Alkaline Phosophatase
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Creatinine Kinase
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ENT HOT Clinic
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Advice & Guidance Service
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Stop over medication (STOMP)
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Dental Care
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First Seizure Clinic
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Pre-septal and Post-septal Cellulitis
Referral Guidance & Tips
Subconjunctival Haemorrhage
Urgent Ophthalmology Referrals
Acute knee & shoulder clinics
Advice & Guidance Service
Back pain/ Spinal pathway
Carpal Tunnel Syndrome
Dupuytren's Contracture
Foot and Ankle Problems
Fracture Clinics
Funding Policies for Orthopaedics
Ganglion
getUBetter app
Hand problems
Hip Pain
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Meralgia Paraesthetica
MSK Foot & Ankle service
Musculoskeletal (MSK) self-help
Musculoskeletal Interface (MSKI) Service
Periprosthetic hip infection
Shoulder Problems
Sports Injuries
Steroid injections
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Back Pack
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Alternative Medicine
Antibiotics
Cannabis prescribing
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Medication to avoid in dementia patients
Medicines for Self Care
Medicines Quality and Safety
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Opioid Conversion
Prescribing in pregnancy and breastfeeding
Psychotropic Medication Monitoring
Toxbase
Vitamin D
Advice & Queries
Direct Access Radiology (adults)
Image Guided Steroid Injections
MRI considerations
Radiology Guidelines for Primary Care
Spinal Imaging in Primary Care
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Air pollution and health
Asthma (adults)
Breathing Pattern Disorders
Bronchiectasis
Chronic Breathlessness Support
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myCOPD App
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SEND
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Continence
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Anaemia - iron deficiency - draft
Back pain/ Spinal pathway - Draft
Cauda Equina Syndrome - DRAFT
Community Urology Service - GP Care (DRAFT)
Consumer Genetic Testing - DRAFT
Haematuria in Children - draft
ICE System (Draft)
Needlestick injury - DRAFT
Normal Pressure Hydrocephalus - Draft
Paediatric Rheumatology - Draft
Papilloedema - Draft
Pulmonary Hypertension - DRAFT
Septicaemia - Draft
Sexually Transmitted Infections - guide to swabs - DRAFT
Vitamin B12 - interim guidelines DRAFT
Waiting list test area
Shared Decision Making
Alpha 1 Antitrypsin Deficiency (AATD) DRAFT
Hyperemesis Gravidarum DRAFT
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1. Gastro-Intestinal System
2. Cardiovascular System
3. Respiratory System
4. Central Nervous System
5. Infections
6. Endocrine System
7. Obstetrics, Gynaecology and Urinary-tract Disorders
8. Malignant Disease and Immunosuppression
9. Nutrition and Blood
10. Musculoskeletal and Joint Diseases
11. Eye
12. Ear, Nose and Oropharynx
13. Skin
14. Immunological Products and Vaccines
15. Anaesthesia
16. Palliative Care
17. Miscellaneous Preparations
1. Gastro–intestinal System Guidelines
2. Cardiovascular System Guidelines
3. Respiratory System Guidelines
4. Central Nervous System Guidelines
5. Infections Guidelines
6. Endocrine System Guidelines
7. Obstetrics, Gynaecology and Urinary-tract Disorders Guidelines
8. Malignant Disease and Immunosuppression Guidelines
9. Nutrition and Blood Guidelines
10. Musculoskeletal and Joint Diseases Guidelines
11. Eye Guidelines
12. Ear, Nose and Oropharynx Guidelines
13. Skin Guidelines
14. Immunological Products and Vaccines Guidelines
16. Palliative Care Guidelines
17. Polypharmacy
18. Care Homes
19. Other
20. Appliances and Part IX
Botulinum Toxin A Pathways
Community Pharmacy Minor Ailment PGDs
Healthcare professionals working in primary care PGDs
NHSE PGDs
BNSSG-wide PGD Policy and Process
BNSSG PGD templates
Formulary Process
Joint Formulary Paperwork
Purpose and Format of the Joint Formulary
The Traffic Light System and Classification of Medicines
Non-formulary and Unlicensed Medicines
Shared Care
APMOC Paperwork
1. Gastro-intestinal System
2. Cardiovascular system
3. Respiratory System
4. Nervous system
5. Infections
6. Endocrine system
7. Obstetrics, gynaecology, and urinary-tract disorders
8. Malignant Disease and Immunosuppression
9. Nutrition and Blood
10. Musculoskeletal and joint diseases
11. Eye
12. Ear, Nose and Oropharynx
13. Skin
14. Immunological products and vaccines
15. Anaesthesia
16. Palliative Care Guidelines
17. Miscellaneous Preparations
1. Gastro–intestinal system Guidelines
3. Respiratory System Guidelines
4. Nervous System Guidelines
5. Infections Guidelines
6. Endocrine system Guidelines
9. Blood and nutrition Guidelines
13. Skin Guidelines
20. Appliances and Part IX
Specialist Falls Service
South Glos - Memory Service & Dementia Support
South Glos - Active Ageing
Assistive Technology Service
Pain clinic - NBT
Back Pack - NBT & WGH
NBT - Cognitive Disorders Clinic
Endocrinology NBT
Arts on Referral for Chronic Pain - NBT
Falls Service : NBT
Neuropsychiatry Sleep Disorders clinic - NBT
Arts on Referral for Neuromuscular Condition - NBT
Bristol - Psychosis Early Intervention
South Glos - Psychosis Early Intervention
North Somerset - Psychosis Early Intervention
Primary Care Liaison Service
The following information on management and prevention of ingrown toe nails for patients is available below:
Infected ingrown toenails require treatment with oral antibiotics.
Patients with ingrown toe nails that are recurrently infected or that are causing localised tissue damage should be referred for assessment and management by a podiatrist.
Community Referral (Sirona)
Sirona podiatry service offers partial /total nail avulsions for children (7 years and above) and adults with ingrown toenails that are causing localised tissue damage and assessed as suitable for this procedure. Please see the Community podiatry page for details on how to make a referral.
Information about surgery can also be found on the Sirona website:
Secondary Care Referral
Referrals to secondary care for treatment of ingrown toe nails are not routinely allowed and are subject to the Ingrown Toenail Treatment in Secondary Care Policy - Criteria Based Access.
Referrals will be returned unless criteria are met.
Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.
Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.