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Faster diagnostic pathways: implementing a timed breast cancer diagnostic pathway: guidance for local health and social care systems

Best practice timed pathways support the ongoing improvement effort to shorten diagnosis pathways, reduce variation, improve experience of care, and meet the Faster Diagnosis Standard.

This guidance will support cancer alliances and constituent organisations to adopt consistent, system-wide approaches to managing this diagnostic pathway.

It sets out how diagnosis within 28-days can be achieved for the suspected breast cancer pathway. Alongside the pathway itself, resources, including an audit tool (available below), are highlighted to support implementation of the pathway.

A teledermatology roadmap: implementing safe and effective teledermatology triage pathways and processes

This roadmap supports systems to accelerate the roll out of teledermatology to help manage demand and reduce unnecessary outpatient attendances. It sets out practical steps to implement an efficient, safe and effective teledermatology service. The roadmap identifies opportunities to use teledermatology in new and innovative ways to deliver more personalised and better integrated care and prepare for the introduction of artificial intelligence in skin lesion pathways.

NHS estates sustainability careers – recruitment and career pathways guidance

Guidance for employers recruiting to NHS estates sustainability and net zero roles, and for existing NHS staff and potential candidates. Information here includes the skills, experience and qualifications needed to work within the NHS estates and facilities sustainability workforce.

Earlier screening, risk assessment and health optimisation in perioperative pathways: guide for providers and integrated care boards

This guide supports providers and integrated care boards to implement early screening, risk assessment and health optimisation for patients waiting for surgery. It builds on the clinical guideline Preoperative assessment and optimisation, published by a cross-specialty, multidisciplinary working group, including the Royal College of Anaesthetists, Royal College of Surgeons of England, Royal College of General Practitioners and the Centre for Perioperative Care, in June 2021.

Urgent and emergency care improvement guide same day emergency care pathways

This guide has been designed for providers and systems to consider embedding as good practice to reduce ambulance handover delays. The contents have been drawn from the Winter Improvement Collaborative which was set up to identify solutions to the problems facing the
system over the winter period. Members of the collaborative were asked to co-design a series of plans and potential improvement measures, to be adapted and trialled at local level.

Ensuring equity of access to care when redesigning dermatology pathways

This guidance describes current inequity in accessing dermatology services and considers the potential for service redesign, particularly teledermatology and remote consultations, to further reduce access to care for some people with skin conditions; and suggests actions to provide equitable access.

Guide to implementing patient initiated follow-up (PIFU) in adult trauma and orthopaedic secondary care pathways

This guide provides specialty-specific PIFU guidance, tools and resources as a supplement to the generic implementing PIFU guidance for local health and care systems. It supports systems and providers, both those with well-established PIFU processes and those in the early stages of implementing PIFU, to deliver best practice models that are personalised, robust, safe and sustainable, and tailor PIFU services to the needs of their local population.

Career development and pathways

Wrightington, Wigan and Leigh NHS Foundation Trust: Care makers Summary: The trust identified a need to provide additional support to the nursing and allied health professional (AHP) workforce during the Covid-19 pandemic and so responded by introducing the pilot for the Care Maker role. Care Makers required no previous healthcare experience and were largely recruited from […]

NHS Genomic Medicine Service Alliances to help embed genomics into patient care pathways

The NHS has a long and proud history of embracing technology and innovation to deliver faster diagnoses and more effective treatments for patients, and the NHS continues to lead the world in harnessing the power and potential of genomics – the study of the genes in our DNA and their function. This is at the […]