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Transition of COVID treatments to routine pathways

Classification: Official Publication reference: PR00337 27 March 2023 To: Integrated care board (ICB) chief medical officers (CMOs) ICB COVID therapeutics senior responsible officer (SROs) Regional chief pharmacists cc: Integrated care board: Directors of commissioning Chief operating officers Lead pharmacists Dear Colleagues, Transition of COVID treatments to routine pathways Thank you for the work you and […]

Preventing and managing skin tears in residential homes

Leading change District nurses at East Coast Community CIC, a social enterprise providing community care across Norfolk and Waveney, flagged high numbers of referrals for suspected skin tears in local care homes. The Tissue Viability team, including a specialist tissue viability nurse and three Assistant Practitioners (APs), then led a structured change to address the […]

Implementing timed urology cancer diagnostic pathway – bladder, penile, renal and testicular

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

The 28 Day Faster Diagnosis Standard remains the single standard by which the speed of diagnosis of cancer will be measured under Cancer Waiting Times. However, some types of cancer are particularly aggressive, and particular effort should be made to diagnose them even faster than the headline target.  Some testicular cancers and large and invasive kidney cancers fall into this category. This document outlines the testicular pathway setting out the sequence of events that would be required to complete the diagnostic process wherever possible within 21 days are reflective of that.

The bladder, upper-tract urothelial carcinoma, penile, renal, and testicular cancer pathways are part of a series, published since April 2018.

Heart failure with preserved ejection fraction: pathway support tool

This pathway tool supports a robust and systematic approach, essential for the timely and accurate diagnosis and treatment of HFpEF. Heart failure services and integrated care boards (ICBs) should work together to streamline inefficient heart failure pathways.

Mental Health Crisis Care

London’s All-Age Mental Health Crisis Care Concordat Over the past decade, across our capital we have seen significant investment in our mental health services. This investment has resulted in historic expansion across London. We have seen continued growth in access to vital community mental health services, and the roll-out of liaison mental health teams in […]

NHS IMPACT Operational Improvement Training Programme

NHS IMPACT Operational Improvement Training Programme is a catalyst for positive change. An investment in clinical and operational leaders and managers, and the future of the NHS. The programme aims to equip frontline staff at bands 6 to 8a (or equivalent) with the practical tools and strategic thinking needed to become a driving force in […]

The offender personality disorder (OPD) pathway: a joint strategy for 2023 to 2028 

The OPD pathway is a set of psychologically-informed services operating across criminal justice and health, underpinned by a set of principles and quality standards. Using evidence-based relational and environmental approaches, it aims to reduce risk associated with serious reoffending and improve mental health within a high-risk, high-harm cohort likely to meet the clinical threshold for a diagnosis of ‘personality disorder’.

The OPD pathway is a jointly funded partnership between His Majesty’s Prison and Probation Service and NHS England.

Rapid Diagnostic Centres

Rapid Diagnostic Centres (RDC), also known as Non-specific Symptoms Services (NSS), are for patients with symptoms that are concerning for malignancy but do not fit a tumour-specific pathway. Presentations may include weight loss, abdominal pain, other progressive pain or fatigue, where these are unexplained, or the clinician has a “gut feeling” about a possible serious […]