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Clinical Guidelines

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Date Posted: 01 - September - 2018
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Date Posted: 01 - January - 2019

This asthma summary guideline has been created in collaboration with the Lancashire and South Cumbria Clinical Asthma Group led by Dr Aashish Vyas, with the aim to provide a consistent approach to asthma treatment for adults within LSCMMG.

BTS/SIGN British Guideline on the Management of Asthma

NICE NG80 - Asthma: diagnosis, monitoring and Chronic Asthma Management

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Date Posted: 19 - February - 2020
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Date Posted: 01 - January - 2018

Radiographic (Ankylosing Spondylitis) and Non-radiographic Axial Spondyloarthritis (ASp) LSCMMG Recommended Biologic Pathway

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Date Posted: 01 - November - 2016

This guideline provides recommendations on the medical management of adults with chronic non-cancer pain.

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Date Posted: 01 - November - 2016

NHS England has advised CCGs that a prescription for the treatment of infrequent constipation should not routinely be offered in primary care as the condition is appropriate for self-care. The NHS England guidance applies to short term, infrequent constipation caused by changes in lifestyle or diet such as lack of water or movement or changes in diet. GPs should continue to prescribe laxatives to manage acute constipation with more complex aetiology (e.g. iatrogenic) and chronic constipation.

The NHS England guidance does not apply to the management of children and laxatives for children should continue to be prescribed by GPs.

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Date Posted: 01 - March - 2018
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Date Posted: 01 - January - 2018

This guidance includes a flow chart indicating a step-wise approach to the management of ED, with additional treatment notes that have been developed to guide prescribers

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Date Posted: 01 - December - 2018
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Date Posted: 01 - October - 2017
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Date Posted: 01 - December - 2018
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Date Posted: 01 - October - 2018

Formerly the 'North West Headache Management Guideline for Adults'

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Date Posted: 01 - May - 2017

The purpose of this guideline is to assist primary care practitioners to advise patients of the appropriate monitoring regimen for their clinical condition and diabetes type and to ensure appropriate volumes of testing strips are supplied.

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Date Posted: 18 - February - 2020
The Lancashire and South Cumbria Self-Care and Access to OTC Medicines – Template policy has been developed for use by care homes in Lancashire and South Cumbria. The policy must be reviewed by each care home for suitability and finalised prior to use.
This policy MUST be read in conjunction with the local or care home medicines policy
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Date Posted: 01 - March - 2018

This guidance has been produced to facilitate the safe prescribing of LMWHs in primary care. It provides an overview of points to be considered when initiating LMWHs and when transferring prescribing responsibilities to or from another organisation.

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Date Posted: 01 - April - 2018

This is a summary document intended for Primary Care, taken from a more comprehensive document ‘Guidelines for the Management of Behavioural and Psychological Symptoms of Dementia (BPSD) in Primary and Secondary Care. This document should be accessed for additional resources such as the Leaflet for Care Home Staff, assessment forms and flow chart for responding to BPSD.

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Date Posted: 01 - April - 2018

Information contained within this document is largely taken from the PrescQIPP toolkit ‘Reducing Antipsychotics in Dementia and documents available on the Alzheimer’s Society website.

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Date Posted: 01 - May - 2017

This guideline comprises a flow chart outlining a stepwise approach to the management of psoriasis in adults and in children and young people. The guideline also includes relevant treatment review periods and referral criteria.

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Date Posted: 01 - December - 2015
**This Guideline is currently under review**
This guideline provides recommendations on the medical management of adults with neuropathic pain. The outlined treatment strategy is relevant to both specialist and non-specialist settings.
Since the publication of this guideline Nortriptyline has been agreed as a suitable 3rd line agent for the treatment of Neuropathic Pain. 
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Date Posted: 01 - November - 2017
  • Age related Macular Degeneration   

  • Diabetic Macular Oedema 

  • Macular Oedema secondary to Central Retinal Vein Occlusion

  • Macular Oedema secondary to Branch Retinal Vein Occlusion

  • CNV associated with pathological myopia

  • Vitreomacular Traction