BNSSG Adult Joint Formulary
11. Eye Guidelines
BNSSG glaucoma prescribing guidelines (under review; expected Feb 2023)
Shaping better health
Urgent Fast Track (2WW) Information Leaflets
Bone & Soft Tissue - 2WW
Brain & CNS - 2WW
Breast - 2WW
Cancer of Unknown Primary - 2WW
Children & Young People - 2WW
Family History of Cancer
Gynaecology - 2WW
Haematology - 2WW
Head & Neck incl Thyroid - 2WW
Lower GI - 2WW
Lung - 2WW
Non-Specific Symptoms - 2WW
Pancreas - 2WW
Skin - 2WW
Upper GI - 2WW
Urology - 2WW
Lipid Advice & Guidance Service
Clinical Biochemistry in Primary Care
Hyperlipidaemia
Hyperkalaemia
Hypomagnesaemia
Advice & Guidance Service
Axillary masses
Breastfeeding
Breast Pain
Breast Surgery
Family History of Breast Cancer
Male Breast Symptoms
Mastitis and Breast Abscess
Nipple conditions
Advice & Guidance Service
Cancer Enhanced Supportive Care (CESC)
LD & Cancer
Living with and beyond cancer (LWBC)
Nutrition in cancer
Physio for NBT Cancer patients
Toxicity Risk Assessment Tool
Virtual rehab/prehab (SafeFit)
Advice & Guidance Service
Angina
Arrhythmia
Atrial Fibrillation and Flutter
Cardiac Rehabilitation
Cardiac Rhythm Analysis
Dilated Ascending Aorta
ECG - Open Access
ECHO - requesting
Heart Failure
Hypertension
Inherited Cardiac Conditions
NT Pro BNP Testing
Pacemakers
Postural Orthostatic Tachycardia Syndrome (PoTS)
Rapid Access Chest Pain Clinics
Syncope and TLOC
Active Ageing - South Glos
Advice and guidance - Care of the Elderly
Falls & Balance
Fracture Liaison Service
Frailty
Hearing Services
Movement Disorders
Rapid Assessment Clinic For Older People
Acute Assessment
COVID Medicine Delivery Unit (CMDU)
COVID Oximetry @ Home Virtual Ward
Long COVID (4-12 weeks)
Long COVID (after 12 weeks)
TeamNet and Latest updates
Acne vulgaris
Actinic Keratosis
Advice & Guidance and guidelines
Alopecia
Basal Cell Carcinoma
Benign Skin Lesions
Bowens Disease
Community Dermatology Services
Cosmetic skin treatments
Eczema
Hidradenitis Suppurativa
Hyperhidrosis
Leg Ulcer
Mole Mapping/Surviellance
Pityriasis Rosea
Pityriasis Versicolor
Polymorphic Light Eruption
Pruritis
Psoriasis
Rosacea
Scabies
Seborrhoeic Dermatitis
Skin Camouflage
Tinea
Tissue Viability/Wound Care Service
Unusual Appearance - Outlook
Urticaria
Vulval Skin Care
Warts and Verrucas
Diabetes Advice and Guidance & COVID-19
Community Diabetes Specialist Service
Diabetic Eye Screening
Diabetes Foot Care
Diabetes Mellitus - Guidelines
Diabetes & Nutrition
Diabetes Structured Education
Diabetes self-management
Low Calorie Diet Pilot
Neuropathic Pain
Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program
Pregnancy and diabetes
Rapid Access Diabetes Clinic
Type 2 diabetes management
Advice & Guidance Service
Local Services
Malnutrition & Oral Nutritional Supplements
Vitamin D Deficiency
Weight management
Alcohol Misuse
Opiate Dependence
Non-opiate drug dependence
Bristol Drug and Alcohol Service
North Somerset Drug & Alcohol Service
South Gloucestershire Drug & Alcohol Service
Bristol Shared Care
Breaking Free (Bristol & South Glos)
Bereavement support
Death Certification and Cremation Forms
End of Life Care
End of life care - community support
ReSPECT
ReSPECT Plus
St Peters Hospice
Weston Hospice
Advice and Guidance (Endocrinology)
Adrenal incidentaloma
Adrenal insufficiency
Endocrinology Services - UHBW and NBT
Gynaecomastia
Hirsutism
Hyperprolactinaemia
Hyperthyroidism
Hyponatraemia
Hypothyroidism
Male hypogonadism
Polyuria
Primary hyperparathyroidism (PHPTH)
Secondary hypertension
Sub Clinical hyperthyroidism
Sub Clinical hypothyroidism
Thyroid disease and pregnancy
Thyroid eye disease
Advice & Guidance Service
Anosmia
Audiology (adult)
Dizziness and Vertigo
Ear wax and microsuction
ENT HOT Clinic
Epistaxis
Hearing Problems
Middle ear problems
Moulded Ear Plugs
Nasal Treatment
Otitis Externa
Rhinosinusitis & Nasal Polyps
Snoring
Speech & Language
Tinnitus
Tonsils
Uvula
Advice & Guidance Services
Anaemia (Gastroenterology)
Anal FIssure
Barrett's oesophagus
Coeliac Disease
Colon Polyps
Community Gastroenterology Clinic - PRIME
Constipation in Adults
Dyspepsia and Reflux
Endoscopy
Eosinophilic Oesophagitis
Faecal Calprotectin
FIT Test
Gallstones
Haemorrhoids and anal lesions
Hiccups
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Pancreatitis (Acute)
Pancreatitis (Chronic) and PEI
Rectal Bleeding
Stoma care
Upper GI Bleed
Urgent Gastroenterology Services
Family History of Breast/Ovarian Cancer
Family History of Colorectal Cancer
Genetic Haemochromatosis
Genetics - general
Advice & Guidance Service
Abnormal vaginal bleeding (under review)
Cervical Conditions
Dyspareunia
Early Pregnancy Assessment Clinic
Emergency Gynaecology
Endometriosis
Female Cosmetic Surgery
Female Genital Mutilation
Female Genitalia Surgery
Female Urinary Incontinence
Fibroids
Hyperemesis Gravidarum
Menopause
Menstrual Disorders
Mesh Complications
Open Access Gynae Imaging
Ovarian Conditions
PCOS
Pelvic Organ Prolapse
Persistent Pelvic Pain (women)
Premature Ovarian Insufficiency (POI)
Recurrent Miscarriage
Termination of Pregnancy
Vaginal Discharge
Vulval Skin Conditions
Advice & Guidance Service
Anaemia
Blood Transfusions & Iron infusions
Genetic Haemochromatosis
Guidelines for Primary Care
Sickle Cell & Thalassaemia
Warfarin monitoring
Advice & Guidance Hepatology Service
Genetic Haemochromatosis
Liver disease
Viral Hepatitis
Urgent Hepatology Service
Advice & Guidance - Infectious Diseases
Clostridioides difficile in the community
COVID -19 (Coronavirus)
Ebola
Immunisation Schedules
Infectious diseases - general
Influenza
Lyme Disease
Malaria
Measles
Mpox
Mumps
Syphilis
Tuberculosis
Varicella
Whooping cough
Biochemistry Advice
Chronic Disease Monitoring
Inflammatory Marker Testing
Medical Calculators
Pathology Services
Transport and storage of samples
Adult Learning Disability Health Service
Annual Health Checks
Dyslexia
LD & Autism Hospital Liaison
LD and COVID-19
LeDeR - learning disability mortality reviews
Mental Capacity & Best Interest Decisions
Stop over medication (STOMP)
Advice & Guidance Service
Dental Referrals
Reconstructive Prosthetics Services
Salivary Gland Problems
Temporomandibular Joint Disorders
Trigeminal Neuralgia
Mental Health Support - Which service
24/7 Mental Health Support
ADHD (adult)
Autism-Spectrum
Depression (adults)
Eating Disorders
Gambling Addiction
IAPT Services
Insomnia
Mental Health - Social Prescribing
Neuropsychiatry
Perinatal Mental Health
Primary Care Liaison Service - AWP
Psychosis: Schizophrenia
Safe Haven Mental Health Support
Sanctuary (Bristol) Mental Health Support
Self Harm
Second Step Wellbeing Services
Self-help Leaflets for mental health
Sexual Assault/ Abuse Support
SMI (Severe Mental Illness) Physical Health Improvement
Suicidal Thoughts
Unusual Appearance
Veterans Mental Health
Advice & Guidance - Neurology/HOT Clinic
Advice and Guidance - Neurovascular/Stroke
Bell's Palsy
Concussion / mild traumatic brain injury
First Seizure Clinic
Headache (adults)
Head Injury Therapy Unit
Huntington's Disease
Multiple Sclerosis
Neuromuscular
Neurophysiology
Neuropsychiatry
Parkinson's Disease
Peripheral Neuropathy
Restless Leg Syndrome
Specialist Community Neurology
Stroke
Transient Ischaemic Attack
Tremor
Trigeminal Neuralgia
Community Nursing - Bristol
Community Nursing -North Somerset
Community Nursing - South Glos
Lymphoedema
Advice & Guidance Service
Diabetes in Pregnancy
Early Pregnancy Assessment Clinic
Folic acid and Vitamin B12 in pregnancy
Hyperemesis Gravidarum
Hypertension in pregnancy
Maternity Services
Perinatal Mental Health
Post Natal Care
Termination of pregnancy
Thyroid Disease and Pregnancy
Acute Angle Closure Glaucoma
Advice & Guidance Service
Allergic Eye Disease
Anterior Uveitis / Iritis
Blepharitis
Cataract
Chalazion & Styes
Chemical injury
Conjunctivitis
Contact Lens Related Keratitis (Corneal Ulcer)
Corneal Abrasion
Corneal Foreign Body
COVID-19 Update: Referrals/ A&G
Dry Eye
Endophthalmitis
Episcleritis
Eyelid conditions
Floaters & Flashes
Giant Cell Arteritis
Glaucoma
Hyphaema
Low Vision
Neuro-ophthalmology
Open Eye Injury
Ophthalmic Shingles
Orbital Trauma / Suspected Orbital Fracture
Pingueculum & Pterygium
Pre-septal and Post-septal Cellulitis
Referral Tips
Subconjunctival Haemorrhage
Urgent Ophthalmology Referrals
Acute knee & shoulder clinics
Advice & Guidance Service
Back pain/ Spinal pathway
Carpal Tunnel Syndrome
Dupuytren's Contracture
Exceptional funding policies for orthopaedics
Foot and Ankle Problems
Fracture Clinics
getUBetter app
Hand problems
Hip Pain
Knee Pain
Meralgia Paraesthetica
MSK Foot & Ankle service
MSK Shared Decision Making
Musculoskeletal Interface (MSKI) Service
Neck pain
Neck pain - cervical radiculopathy
Periprosthetic hip infection
Shoulder Problems
Sports Injuries
Steroid injections
Trigger Finger
Advice & Guidance Service
Divarication of Recti
MSK Physio services
Neurophysiotherapy
Pelvic Health Physio
Respiratory Physio
Self-management Hip & Knee pain
Alternative Medicine
Antibiotics
Cannabis prescribing
Community Pharmacy
Hosiery
Medication to avoid in dementia patients
Medicines for Self Care
Medicines Quality and Safety
NHS@Home - IV antimicrobials (OPAT)
Opioid Conversion
PGD Service
Prescribing in pregnancy and breastfeeding
Toxbase
Vitamin D
Advice & Queries
Direct Access Radiology
Image Guided Steroid Injections
Open MRI Scanner
Radiology Guidelines for Primary Care
Spinal Imaging in Primary Care
Ultrasound guidance
Advice & Guidance Service
Air pollution and health
Asthma (adults)
Breathing Pattern Disorders
Bronchiectasis
Chronic cough
Chronic Obstructive Pulmonary Disease
Community Respiratory Service
Fit to Fly Assessments
Home oxygen ordering
HOT Clinics
Interstial Lung Disease
myCOPD App
NHS@home - Respiratory pathway
Non-Invasive Ventilation
Obstructive Sleep Apnoea
Pleural Services
Pulmonary Rehabilitation
Respiratory RAS Service - NBT
Smoking Cessation
Spirometry and Lung Function Tests
Tuberculosis
Advice & Guidance Service
Axial Spondyloarthritis (including ank spond)
Early Inflammatory Arthritis
Fibromyalgia
Giant Cell Arteritis
Gout (Crystal Arthropathy)
Hypermobility and EDS
Osteoporosis
Osteoporotic Vertebral Fracture
Polymyalgia Rheumatica (PMR)
Psoriatic Arthritis
Sjorgren's Sydrome
Young Adult Rheumatology Service
Adult Safeguarding
Domestic Violence and Abuse
Pause Programme
PREVENT
Sexual assault/ abuse support
Better Health North Somerset
Exercise on referral
Musculoskeletal (MSK) self-help
One You South Gloucestershire
Self Care
Smoking Cessation
Advice & Guidance Service
Chronic Pelvic Pain Syndrome (men)
Contraception
Contraceptive Implant Clinic at St Michael's
Emergency Contraception
Gonorrhoea
HIV
LARC
LARC Complex referrals
Loss of Libido
Monkeypox
Pelvic Inflammatory Disease
Psychosexual Service
Sexual assault/ abuse support
Sexual Health Guidelines and Referral
Syphilis
Circadian Rhythm Disorder
Insomnia
Obstructive Sleep Apnoea (OSA)
Parasomnias
Primary Hypersomnias
Restless Leg Syndrome
Social Prescribing
Speech & Language
Surgery
Advice & Guidance Service
Cosmetic Treatment (including scar revision)
Foreign Body Removal (soft tissue)
Hernias (adults)
Plastic Surgery - Burns (adult)
Pre-operative assessment
Reconstructive Prosthetics Services
Surgical Emergency Care
Admission protocols
Frailty - Urgent Care
HOT Clinics & Rapid Access
Live UEC Dashboard
Medical Assessment/Admission and Weekday IUC Professional Line
NHS@home
Sirona Professional Lines
Surgical Emergency Care
Transport to Hospital
Urgent Care, MIU & WIC
Urgent Community Response - Sirona
Urgent Urology Pathway
Acute Prostatitis
Advice & Guidance Service
Bladder & Bowel Self Care App
Bladder & Bowel Services
Chronic Prostatitis
Circumcision in adults
Erectile Dysfunction
Female Urinary Incontinence
Haematospermia
Haematuria
Hydrocele
LUTS in men
Mesh complications
Penile Disorders
Prostate - including PSA
Renal Calculi
Scrotal Swellings & Testicular Lumps & Pain
Sterile Pyuria
Trial Without Catheter (TWOC)
Urgent Care and HOT clinic
Urinary Tract Infections
Urodynamics
UTIs in Care Homes
Varicocele
Vasectomy
Advice & Guidance Service
Abdominal Aortic Aneurysm
Aortic Dissection
Arterial Leg Ulcers
Carotid Artery Stenosis
NHS Health Check
Peripheral Arterial Disease
Varicose Veins and Venous Leg Ulcers
Vascular Hot Clinic
Vascular Nurse Specialist Clinic
Behaviour & Communication
Breastfeeding
Bristol Childrens Hospital Guidelines
Cancer Support
Cardiology
Chronic Fatigue (ME/CFS)
Community Children's Health Partnership
Continence - Enuresis & Constipation
COVID-19
Dental & Oral Health
Dermatology
Advice & Guidance - Dermatology
Benign skin lesions in children
Community Dermatology Services
Dermoid Cysts
Eczema
Henoch-Schonlein Purpura
Developmental Delay Pathway
Faltering Growth
Motor Coordination
Motor Disorders
Neonatal milk & vitamin guideline
Sleep Disorders
Speech and Language Therapy
Enablement
End of Life Care
Endocrinology
ENT
Audiology
Bell's Palsy
Ear wax in children
ENT HOT Clinic (paediatric)
Epistaxis
Middle ear problems
Motion sickness
Moulded Ear Plugs
Nasal problems
Sleep Apnoea in Children
Sore throat
Speech & Language
Tongue Tie
Tonsils and Adenoids
Chronic Abdominal Pain and IBD
Coeliac disease (children)
Constipation
Diarrhoea and vomiting
Milk Related Problems
Neonatal milk & vitamin guideline
Reflux Disease
Chicken Pox - parents guide
Feverish illness
Respiratory tract infections
Scarlet Fever/ Group A Strep
Mental Health Resources for Children and Young People
CAMHS mental health 24/7 emergency line
CAMHS Referral information
Happymaps
Hep B vaccine for at risk infants
Jaundice
Neonatal milk & vitamin requirements
Sacral dimples and pits
Umbilical Granuloma
Bell's Palsy
Febrile Convulsions
Fits, Faints and Funny Turns
Headache
Head injury
Neuromuscular
Neurosurgery
Tics and Tourette's in children
Bronchiolitis - parents guide
Chicken Pox - parents guide
Common Childhood Illness - HandiApp
Constipation - A guide for parents
Cough - parent information
Croup - parents guide
Diarrhoea and vomitting - parents guide
Febrile Convulsions - parents guide
Feverish Illness - parents guide
Functional gastro-intestinal disorders
Gastro-oesophageal Reflux - parents guide
Head Injury - parents guide
Increasing Iron Intake
Respiratory tract infections
Sore Throat - parents guide
Umbilical Granuloma - parents guide
Vulvovaginitis
Weaning to a Cows milk free diet
Wheezy action plan
Physiotherapy
Plagiocephaly
Podiatry for children
Radiology
Reconstructive Prosthetics
Respiratory
Advice & Guidance - Respiratory
Asthma in Children- acute (including wheeze)
Asthma in Children - Chronic
Bronchiolitis
Community Acquired Pneumonia
Cough
Croup
Sleep Apnoea in Children
Tuberculosis (children)
Chest Wall Deformity
Cleft lip and palate
Hernias in Children
Paediatric Surgery Inc. Urology
Umbilical Granuloma
Common Urgent Care Conditions
Rapid Access Clinic
Urgent Care Referrals
Urgent Orthopaedic Referrals
Circumcision in children
Continence
Haematuria
Hydrocele (paediatric)
Penis abnormalities in children
Surgery & Urology
Urinary Tract Infections
Varicocele
Bristol - Psychosis Early Intervention
South Glos - Psychosis Early Intervention
North Somerset - Psychosis Early Intervention
Primary Care Liaison Service
IAPT - Living Well with Chronic pain
BNSSG Referral Service
Datix Concerns Reporting
Hospital waiting times
Language Services - Interpreting and Translation
Live UEC Dashboard
Managed Referrals in EMIS
Patient Initiated Follow-up
Patients with a visual impairment
Planetary Health and Sustainable Practice
Development Area
Breast Implants and enhancement (non-cancer) -DRAFT
Consumer Genetic Testing - DRAFT
ICE System (Draft)
Obsolete pathways
Haemoglobinopathies (Draft)
Anaemia DRAFT
Cauda Equina Syndrome - DRAFT
Macrocytosis DRAFT
Vitamin B12 - interim guidelines
Normal Pressure Hydrocephalus - Draft
Iron Deficiency Anaemia - Draft
Bronchiectasis (Adult) - DRAFT
Needlestick injury - DRAFT
Endoscopy during COVID-19
Waiting list test area
Cognitive Disorders (Draft)
Monogenic Diabetes (Draft)
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
Meeting dates
APMOC Paperwork
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 Chapter
17. Miscellaneous Preparations
1. Gastro–intestinal system Guidelines
2. Cardiovascular System Guidelines
3. Respiratory System Guidelines
4. Nervous System Guidelines
5. Infections Guidelines
6. Endocrine system Guidelines
7. Genito-urinary system Guidelines
8. Malignant disease Guidelines
9. Blood and nutrition Guidelines
10. Musculoskeletal and Joint Guidelines
11. Eye Guidelines
12. Ear Nose Oropharynx Guidelines
13. Skin Guidelines
14. Vaccine Guidelines
16. Palliative Care Guidelines
17. Polypharmacy
18. Care Homes
19. Community Pharmacy
19. Other
Community Pharmacy Minor Ailment PGDs
Healthcare professionals working in primary care PGDs
NHSE PGDs
BNSSG-wide PGD Development Process
BNSSG PGD templates
Medicines Safety
COVID-19
Medicines Optimisation Strategy
Drug Category
Contact Us
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
2. Cardiovascular 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
14. Vaccine Guidelines
Admission protocols
Frailty - Urgent Care
HOT Clinics & Rapid Access
Live UEC Dashboard
Medical Assessment/Admission and Weekday IUC Professional Line
NHS@home
Sirona Professional Lines
Surgical Emergency Care
Transport to Hospital
Urgent Care, MIU & WIC
Urgent Community Response - Sirona
Urgent Urology Pathway
BNSSG glaucoma prescribing guidelines (under review; expected Feb 2023)