June 2022
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
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