AKI is a rapid reduction in kidney function resulting in a failure to maintain fluid, electrolyte and acid-base balance
Acute Neck Pain
Neck pain or a stiff neck is a common problem and generally nothing to worry about.
Advance Care Planning & ReSPECT Forms
The importance of patients and families having the opportunity to share their priorities for their future care is crucial particularly ...
Advice & Guidance from Secondary Care and Psychiatry
Information about seeking advice & guidance from secondary care to avoid unnecessary referrals and safely obtaining timely and safe management ...
Ambulatory Emergency Care Clinic
Summary for Ambulatory Emergency Care Clinic
Ambulatory Pleural clinic
The Ambulatory Pleural clinic at UHCW NHS Trust for lung / respiratory disease
Anaemia (children)
Anaemia is a problem in which the body does not have enough healthy red blood cells.
Anti-Coagulation Clinic
Atrial fibrillation is the commonest cause for GP referral to anticoagulation services.
Area Diabetes Resources Page
Central resource page for management and referral information for Diabetes mellitus and its complications
B12 and Folate Testing
A diagnosis of vitamin B12 or folate deficiency anaemia can often be made based on symptoms and the results of ...
Back & Neck Pain
These are guidelines for most patients most of the time. Like all guidelines, there are exceptions. Acute back pain is ...
Balanitis (Adults)
Balanitis is a skin irritation on the head of the penis
Bariatrics & Obesity Surgery
Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.
Basal Cell Carcinoma
A basal cell carcinoma (BCC) is a type of skin cancer.
Behaviour Problems in Nursing Homes (CHESS Scheme only)
Elderly Mentally Infirm (EMI) support system for CHESS Scheme for Nursing Homes
Benign Skin Lesions (including Sebaceous Cysts)
A swelling in the skin arising in a sebaceous gland, typically filled with yellowish sebum.
Blood test appointments on line
On line booking of blood tests in Coventry, Rugby & North Warwickshire
BNP Pathway
Information on the BNP Pathway
Bunion – hallux valgus
A bunion is a bony deformity of the joint at the base of the big toe. The medical name is ...
Cardiac Rehabilitation
Cardiac rehabilitation is a programme of exercise and information sessions following a heart attack, heart surgery or procedure.
Carotid Artery Disease Asymptomatic
A carotid endarterectomy may be needed if one or both of your carotid arteries become narrowed because of a build-up ...
Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the ...
Chest Pain (Cardiac) – Rapid Access Chest Pain Clinic
The main causes of chest pain include angina, ACS (including myocardial infarction), acute pericarditis, pneumonia, pulmonary embolism, pneumothorax.
Chronic Kidney Disease (CKD)
Chronic kidney disease (CKD), also known as chronic renal disease, is progressive loss in kidney function over a period of ...
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD) includes chronic bronchitis, emphysema and chronic obstructive airways disease.
Cluster Headaches
Cluster headaches are excruciating attacks of pain in one side of the head, often felt around the eye.
Coeliac disease
Coeliac disease is a common digestive condition where a person has an adverse reaction to gluten.
Community Ambulatory Service (ECG – Holter and Event Recorder)
Community Ambulatory Electrocardiogram (ECG) service has been developed for Holter monitoring and Event Recording
Community Dermatology Service (Adult)
A community based service for advice, management and education in common skin conditions
Community Diabetes and Lipid Clinic – GpwSI Clinic
Community management advice for difficult diabetic and lipid cases
Community Dietician (Dietetics)
This page has information on the role of a dietitian with links to further information.
Constipation – adults
Constipation is a common condition that affects people of all ages. It can mean that you're not passing stools regularly ...
Continuing Healthcare (CHC) Assessment
NHS Continuing Healthcare (CHC) is a package of care for adults aged 18 or over which is arranged and funded ...
Coronavirus 2019-nCov acute respiratory disease
General resources at a glance
Coventry & Warwickshire Net Formulary
Coventry & Warwickshire Area Prescribing Committee Net Formulary
COVID-19 Team App
Up to date COVID-19 information for medical staff and patients collated by local and national specialists
Deep Vein Thrombosis
Summary of the latest UHCW DVT guidelines
Dementia – Admiral Nurse Service
Coventry and Rugby have an Admiral nurse service in conjunction with the NHS Coventry and Rugby CCG, Dementia UK and ...
Dementia POP Up Clinics (Dementia Navigators) & Dementia Connect Service
The Dementia Pop Up Clinics run by the Alzheimer’s Society offer appointments at practices across Coventry and Rugby.
DEXA Scanning
A DEXA scan is a special type of X-ray that measures bone mineral density (BMD).
Diabetes Prevention Programme (DPP)
Personalised support to reduce their risk of Type 2 diabetes including education on healthy eating and lifestyle, help to lose ...
Diabetic Eye Screening for Retinopathy
Diabetic retinopathy, also known as diabetic eye disease, is when damage occurs to the retina due to diabetes.
Dietetics / Dietician Home Page
Central page for dietetics / dietary resources
Dupuytrens Disease
Dupuytren’s contracture (Dupuytren's disease) is a condition that affects the hands and fingers.
Dyspepsia and GORD
Indigestion, also known as dyspepsia, is a condition of impaired digestion
Ebola Virus
Ebola virus disease is a serious illness that originated in Africa, where there is currently an outbreak.
Eczema
Eczema is a condition that causes the skin to become itchy, red, dry and cracked. It is a long-term (chronic) ...
Elbow pain
Arm pain is common and usually caused by an injury or fall.
Electrolyte Abnormalities
Management advice for abnormalities of Sodium and Potassium in U&Es
ESR
An ESR is often used to help diagnose conditions associated with inflammation.
Faecal Calprotectin
Faecal calprotectin is a substance that is released into the intestines in excess when there is any inflammation there.
Faecal Occult Blood Testing (FIT)
FIT testing - Sensitive Faecal Occult Blood Testing available for lower gastrointestinal symptoms that do not meet immediate 2WW referral ...
Falls
Anyone can have a fall, but older people are more vulnerable and likely to fall, especially if they have a ...
Familial Hypercholesterolaemia Service
Identification of patients and families at raised CV risk from Total Cholesterol of 9mmol/l or more
Ferritin high
High ferritin levels may suggest a disorder that has led to an excess accumulation of iron, resulting in iron overload.
Flash Glucose Monitoring (Freestyle Libre)
Interim CCG policy on the prescribing of Libre in Primary and Secondary Care
Foot pain
Foot pain is a common problem with a wide range of possible causes.
Ganglion
A ganglion cyst is a fluid-filled swelling that usually develops near a joint or tendon.
Gastro-intestinal blood loss
Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract.
Genetic Services
Clinical genetics is a specialist regional service based at Birmingham Women’s Hospital.
Glucose Tolerance Tests
Links to the Pathology Directory UHCW
GP Liaison Nurse & Consultant Connect Advice
The GP Liaison Service offers a single point of contact for emergency referrals or pre referral advice
Guidance on Allergy and Specific IgE testing
Allergic disease is a clinical diagnosis with tests used to help confirm or refute a diagnosis - allergy is NOT ...
Haemoglobinopathy Screening
“Opportunistic” haemoglobinopathy screening (not including national antenatal or neonatal screening programmes)
HBV and HCV Screening in Primary Care
Which asymptomatic patients need screening for HBV and HCV?
Heart failure
This page is under reconstruction
Heatwave Management
Government advice on management of vulnerable patients in heatwave situations.
Hereditary Thrombophilia Screening
It is suggested that General practitioners DO NOT request Thrombophilia screens without review of this guideline AND discussion with haematology.
Hirsutism
Hirsutism is excessive hair growth in certain areas of the body. It's a problem that mainly affects women.
HIV Testing Clinical Algorithm
This page contains information and pathway details for HIV clinical testing
Home Oxygen
Guidance on home oxygen
Hyaluronic injections for osteoarthritis
Osteoarthritis is a condition that causes joints to become painful and stiff. It's the most common type of arthritis in ...
Hyperhidrosis of Palms and Axillae
Hyperhidrosis is a common condition in which a person sweats excessively.
Hyperlipidaemia and Cardiovascular Risk
Hyperlipidaemia is abnormally elevated levels of any or all lipids and/or lipoproteins in the blood.
Hypertension
Stage 1 hypertension: Clinic blood pressure is 140/90 mmHg or higher and subsequent ambulatory blood pressure monitoring (ABPM) daytime average ...
Infectious Diseases & Tuberculosis (TB)
The infectious diseases (ID) UHCW looks after adult patients (over 16) with all types of infection or suspected infection. We are ...
Inflammatory bowel disease
Inflammatory bowel disease (IBD) is a term mainly used to describe two conditions, ulcerative colitis and Crohn's disease.
Irritable bowel syndrome
Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system.
Jaundice & Liver Disease
Liver disease doesn't usually cause any obvious signs or symptoms until it's fairly advanced and the liver is damaged.
Knee Arthroscopy
An arthroscopy is a type of keyhole surgery used both to diagnose and treat problems with joints.
Knee instability
Information regarding Knee instability
Lactose intolerance in adults
Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly ...
Leg ulcers
Management of ulcers on legs
Living Well Project
The Living Well Pilot Project is a new service based at Coventry Myton Hospice for adults living with a life ...
Lymphoedema
Lymphoedema referral details
Milk intolerance
Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly ...
Neurology
Neurology is a branch of medicine dealing with disorders of the nervous system.
Neurophysiology: Nerve Conduction Studies (NCS)
Accepts NHS E-referrals for nerve conduction testing for carpal tunnel screening and ulnar nerve screening at the elbow or wrist ...
Paediatric Dermatology Service
Specialist advice in the community on the management of common paediatric dermatological conditions
Pain Management
Pain Management Solutions works with each patient to support them in finding the most effective and evidence-based approach to improving ...
Palliative Care
Palliative care is a multidisciplinary approach to specialized medical care for people with serious illnesses.
Paramedic Acute Visiting Service (PAVS)
Revised booking process for the Coventry & Rugby GP Alliance Paramedic Acute Visiting Service (PAVs)
Paraproteins
A paraprotein can have many causes—some serious but others unlikely ever to cause any problems.
Parkinsons Disease
Parkinson's disease is a condition in which parts of the brain become progressively damaged over many years. It can cause ...
Pathology Services
Resource references for pathology services
Penile Implants
A penile implant is a medical device that is custom-fit and surgically placed into a penis.
Pernicious Anaemia
Pernicious anaemia is associated with autoimmune atrophic gastritis which has an increased risk of gastric cancer.
Physiotherapy services – MSK
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help ...
Podiatry
Podiatrists are health care professionals who have been trained to prevent, diagnose, treat and rehabilitate abnormal conditions of the feet ...
Pregnancy – Exposure to Chickenpox Shingles Zoster
Complications of chicken pox in pregnancy include severe maternal varicella and congenital varicella syndrome.
Primary Care Initiation of Direct Oral Anticoagulants (DOACs) for Stroke Prevention in Atrial Fibrillation (AF)
Guidance and information regarding initiation of DOACs
Prostate specific antigen
Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland.
Prosthetic Limbs
After an amputation, you may be able to have a prosthetic limb fitted.
Psoriasis
Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales.
Rheumatology
Rheumatologists are doctors who investigate, diagnose, manage and rehabilitate patients with inflammatory disorders of the musculoskeletal system.
Seborrhoeic Dermatitis
Seborrhoeic dermatitis is an eczema affecting the eyebrows, anterior scalp, nasolabial folds, ears, axillae and groin.
Sepsis Guidance
Sepsis - overwhelming infection requiring urgent treatment
Sharps / Needlestick Injury
Injury from used needles and syringes found in community settings arouses much concern.
Skin cancer
Skin cancer is one of the most common cancers in the world.
Sleep Clinic
Treatments and services for Sleep Apnoea and related conditions offered at the Sleep Medicine department.
Spinal injections
Back injections may help treat two major back pain with radiculopathy
Stool Samples
The stool sample should be collected in a clean, dry screw-top container.
Tattoo Removal
Information regarding tattoo removal
The Myton Hospices
About local hospice services for enhancing quality of life when cure is no longer an option
Therapeutic drug sampling
Information for Therapeutic drug sampling
Thyroid Function Testing Protocol
An underactive thyroid gland (hypothyroidism) is where your thyroid gland doesn't produce enough hormones.
Tissue Viability Team
The Tissue Viability Nurse Team can help with ulcers and difficult wounds.
Transient Ischaemic Attack (TIA) and Stroke
A transient ischaemic attack (TIA) or "mini stroke" is caused by a temporary disruption in the blood supply to part ...
Transient Loss of Consciousness (TLoC) in over 16s
Local guidelines for management and referral of transient loss consciousness
Trigger finger – adults
Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the ...
Type 1 Diabetes Mellitus (Paediatric)
Referral guideline for rapid referral of suspected type 1 diabetes to reduce the risk of diabetic ketoacidosis
Urgent Adult Dermatology Service
The main criteria for the service is that GP’s call the UHCW on-call Registrar before referral.
Urinary Tract Infection (UTI)
Urinary tract infections (UTIs) are common infections. In order to avoid misdiagnosis of UTI and the subsequent overtreatment / misuse ...
Vasectomy
Vasectomy is a surgical procedure for male sterilization or permanent contraception.
Vitamin D Deficiency
Vitamin D blood levels should only be tested with symptoms indicative of rickets, osteomalacia or symptomatic hypocalcaemia. If deficiency is ...
Warts (viral)
Warts are viral swellings that often develop on the skin of the hands and feet.
Wound Swab
Guidance on when to request wound swabs, interpretation of results
Zika virus testing in pregnancy
Zika virus disease is mainly spread by mosquitoes.