPTING REFERRALS

GP Liaison Nurse & Consultant Connect Advice Refreshed referral email address: gpliaison@uhcw.nhs.uk

Dupuytrens Disease Removal of references to Collagenase which is no longer available in th UK

Rheumatology – Early Arthritis Clinic Updated referral criteria. New Early Arthritis Clinic referral form including EMIS version PLEASE USE NEW FORM . Please remove old version of form

NHS Diabetes Prevention Programme (DPP) New Provider July 2022 Updated merge form which now merges HBA1c into referral form. PLEASE USE NEW FORM . Please remove old version of form

August 2022

Urology – 2WW Updated referral criteria with updated 2WW EMIS and blank referral form. PLEASE USE NEW FORM . Please remove old version of form

Children & Young Person Mental Health Updated page with downloadable leaflet linking resources for the mental health of children, young people and their families

Vasectomy Updated link to patient leaflet for easier printing

Urgent Community Response (UCR) Service New operational hours 8:00am to 8:00pm 7 days a week

Hip Pain & Hip Replacement (Adults) NEW BLANK & EMIS REFERRAL FORM Please remove old form

Recurrent Tonsillitis and Tonsillectomy (Adults & Children) NEW BLANK & EMIS REFERRAL FORM Please remove old form

Hernia Repair (Adults) – Inguinal, Umbilical / Para-umbilical / Incisional / Femoral Hernia NEW BLANK & EMIS REFERRAL FORM Please remove old form

Adult Mental Health (Community Mental Health Team IPU 3-8) Updated content. Postal referrals no longer accepted. NEW BLANK & EMIS REFERRAL FORM Please remove old form

Inflammatory Bowel Disease IBD – Crohn’s Disease & Ulcerative Colitis Updated content and contact details. New flare up flowcharts for Crohn’s Disease and Ulcerative Colitis

After COVID: POST COVID Syndrome Pathway LONG COVID (Adult) New RCGP NHSE resources for health professionals

HM Coroner Service (new online referral portal) New online referral portal active from today

Monkeypox July 2022 Midlands Regional Update attached

HM Coroner Service New online referral portal active from Tuesday 9 August 2022

After COVID: POST COVID Syndrome Pathway LONG COVID (Adult) Updated content and advice links

Cancer Transformation Team (Coventry & Warwickshire Health and Care Partnership – Integrated care System) Updated page with updated contact details

Benign Skin Lesions (including Sebaceous Cysts) Correction of minor typo

July 2022

Monkeypox July 2022 New page with national and local guidance

Jaundice & Liver Disease Minor change. Fax number removed

MENtalk (Sky Blues in the Community) Details of new online course for mental health and wellbeing

Falls Service (Community Physiotherapy & Care of the Elderly Referral) Updated contact information for Consultant led Sevice

Ambulatory Pleural Clinic Revised referral form

GP Liaison Nurse & Consultant Connect Advice New Email for GP Liaison referrals: GpLiaison@uhcw.nhs.uk from 1 August 2022

Gallstones – Cholecystectomy Referral for symptomatic gallstones is no longer considered a Low Priority Procedure and a Prior Approval Form is not required

Urgent Community Response (UCR) Service New referral process. GP phonecall on referral no longer required. New EMIS compatible referral form to be used in all cases.

Respiratory@home Virtual Ward Reminder to use latest form and to detail the date of Covid positive testing (LFT) and also the date of start of symptoms

NHS Diabetes Prevention Programme (DPP) New Provider July 2022 Revised referral form Please update your working form to improve functionality. Tips on importing and unlocking EMIS forms attached

June 2022

Psychosis Teams Change to referral email address. Please update your records

Early Intervention in Psychosis (age 14-65 years) Change to referral email address. Please update your records

Dementia Assessment & Community Service Minor text updates

Advice & Guidance from Secondary Care and Psychiatry Minor text updates

Community Ambulatory Service (ECG – Holter and Event Recorder) New contact number for Priory Gate Practice based service

Knee Arthroscopy Updated page. Now includes Prior Approval form (usually completed and submitted from Secondary Care)

GP Liaison & Consultant Connect Updated GP Liaison referral slip

Lung – 2WW 2022 Updated page with new EMIS referral form PLEASE REMOVAL OLD FORM

Prolapse Updated contact details for Charlotte Leung

Continence Services Updated contact details for Charlotte Leung

Transient Ischaemic Attack (TIA) and Stroke (age over 16) Details of centralisation of referral services to be based on UHCW

Head & Neck – 2WW Updated EMIS compatible referral form PLEASE REMOVE OLD FORM

Death Certification (MCCD) & Cremation 4 Forms Revised 25 March 2022 Advance notice of anticipated change to Coronial referral process via online portal

Community Gynaecology Clinics – Community Assessment Service CAS Updated contact details

Early Intervention in Psychosis – aged 14-65 years Addition of email address for online referrals

Blood Test Appointments (Online and Domiciliary) New process and new form for requesting domiciliary bloods (for Coventry registered patients)

Paediatric Allergy Service Revised content from new consultant. Further contribution awaited

May 2022

Urgent Community Response Service UCR A new Coventry based service to support unstable patients at home to avoid hospital admission where possible. Launching 6 June 2022

After Covid: Post-COVID Long COVID (Children & Young People) New page. Details of tertiary MDT referral service for paediatric long covid cases

Domestic Violence & Abuse Updated infographic on the Domestic Violence Act 2021

Pain Management Services Updated content and resources from new provider Connect Health

Dementia Active New social and exercise programme for those with dementia supported by Sky Blues in the Community

MENtalk Updated content and new referral form

Clinical Genetics Updated Content Contact Details and Forms

Chronic Kidney Disease (CKD) Updated link. Top 10 tips for CKD

Pathology Services Updated UHCW Pathology Directory May 2022

Lymphoedema Updated page with reference to referral and antibiotic management of cellulitis in lymphoedema

Respiratory@Home Virtual Ward Updated contact email address and revised hours of operation

Home Oxygen Revised content and new UHCW email contact for UHCW HOS-AR. Shortcuts to IHORM and HOCF forms

Falls Service New referral details for George Eliot Hospital Service

Muscular Dystrophy Support Centre New site. Local physiotherapy, osteopathy, hydrotherapy, complementary therapies, peer-to-peer community and online individual and group classes.

Termination of Pregnancy Updated content including Pills by Post / Telemedicine

Shingles Vaccination (Risks of Live Vaccination in Immunocompromised Patients) Addition of Shingles Vaccination toolkit

Pregnancy – Exposure to Chickenpox or Shingles Updated National Guidance recommends antiviral prophylaxis in all stages of pregnancy

Dupuytren’s Disease Updated content Reference to Collagenase removed as NICE reports this is no longer available in the UK

Contraception & Sexual Health (Integrated Sexual Health) Updated content

Sexual Assault Referral Centres (SARC) & West Midlands Paediatric Sexual Assault Service Updated content and new professionals information leaflet

Community COPD Service – Spirometry Interim Spirometry Service no longer available from 1 May 2022

April 2022

Shingles Vaccine (Risk of Live Vaccines in Immunocompromised Patients) New page to highlight risks

Paramedic Acute Visiting Service (PAVS) Updated content. Removal of outdated referral route information

Vasectomy Updated Central Surgery Rugby information leaflets

Non-Specific Symptoms Pathway for Suspected Cancer Pathway (North Warwickshire Patients Registered with NW GPs Only) A new George Eliot Hospital referral pathway for patients who may have cancer but do not fit existing 2WW referral criteria

Gender Identity Clinic Referrals Updated contact number for Danetre Clinic Northampton

Respiratory@Home Covid Medicines Delivery Unit Updated forms including EMIS merge form PLEASE REPLACE EXISTING FORMS

Respiratory@Home Virtual Ward Updated forms including EMIS merge form PLEASE REPLACE EXISTING FORMS

Hip Pain & Hip Replacement (Adults) New EMIS compliant merge form

Individual Funding Requests (IFRs) Updated page and referral proforma

WOMENtalk Updated St Nicholas Park Warwick availability

Hand & Wrist Swelling or Lump New interactive page

Hand & Wrist Pain New interactive page

Hand & Wrist Loss of Function New interactive page

Hand & Wrist Pins and Needles New interactive page

Death Certification (MCCD) & Cremation 4 Forms Revised 25 March 2022 Updated page with contact details

Advice & Guidance from Secondary Care and Psychiatry Updated page with useful email access

Gender Identity Clinic Referrals updated page with additional resources

Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH) New page with referral advice for Metabolic Clinic

Rectal Bleeding Clinic Updated page

Gender Identity Clinic Referrals Updated page with useful links

CW Rise (Child & Adolescent Mental Health Service CAMHS) Updated page with restored links

Miscarriage & Recurrent Miscarriage Updated information

Infectious Diseases & Tuberculosis (TB) New contact number for BCG enquiries

March 2022

Death Certification (MCCD) & Cremation 4 Forms March 25 2022 Revision of information with links to guidance and useful flowchart

Specialist Community Respiratory Service for Children & Young People The Rapid Response Service (24-48 hours) will cease 1 April 2022. An urgent 2 weeks service is still available.

Ambulatory Pleural Clinic Updated page with revised referral pathway form

Chronic Obstructive Pulmonary Disease – Spirometry Coventry Community Spirometry Pathway will not accept referrals from 1 May 2022 as the service ceases 30 June 2022

Consultant Connect Advice & Guidance New services supporting Radiology and Heart Failure Nurses

Respiratory Diagnostic Service (part of Community Diagnostic Centre CDC) Updated information. Service now available to both Coventry & Rugby patients via eReferral

Pathology Services Link to latest Pathology Hints & Tips Newsletter

Adult Neurodevelopmental Service (ANDS) Information about notification of adult autistic deaths (with or without Learning Difficulties) using the LeDer Programme (see also Learning Difficulties page). Please note, the Adult Neurodevelopmental Team now have a new email address: AdultNeurodevelopmental.Team@covwarkpt.nhs.uk

Palliative Care Services New Coventry referral email address. New Coventry referral form including EMIS merge form

February 2022

MENtalk Update Now delivered in Rugby

DESMOND ( Diabetes Education & Self Management for Ongoing & Newly Diagnosed) New dedicated page. Updated information. Updated referral forms including new EMIS form

Area Diabetes Resource Page Updated to link to new DESMOND page

NHS Diabetes Prevention Programme Updated referral criteria from 1 April 2022 – abnormal blood test now within 12 months rather than 24 months. Revised referral forms. Latest EMIS merge form available. Please remove old form

Pulmonary Hypertension SPHERe Trial Information about a new trial of supervised exercise based rehabilitation in established PH

Vitamin D Deficiency Updated flowcharts pricing and guidance document

Paediatric Audiology Service Additional Rugby and Warwickshire service information

Deep Vein Thrombosis Revised DVT management flow chart

Skin 2WW New referral guidance. New referral form including EMIS merge form. Please remove old form.

Respiratory@home Formerly known as COVID Oximetry@home. Rebranding. New combined referral form including EMIS merge form

Respiratory@home Covid Medicines Delivery Unit. Rebranding. New combined referral form including EMIS merge form

Head and Neck 2WW Clarification of age threshold > 45 years for 2WW referrals for persistent hoarseness and sore throat. New 2WW form including EMIS merge form. Please remove old form.

Rhinoplasty Septorhinoplasty Septoplasty Revised page Latest EMIS merge form available Please remove old form

Hallux valgus – Bunion Revised page Latest EMIS merge form available Please remove old form

Grommets & Myringotomy (Adults) Revised page with new Prior Approval Forms. EMIS merge form available

COVID Oximetry@home EMIS referral form now available

Transient Ischaemic Attack (TIA) and Stroke (over 16) Updated referral form for ALL CCG areas NEW EMAIL REFERRAL ADDRESS FOR ALL AREAS. PLEASE USE EMIS MERGE REFERRAL FORM

Community Dental Service Updated referral email address and amended form. New EMIS form. PLEASE USE NEW REFERRAL FORM

CWPT Community Respiratory Physio Rapid Response Service A NEW rapid response service with REVISED REFERRAL CRITERIA now only for children and young people with complex physical health needs, neuro-disabilities and / or long term ventilated who are unwell with a chest infection to avoid acute admissions and provide community support where appropriate

January 2022

GP Liaison Nurse Update page with NEW REFERRAL SLIP. New link to GP Hotline number

Thyroid Function Testing Protocol – Results Management & Referral Updated page with latest version of management protocol from UHCW Biochemistry

Bacteriology Swabs including Wound Swabs Updated page with excerp from and link to Pathology directory

Navigation Services for the NHS New page with useful search and navigation functions for healthcare staff and patients

Wheelchair Requests & Repairs Updated page. Warwickshire referrals now online with personalised electronic referral form

Learning Disabilities Updated information on Advice & Guidance email service

First Contact Practitioners (FCPs) – MSK Hub About the FCP service in Primary Care Netwoks

Respiratory Diagnostic Service New UHCW service from FEBRUARY 2022 for Coventry patients initially. To assist in the diagnosis of problematic respiratory patients with full lung function testing after initial spirometry in Primary Care

Palliative Care Services Updated Coventry referral form (removal of fax) Rebranded South Warwickshire referral forms

Chronic Obstructive Pulmonary Disease – Spirometry New mobile contact number for Acute Exacerbation – Community Pathway

December 2021

COVID@home Medicine Delivery Unit New page detailing pathway for Covid medicines delivery

Urology – 2WW Minor revision. Updated wording

Pathology Services Updated links to Pathology Hints and Tips Newsletters

Physiotherapy Services – MSK Hub and Integrated Pathways Update on new provider of Coventry services. Link to MSK pathways

Dementia POP Up Clinics (Dementia Navigators) & Dementia Connect Service Details of Dementia Connect support services in Warwickshire for those trying to cope with the effects of dementia

Specialist Community Respiratory Service for Children and Young People Updated page with new links to poster materials

Infertility – Seminal Fluid Analysis Updated page. Patient self referral service. New Seminal Fluid Analysis interpretation table with referral advice

Fertility Problems (Assisted Conception) Updated page. New Seminal Fluid Analysis interpretation table with referral advice

Fertility Preservation (Sperm / Egg) New page detail how how to refer prior to treatment that may affect fertility

Children & Young Person Mental Health Updated KOOTH resources

Post Covid Syndrome – Long Covid – GP Referral New Long Covid support group information

2 Week Wait Guidance Additional resources for Heart of England Hospitals for appropriate practices

Transport for Patients Updated patient transport information for Warwickshire patients

Paediatrics – Suspected Childhood Cancer (2WW) Updated information on Shine A Light Support Service for Coventry & Warwickshire. Updated page title.

NHS Diabetes Prevention Programme Details of new threshold based self referral programme

Menopause and Hormone Replacement (HRT) New page with management and referral advice

November 2021

Back & Neck Pain Updated page with new flowcharts

Foot & Ankle Pain Updated page with new flowcharts

Hip Pain (Adults) Updated page with new flowcharts

Knee Pain (Adults) Updated page with new flowchart and shortcut to Ottawa X Ray Knee Rules

Post Covid Syndrome – Long Covid – GP Referral Updated MDT information

Shoulder Pain Updated page with new flowchart

Blood Glucose Monitoring Updated APC guidance

Paediatrics 2WW New telephone referral route for suspected cancer

Adult Neurodevelopmental Service (ANDS) Updated Community Adult Autism Support Service

Welfare Debt Hardship Support Additional contact details for advice and housing support for young people in Warwickshire

National Patient Safety Alerts New shortcut page

Plastic Surgery Information on referrable conditions

Patient Group Directions (PGDs) New page with shortcuts to local PGDs

Sleepstation Online CBT programme no longer funded

MSK Rheumatology Homepage Updated Fibromyalgia advice

Transient Ischaemic Attack (TIA) and Stroke age over 16 Updated referral email address Updated referral forms awaited

Memory Clinic Addition of useful links to downloadable assessment forms including Bristol Assessment of Daily Activities

Welfare Debt Hardship Support Details of schemes to assist with fuel poverty, foodbanks, debt, hardship

Cancer Screening & Early Diagnosis Bowel screening update. New age cohorts. Bowel scoping no longer offered as part of screening process

October 2021

Community Nursing & Therapy Team Renamed page to incorporate Community Physio and Occupational Therapy. New therapy referral flowchart and referral. UPDATED EMIS COMPATIBLE REFERRAL FORM PLEASE REMOVE OLD FORM

GP Gateway Homepage New CCG logo and new Musculoskeletal MSK shortcut on homepage ready for new MSK content

Bunion – Hallux Valgus Refreshed page. New blank LPP referral form. EMIS version awaited

Community ENT Clinic (Community Assessment Clinic ENT CAS) New links to Low Priority Procedures (see below)

Rhinoplasty Septorhinoplasty Septoplasty New page with links to Low Priority Procedure referral information. New blank LPP referral form. EMIS version awaited

How is My Practice Working? Media resources to communicate how Primary Care is being delivered post COVID

Domestic Violence and Abuse Updated information on the Warwickshire service

Migrant Health Updated guidance on patient registration, translation services and DA Languages

Thrive Into Work An NHS project to support patients with physical and mental health problems to find and retain work

GP Liaison Service and Consultant Connect New Consultant Connect sevice for GP Liaison at George Eliot Hospital

Neonatal Community Outreach Team A new support service to facilitate early discharge of premature infants into the community

Advice & Guidance from Secondary Care and Psychiatry Updated information about A&G pilots for Haematology and Paediatrics

Low Priority Procedures (LPP) Updated page with refreshed links to latest Coventry & Warwickshire CCG commissioning and IFR policies. Updated patient leaflets.

Knee Pain (Adults) UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Hip Pain (Adults) UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Post Covid Syndrome Pathway Updated referral guidance and reminder about suitability of referrals

Post Covid Syndrome Referral Updated referral guidance and reminder about suitability of referrals

September 2021

Gynaecology 2WW LATEST EDITION 2WW REFERRAL FORM including reference to Post Coital Bleeding Please replace old form unless using latest edition

WOMENtalk New Sky Blues in the Community initiative to tackle mental health problems in women

NHS Diabetes Prevention Programme (DPP) New EMIS compatible referral form

Chronic Kidney Disease (CKD) Page reviewed and refreshed. Minor changes only

Pregnancy – Exposure to Chicken Pox or Shingles Reviewed and updated guidance

Hernia Repair (Adults) – Inguinal, Umbilical / Para-umbilical / Incisional / Femoral Hernia Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Grommets & Myringotomy (Children) Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Ganglion Hand & Wrist Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Recurrent Tonsillitis Tonsillectomy Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Varicose Veins Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Trigger Finger – Adults Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Gallstones – Cholecystectomy Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Dupuytren’s Disease Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Carpal Tunnel Syndrome Updated referral criteria for CCG footprint and matched to national LPP criteria. UPDATED LOW PRIORITY PROCEDURE REFERRAL FORM Please replace old form

Irritable Bowel Syndrome (IBS) Updated page with links to Bristol Stool Chart and dietary advice

August 2021

Eating Disorders (Adults) New page with dedicated referral form to Coventry Eating Disorders Service

Chronic Obstructive Pulmonary Disease COPD – Spirometry Information about interim spirometry service provided by Coventry Community COPD Service for Coventry patients

The Green Book – Immunisation Against Infectious Disease Link to online Green Book resources

2WW Pathways Addition of table summarising services provided at local trusts

Post Covid Pathway – Long Covid (Adult) Addition of helpful recovery patient leaflets translated into Gujarati Farsi Bengali Urdu Somali Punjabi Hindi Romanian

Diabetic Retinopathy Eye Screening Service Updated address and contact details

2WW Haematology UPDATED 2WW REFERRAL FORM Please replace old form

Consultant Connect Paediatrics New Advice & Guidance service for Paediatrics

FIT FANS (Sky Blues in the Community) FIT FANS is a free 12-week health programme for men aged 25 – 65 who have a BMI above 28 provided in association with Sky Blues in the Community

2WW Gynaecology UPDATED 2WW BLANK REFERRAL FORM and infographic (with reference to persistent post coital bleeding)

Learning Disability New email advice line for Primary Care staff for advice on: Reasonable adjustments Mental capacity / best interest decisions STOMP/psychotropic medication and other queries

Advance Care Planning, ReSPECT Forms, Advance Decision to Refuse Treatment Updated page with links to Advance Care Planning materials

Sole Survivor PTSD Support Link to support services for all with PTSD

Adult Mental Health New link to Sole Survivor PTSD Support Website

Diabetes Prevention Programme (DPP) Updated information on referring the over 80s

COVID Vaccinaton Clinic for Complex Reactions (GEH) NEW EXCEL REFERRAL FORM and triage process for complex reaction cases

Palliative Care Service Updated content with new referral process NEW BLANK REFERRAL FORM

Warts (viral) Removal of Covid impact statement

Tissue Viability Removal of Covid impact statement

Psoriasis Removal of Covid impact statement

Podiatry Removal of Covid impact statement

Physiotheray Services – MSK Removal of Covid impact statement

Eczema & Use of Emolients Removal of Covid impact statement

Community Gynaecology Clinics CAS Removal of Covid impact statement

Community Dermatology Service Removal of Covid impact statement

Continence Services Removal of Covid impact statement. UPDATED REFERRAL FORM and refreshed page content

July 2021

Ophthalmology & Eye Casualty New booking system using Swift Queue

NHS Diabetes Prevention Referral Form NEW REFERRAL FORM published

Parkinson’s Disease Nursing Specialist Service (PDSN) New page with service detail, referral criteria and new shared Community Nursing Referral Form including EMIS version

Parkinson’s Disease New link to Parkinson’s Disease Nursing Specialist Service GP Gateway page

Tissue Viability NEW SHARED COMMUNITY NURSING REFERRAL FORM (remove old form)

Community Nursing Newly revised page with information on networking and NEW SHARED COMMUNITY NURSING REFERRAL FORM

Faecal Immunochemical Testing (FIT) Added administrative infographic

COVID Oximetry@Home Updated page with NEW REFERRAL / ADMISSION FORM and PATIENT PACK

Adult Mental Health Link to questionnaire about improving access to health checks for those with Severe Mental Impairment

Advance Care Planning, ReSPECT Forms, Advanced Decision to Refuse Treatment Addition of link to General Prescribing Guidance for the Dying Person

Grapevine – Supporting Communities Information about Grapevine empowering disadvantaged communities. Questionnaire about improving access to health checks for those with Severe Mental Impairment

Notification of Infectious Diseases Updated page. New infographic. Reminder to use latest form

Carers and Young Carers Resources and support for Carers. Coventry Safeguarding Board information

Hearing Loss (Deafness) Updated information regarding suspension of AQP supplier MEDISCAN DIAGNOSTIC SERVICES

Group A Streptococcus in Intravenous Drug Users Public health advice regarding an increasing health problems associated with intravenous drug use

Weight Management (Adults) Details of additional support with weight management for Warwickshire patients with Post Covid Syndrome, Severe Mental Illness, Learning Disability

Home Oxygen Details of home oxygen prescribing through the Online Portal of OxyShop to Baywater.

Hearing Loss (Deafness) Updated AQP Hearing Centre leaflet

June 2021

Familial Hypercholesterolaemia Service Refreshed background and referral information. Minor cosmetic changes to referral forms

Children & Young Person Mental Health Details of new Kaleidoscope Plus peer support service for parents or carers of young people who self harm

Head and Neck 2WW Updated referral and management guidance

GP Liaison & Consultant Connect Updated page with details of Cardiology

Advice & Guidance from Secondary Care and Psychiatry Updated page with details of Cardiology pilot

Coventry & Warwickshire Health and Care Partnership (Cancer Updates) June 2021 Newsletter

Bronchiolitis Added link to advice sheet

Obesity Management Updated page with copy of NHSE Contract ES Update 21/22

Post COVID Syndrome (long COVID) Updated page with copy of NHSE Contract ES Update 21/22

CW RISE Updated page with West Midlands CYP Eating Disorders infographic

COVID Oximetry@ Home (Virtual Ward) Updated Patient Pack available

Trigger Finger (Adults) Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Shoulder Pain Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Physiotherapy Service (MSK) Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Knee Pain (Adults) Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Hip Pain (Adults) Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Foot Pain Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Elbow Pain Community Physiotherapy are now injecting all patients, both high and low risk with the only caveat is that they will leave 2 weeks prior or after vaccination to inject

Diabetic Foot & Vascular Referrals New reconfigured page with new North Warwickshire service at George Eliot Hospital for NW patients only currently

Speech and Language Therapy Updated referral advice for SLT Reminder to complete all fields and 2 forms may be required if Language Support and Dysphagia help are required

Surgical Assessment Unit (SAU) Updated contact detail to include general enquiry number for non health professionals

Chronic Obstructive Pulmonary Disease New singing group for Warwickshire patients with chronic respiratory conditions

Adult Mental Health Details of art therapies for Warwickshire residents

Cervical Screening Jo’s Trust Links to professional resources regarding cervical screening support. Useful video links to promote cervical screening in conjunction with Cervical Screening Week

Gynaecology 2WW US scan is now included in the 2WW pathway (UHCW)

Lower GI 2WW Updated information about FIT testing pre-referral

FIT Testing Minor revisions and insertion of YouTube links

Paediatric 2WW Information about Young Lives vs Cancer (formerly CLIC Sargeant) a charitable social work support service for young people and families affected by cancer

Breast 2WW New video walkthrough to support 2WW form completion

Breast Screening (Mammography) Post Pandemic Newsletter service update. FAQ format

National Bereavement Care Pathway Refreshed page No changes

May 2021

Post COVID Syndrome -Long COVID – GP Referral Updated pathway with rehabilitation referral form and information

Post COVID Syndrome – Long COVID – Pathway Updated pathway with rehabilitation referral form and information

Hypertension Updated page incorporating NICE infographic as recommended by APC

Blood Glucose Self Monitoring Revised page with APC guidance on self monitoring and Libre system

Vitamin D Deficiency Updated APC treatment guidelines (2020)

Oral Malnutrition & Oral Nutritional Supplements. MUST Scores Revised dietician page using APC guidelines on oral nutritional supplement information

Medicines Optimisation Page combined with Community Dietician to comprise Oral Nutritional Supplements and MUST Score infopage

Area Diabetes Page Integration of Type 2 Diabetes Treatment Algorithm into main text

Dry Eyes Management advice from the APC

Eczema & Emollients New APC emollient prescribing advice

Constipation – adults New integrated care pathway for chronic constipation

Chronic Obstructive Airways Disease COPD Updated page and links to APC COPD Management Document

Bariatrics & Obesity Surgery (Specialist Weight Management Services SWMS) Updated page. Refreshed dietetics information

Obesity Management New page to help signpost GPs through Weight Management Services

Perinatal Mental Health Refreshed page with useful contacts and new patient leaflet

Neurology Updated Epilepsy referral guidance. New Epilepsy clinic hosted at City of Coventry Health Centre

Community Gynaecology Clinics (Community Assessment Service CAS) updated CAS referral information

Crisis Management Information about the Crisis Plus Initiative

Adult Mental Health Updated contact details for Stratford Healthcare Centre

CW RISE Updated homepage with revised referral information and contact details for CW RISE Crisis and Home Treatment Team. Updated Stratford Healthcare contact number

Child & Adolescent Mental Health Services Updated page with contact details for RISE Crisis and Home Treatment Team and also link to GP Gateway CW RISE Home Page

Female Genital Mutilation (FGM) Updated page with additional resources including One Minute Guide and information about Petals App for patients and professionals

Domestic Violence Updated page with links to One Minute Guides to Domestic Abuse and Clare’s Law

Latest CCG Practice News Shortcuts to previous Practice Newsletters

Removing a Patient from the GP Practice List Information about Immediate, 8 Day and 30 Day removals. Links to form and PCSE Website as well as BMA guidance

Ultrasound (Non Obstetric Ultrasound Service) Additional forms attached to request sharing of images on PACS for review by the secondary care provider on referral or with advice & guidance

Covid Oximetry@Home Patient Pack Updated document / patient pack

SAU Surgical Assessment Unit Reminder of direct line number

Consultant Connect – Telephone Advice & Guidance Teledermatology feedback and update

Hearing Loss (Deafness) Updated contact details

Paediatric Audiology Service Updated contact details

April 2021

Knee Pain Updated information regarding referral of infection post operatively (with patient leaflet)

Hip Pain Updated information regarding referral of infection post operatively (with patient leaflet)

Community Ambulatory ECG Updated information regarding Brookside Surgery resumption of provision

Adult Mental Health Updated link section New link to MENtalk

MENtalk A community based mental health support programme in association with Sky Blues in the Community

Type 2 Diabetes Treatment Algorithm Revised Area Prescribing Treatment Algorithm

Covid Complex Reaction Clinic (George Eliot Hospital) Referral pathway for Covid Vaccination Complex Reaction Clinic

HURDLE Charitable support service for families at risk of losing their child to the care system

Pathology Services Updated link to latest Pathology Directory

Constipation – Children New page with paediatric constipation management and referral advice

Post COVID Syndrome (Long COVID) Additional information for health professionals on returning to work

Adult Neurodevelopment Service (ANDS) Information about MIND Community Adult Autism Support Service (CAASS)

Consultant Connect Link to latest newsletter

Hearing Loss (Deafness) Updated Adult Hearing Services (AQP) information across the CCG

Pathology Services Link to Pathology Hints & Tips Newsletter

HM Coroner Service New online referral portal for Warwickshire Coroner

March 2021

Mental Health Children & Young People Updated information about new KOOTH online support for children and young people

Post Covid Syndrome (Long Covid) Link to non-medical support group

Consultant Connect – Telephone Advice & Guidance Updated link including new CPD information

Advice & Guidance from Secondary Care Updated Consultant Connect information (CPD accreditation with use)

GP Gateway Homepage Enhanced layout with longer record of recent updates

Knee pain (Adults) Referral for injection available in Community Physiotherapy in low risk patient groups

Shoulder pain Referral for injection available in Community Physiotherapy in low risk patient groups

Trigger finger – Adults Referral for injection available in Community Physiotherapy in low risk patient groups

Hip pain (Adults) Referral for injection available in Community Physiotherapy in low risk patient groups

Elbow pain Referral for injection available in Community Physiotherapy in low risk patient groups

Community Physiotherapy (MSK) Referral for injection available in Community Physiotherapy in low risk patient groups

Foot Pain Referral for injection available in Community Physiotherapy in low risk patient groups

Specialist Community Respiratory Service for Children & Young People New page detailing referral criteria for paediatric respiratory physio in children with complex comorbidities

Community Paediatrics Index Page Updated links

Infertility – Seminal Fluid Analysis (SFA) New page detailing referral for andrology testing

Non Obstetric Ultrasound Service (NOUS) Details of new service

Faecal Immunological Blood Testing Guidance (FIT) Updated link to EMIS GP walkthrough YouTube video of FIT test request process

Primary Care Initiation of DOACs for Stroke Prevention in Atrial Fibrillation Addition of link to Area Prescribing Committee advice sheet

NetFormulary (APC) – A Simple Guide A basic navigation guide for the APC NetFormulary

Ultrasound (Non Obstetric Ultrasound Service) Diagnostic Ultrasound Coventry Updated information. DUC Holbrooks provider no longer providing this service from 1 April 2021

Surgical Assessment Unit (SAU) Corrected referral email address

DEXA Scanning Updated page. DEXA scanning no longer available at City of Coventry Health Centre. Forms removed

Transient Ischaemic Attack and Stroke (aged over 16) Minor wording changes to referral form

February 2021

Learning Disability Health Checks Update document links

Learning Disability Updated contact details and details of the LeDeR Programme to notify deaths for review of practice

Lymphoedema Updated contact details for st Giles Hospice Litchfield. Updated new referral form

Coventry & Warwickshire Training Hub New post with access to recent newsletters on one convenient page

Vasectomy Updated referral information to AQP services (including self referral)

Young Persons Mental Health Updated list of Mental Health workers in schools offering support including CBT

Hypertension Updated links – removal of non functioning Area Prescribing Committee link

Falls Service (Physiotherapy & Secondary Care Referral) Updated referral information and referral via ISPA

Dementia Teams Referral Updated Psychiatry Advice Line number

Knee pain (Adults) Referral for injection not available

Shoulder pain Referral for injection not available

Trigger finger – Adults Referral for steroid injection not available

Hip pain (Adults) Referral for injection not available

Elbow pain Referral for injection not available

Community Physiotherapy (MSK) Referral for injection not available

Foot Pain Referral for injection not available

Community Ambulatory ECG (Holter & Event recorder) Updated availability

Death Certification & Cremation Forms Updated December 2020 guidance for doctors on completing death certificates

Homelessness & Primary Care New page with useful information, support and resources regarding homelessness

Migrant Health New page with useful NHS sourced links

GI Lower – 2WW Clarification of when and how to request FIT referral with 2WW criteria

Learning Disability COVID-19 Vaccination resources and links

January 2021

Young Person’s Mental Health New page collating resources for young people and others

Speech & Language Therapy (SALT) Updated content contact details and referral forms

Paediatric Orthopaedic Physiotherapy Secondary Care (UHCW) Paediatric Orthopaedic Physiotherapy Service Unavailable due to retirement vacancy. Please do not refer into this service

2WW Gynaecology New referral criteria and referral form

Post Coital Bleeding New page.Referral and management advice for PCB Ectropion and abnormal appearance of cervix

2WW Guidance General update

Adult Mental Health Updated link to Every Mind Matters for useful support links during COVID-19

SAU Surgical Assessment Unit New Direct LIne and amended hours of availability

Post COVID Syndrome Clarification of Respiratory Medicine as host referral speciality for this MDT Clinic

Dietetics Home Page Updated information and addition of Paediatric Dietician UHCW section

Acute Kidney Injury Updated information and links

Surgical Assessment Unit (SAU) Updated referral criteria and contact information

Hearing Loss (Deafness) Updated e-Referral information for Outside Clinic

Dementia – Admiral Nurse Service General update

COVID Oximetry@home Referral for monitoring COVID / suspected COVID patients at risk of admission by pulse oximetry

Advanced Decision to Refuse Treatment Addition to ReSPECT page to include further Advanced Decision information, poster and links

December 2020

Psoriatic Arthritis (PsA) New page linked to MSK Rheumatology

Back Pain: Suspected Ankylosing Spondylitis & Spondyloarthritis New page linked to MSK Rheumatology

Positive Antinuclear Antibodies ANA New page linked to MSK Rheumatology

Gout New page linked to MSK Rheumatology

Connective Tissue Diseases New page linked to MSK Rheumatology

Giant Cell Arteritis New page linked to MSK Rheumatology

MSK Rheumatology Updated referral information

Bronchiolitis Updated information

NHS England General Practice Homepage General updates

Paediatric Dietetics Updated Rugby contact information

Breast Screening Updated referral email address for high risk cases seen by Clinical genetics

Post COVID Syndrome Referral New provisional referral page for Post COVID syndrome

Post COVID Syndrome Pathway New provisional pathway for referral of Adult Post COVID Syndrome

November 2020

The Myton Hospices Updated service and referral information

MSK Rheumatology New page including inflammatory disorders including Ankylosing Spondylitis and Spondyloarthritis

Rheumatology – Early Arthritis Revision of page. See new page MSK Rheumatology

Audiology Complex Direct Referral Service Updated referral and exclusion information

Sleepstation Online CBT-i referral for sleep problems in over 18s

TIA & Stroke Referral (over 16) Amended NICE compliant referral pathway and referral forms

NHS England General Practice Updates

Advance Care Planning & ReSPECT Forms Additional information for help in advance decision making with the help of MyDecisions.org.uk

Community Nurses New E-mail referral address

October 2020

Dietetics / Dietician Home Page Updated information regarding oral nutritional support

Prescribing Support – Medicines Optimisation Information and leaflet on needles lancets and sharps in diabetes. Oral Nutritional Support (ONS) information

Area Diabetes Resource Page Information on prescribing needles, sharps boxes, sharps collection

Advice & Guidance Consultant Connect Updated Consultant Connect information

West Midlands Ambulance Service – Patient Transport Services Updated page

Blood test appointments on line COVID-19 updated information

NHS Eye Care Services Updated location information

Chronic Obstructive Pulmonary Disease Updated referral, availability and contact details for community service

NHS England Primary Care Homepage Shortcut to NHS England website for General Practice updates

DEXA Scanning Contractual update regarding DEXA scanning at City of Coventry Health Centre

Stoma Care New page with stoma care and lifestyle advice

Breast – 2WW Update including Breast Pain Pathway

Breast Symptoms Update including Breast Pain Pathway

Advance Care Planning & ReSPECT Forms Updated page with link to latest Version 3.1 ReSPECT Form

School Health & Wellbeing Updated Parental Advice contact details

Adult Mental Health Information on reorganisation of services introducing 3 Mental Health Access Hubs across Coventry & Warwickshire. Referral process unaltered

September 2020

Community Ambulatory ECG Holter & Event Monitoring Covid-19 update on provision of services

Ophthalmology & Eye Casualty Updated URGENT referral information Revised GP direct contact number

Dyspepsia & GORD Updated information regarding open-access endoscopy Bar-None Services at SWFT

Cancer Resource Page Link to information about Cancer Information & Support Service located in main reception UHCW

Primary Care Cancer Newsletter September 2020

Learning Disabilities Annual Health Checks New page with Covid-19 related information and linked documents

Learning Disabilities Updated Rugby and Warwickshire support information and new link to LD Annual Health Check page

Improving Access to Psychological Therapies (IAPT) Updated post COVID-19 detail

Retinal Disorders Updated links for Anti-VEGF therapy new providers

August 2020

Clinical Genetics Updated links to breast chapter

Breast Screening Updated page

Breast 2WW Updated links with FH Breast Cancer

Breast Symptoms Updated links with FH Breast Cancer

The Myton Hospices Updated statement regarding services post Covid-19

Shoulder Pain Revised management and referral advice

Paediatric Chest Pain New page. Management and referral advice

Transient Ischaemic Attack (TIA) & Stroke Updated management advice in line with NICE guidance

Retinal Disorders Update on Anti-VEGF therapy new providers

Ophthalmology & Eye Casualty Updated contact information and patient leaflet

July 2020

Prescribing Support New resource page for Medicinies Optimisation

Retinal Disorders New alternative provider of Anti- VEGF therapy

Samaritans New dedicated page and referral form link with updated embedded links in other mental health resource pages

Epistaxis Clarification of referral guidelines

Transient Ischaemic Attack Updated page, revised referral email addresses, revised referral forms

FIT Testing New video about FIT and early detection of colorectal cancer

Ophthalmology 2WW Revised wording Referral route via Head & Neck 2WW

Diabetes Prevention Programme Revised referral criteria (HBA1c blood test within 24 months)

Safeguarding Children Revised page with resources links and referral information

Safeguarding Platform for Adults and Children Revised page with shortcuts to essential tools and information

Lower GI 2WW Redefined referral criteria and form

Domestic Violence Updated REFUGE information for Rugby and Warwickshire

Paediatric Hypermobility & Joint Pain New page detailing management and referral advice

Breast 2WW Redefined referral criteria and form

PAVs Paramedic Visiting Service Revision of referral arrangements. Online booking for EMIS practices

June 2020

Male Circumcision Revision of page Confirmation of policy

Complementary & Alternative Therapies Revision of page Confirmation of policy

Hallux Valgus Revised Low Priority Procedure Policy

Recurrent Abdominal Pain in Children (RAP) Management and referral advice

Cancer of Unknown Primary Services Referral advice

Tumour Markers in Cancer Diagnosis Guide to using tumour markers in cancer diagnosis

Cancer resource page Updated links

Coventry & Warwickshire Health and Care Partnership Targeting improvement in early cancer diagnosis and survival locally. Library of cancer newsletters

Infectious Diseases Updated contact details

Tattoo removal Updated policy

Laser Treatment of Certain Skin Conditions New page explaining policy

Benign skin lesions Review of policy

Abdominoplasty Revision of policy

Pinnaplasty Revision of policy

Aesthetics Policy Revision of policy with table of shortcuts to aesthetic treatments

Infectious Diseases & Tuberculosis (TB) Revision of local TB information

Surgical Assessment Unit (SAU) Revision of conditions accepted by SAU

Breast enlargement reduction & revision Commissioning policy update

Face Lifts & Brow Lifts Commissioning policy update

Vulvovaginitis in Children New page on differential diagnosis and treatment

May 2020

Type 1 Diabetes Mellitus (Paediatric) Revised guidance

COVID-19 Team App Link to new App developed locally as a resource for medical staff and patients

Contraception & Sexual Health (Integrated Sexual Health) COVID-19 link to relevant information

Pain Management Updated page and content

Acute Kidney Injury (AKI) Covid-19 update

Gastroenterology Covid-19 related management advice

Management of Gynae Problems During Pandemic Covid-19 related amendments from on line teaching & links to RCOG resources

Squint (Adults) Updated

Raised Intra Ocular Pressure Updated

Ophthalmic Survival Manual Updated

Cataract Removal in Adults Updated

Chalazion Updated

Macular Problems Updated

NHS Eye Care Services Updated

Blepharoplasty Updated

Adult Mental Health Updated COVID-19 Mental Health information

Consultant Connect Update on Consultant Connect App & Tele Dermatology & Photo Ophthalmology

Advance Care Planning & ReSPECT Forms COVID-19 Bereavement support update

Paramedic Acute Visiting Service (PAVS) Updated poster and referral flowchart

Death Certification & Cremation Forms Updated verification of death information

Paramedic Acute Visiting Service Updated information

Dental Treatment in an Emergency Update following Covid-19 restrictions

GP Liaison Referral email attached

April 2020

Podiatry (CWPT) COVID-19 update

Community Services (CWPT) COVID-19 impact statement

Tissue Viability (CWPT) COVID-19 update

Community Dermatology Services (CWPT) COVID-19 update

Community Gynaecology Services (CWPT) COVID-19 update

Continence Services (CWPT) COVID-19 update

Community Physiotherapy (CWPT) COVID-19 update

Death Certificates & Cremation Forms Important updates and contact information. Updated Registrar information

Palliative Care Urgent updates regarding COVID-19 EOLC. New e-Learning for Health resource on breaking bad news. New electronic ReSPECT form. UPDATED EMERGENCY PHARMACY DETAILS (28 April 2020)

Paediatric Epilepsy / First Seizure Guidelines New page with advice and referral guidelines

COVID-19 Medicines Monitoring Interim advice on methotrexate, lithium, hydroxychloroquine, DMARDs

Diabetes Prevention Programme Updated provider information (COVID-19 relevant)

Social Prescribing New COVID-19 links for home deliveries for vulnerable patients

FGM Updated referral details for gynaecology and obstetrics

Advance Care Planning & ReSPECT Forms COVID-19 related updates with care planning, ReSPECT forms and electronic form

Home Oxygen New updates regarding oxygen supply for EOLC, Out of Hours and COVID-19 alliation

The Myton Hospices COVID-19 related statement

Ophthalmology & Eye Casualty New arrangements for referral and opening hours with eye related cases. Images now visualised on Consultant Connect for Advice & Guidance

March 2020

Coronavirus Updated resources

Palliative Care Update on alternative EOLC drugs during COVID-19 drug disruption

Learning Disabilities New page with referral information, resources and local signposting information

Dementia Connect Updated Dementia Pop Up Clinic & Navigator page with information about a new Alzheimers Society remote contact advice and monitoring service for patients with dementia

Chronic Pain – Opioid Management New page from Medicines Management with resources for pain management and rationalisation of opiate use

Diabetes Prevention Programme New provider information from April 2020. New referral form

Carers Trust Heart of England Updated contact phone number and referral form (Coventry)

Community Dental Service Correction of link to referral form

Pathology Directory Replacement pathology directory of tests and services 2020

February 2020

Fitter futures – Strength & Balance programme New page for Warwickshire patients at risk of falls with additional link on Exercise & Healthy Lifestyle page

Exercise & Healthy Lifestyle Updated Warwickshire information

Safe Haven New page regarding a new community mental wellbeing facility in Coventry

Adult Mental Health updated links to Coventry Safe Haven, Drugs & Alcohol Services for Young People

Drugs & Alcohol Services (Young People) updated page with revised Coventry referral information. Includes joint leaflet for Coventry and Rugby services

School Health & Wellbeing updated page with new Coventry referral criteria to reflect reorganised services under SWFT

Community Paediatrics new dedicated page with referral criteria for Coventry & Warwickshire. Updated Community Paediatrics Index Link Page

Jaundice & Liver Disease comprehensive review, management algorithms, liver screen, hepatitis referrals

Cancer Resource Page new link to Online Training (Gateway-C endorsed by MacMillan and PHE)

Coronavirus 2019-nCov updated advice and terminology from Gov.uk

Notification of Infectious Diseases Updated referral forms with local contacts and email address (NOIDs Form 2019)

Continuing Healthcare Assessment (CHC) Updated page contacts and links

Type 1 Diabetes (Paediatric) new section on prescribing advice

Adult Mental Health new updated link for Memory Clinic

Memory Clinic Updated Memory Clinic referral criteria

Enuresis (Paediatric) updated referral process. Referral to School Nursing Service for Tier 1 advice. Updated Compass details (Rugby)

January 2020

Diabetes / DESMOND (resource page) updated contact details for GP Alliance coordinated DESMOND programme

Coronavirus updated PHE and GOV.UK advice for professionals and patients

Early Intervention in Psychosis (aged 14-65) Updated page including revised psychosis screening document with helpful questions

Rainbow Partnership New page LGBT+ support and advice

Family Nurse Partnership updated contact details for Coventry Rugby and North Warwickshire

Ambulatory ECG Clinics updated clinic details and patient leaflet

2WW Ophthalmology updated referral form

2WW Orthopaedics updated referral form

2WW Haematology updated referral form

2WW Paediatrics updated referral form

2WW Brain & Spinal Cord updated referral form

Chest Wall Deformity aesthetic policy policy confirmation that surgery is not routinely funded

Hernia Surgery emphasis on ALL female groin hernias to be referred due to increased risk (exception to hernia policy)

December 2019

Blood Glucose Monitoring Updated preferred prescribing list from APC

Bariatric & Obesity Surgery updated page with details of new referral route for patients having had previous bariatric surgery

Paediatric Allergy Service updated referral and contact information

Community Gynaecology Service updated Rugby & South Warwickshire information. Shortcuts to patient information leaflets. Amended endometrial polyp referral advice

Sleep Clinic updated information about fast track process for referring vocational drivers

Anal Fissure conservative management and referral advice

Anal Fistula conservative management and referral advice

Anal itch (Pruritus ani) conservative management and referral advice

Anal sepsis conservative management and referral advice

Anal (skin) tags conservative management and referral advice

Pilonidal sinus conservative management and referral advice

Family history of bowel cancer referral advice

November 2019

Anticoagulation Clinic updated page to reflect new DOAC prescribing page

Jaundice (Neonatal) updated contact details and supervising consultant

Cancer Screening & Early Diagnosis new page with useful links to tools and resources including Cancer Research UK facilitator information

Back & Neck Pain revision of aspirational timeframes to reflect local delivery difficulties

Bereavement Support contact details for Bereavement Point for support in coping after death of a loved one

Artificial Eye updated referral information and background information

Adult Social Care new referral process in Coventry

Adult Dietetics / Dietician new central homepage for dietician resources

Bereavement Point information about bereavement support in Coventry & Rugby

October 2019

Electrolyte Abnormalities updates to algorithms. New HYPERNATRAEMIA algorithm

The Myton Hospices updated page with new links to referral forms

Lymphoedema updated page with new information and links to referral forms

Peripheral Arterial Disease (PAD) and Intermittent Claudication updated referral information and exclusion criteria

Prolapse update of indications for referral

Paramedic Acute Visiting Service new page with new referral forms for Coventry & Rugby GP Alliance commissioned service

Primary Initiation of DOACS in Atrial Fibrillation in Primary Care new page with guidance, links to initiation forms and details of DOAC Enhanced Service for stroke prevention

September 2019

Back & Neck Pain amendment to scenario 2. Physio to request and review MRI result. Addition of Dr Hiten Mehta (Clinical Lead Radiology) as collaborator

Paediatric Dermatology Service New page

Community Paediatrics Index Page Minor amendments to linked pages

Fertility Problems minor amendment to referral details

Type 1 Diabetes Paediatric Referral Pathway rapid referral guidance to reduce the risks of DKA

Boost Your Wellbeing self help section on Mental Health page

Cervical Cytology information about transition from liquid based cytology to High Risk HPV based method

Gp Liaison Page changes to referral requirements to UHCW Urgent Referrals including copies of cover / direction stationery

Familial Hypercholesterolaemia Service minor update to contact details

Varicose Veins minor amendment to wording of classification of Class 3 veins

August 2019

Integrated Neighbourhood Team – page and forms removed following decommissioning of the service

Enuresis updated Rugby referral contact details

Domestic Violence updated patient and GP support information, contact information, victim and perpetrator support

Shoulder Pain updated information on recurrent dislocation. Primary Care MRI no longer advised

School Health & Wellbeing updated Warwickshire referral information

Community Paediatrics Index Page a table of shortcuts to common paediatric problems, Gateway pages and referral forms

Urinary Tract Infection specific guidelines regarding the use of dipsticks and over diagnosis of infection with consequent overuse of antibiotics

Contraception & Sexual Health comprehensive overhaul of Integrated Sexual Health Service information. Psychosexual counselling now offered

Vitamin D Deficiency new page giving guidance in vitamin D deficiency

Urgent Adult Dermatology Service new page giving electronic referral service details

July 2019

Sharps / Needlestick Injury revised guidelines

Abnormal Biochemistry (Notification of Abnormal Results) new reference page

Zika Virus Testing in Pregnancy routine update

Ebola Virus routine update

HIV Testing Clinical Algorithm routine update

Paediatric Orthopaedic Problems including Scoliosis new scoliosis section

Intermittent Claudication (Peripheral Arterial Disease) new page

Pre-School Squint (Community Orthoptics) updated referral details

Chronic Kidney Disease (CKD) updated referral guidelines

Audiology Complex Direct Referral Service updated tinnitus referral criteria

Social Prescribing in Primary Care new Coventry page consolidated with Rugby information

HM Coroner Service new page and updated contact links and referral forms

June 2019

Eczema Guidelines revised guidelines

Dementia Care – Admiral Nurses updated forms

National Bereavement Care Pathway – support in Rugby & Coventry new support group

Care Companion new online support for carers

Family Hubs and Children & Family Centres contact information and Early Help Referral Form

Back and Neck Pain updated scenario 2 with revised indication for MRI scan

Faecal Occult Blood Testing (FIT) new guidance includes Unexplained Thrombocytosis including new forms

May 2019

Gender Identity Clinic referral information

Termination of Pregnancy new provider and referral forms BPAS

Neurophysiology – Nerve Conduction new page and referral information

Psoriasis updated guidance

Colposcopy Service For Difficult Smears new page about UHCW service

Back & Neck Pain new page including detailed referral guidance

Low Priority Procedures extensive policy update and revised forms

DESMOND referral for newly diagnosed diabetes revised forms for new provider

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