



Pathways
Here are all the current GIRFT pathways by specialty…
- Acute and General Medicine
- Cardiology
- Cardiothoracic
- Children and Young People's Mental Health
- Dermatology
- Diabetes
Diabetes Emergency Surgery Pathway >
Hyperglycaemia: Initial management of hyperglycaemia in adults in the emergency department >
Hypoglycaemia: Management of patients admitted in hypoglycaemia >
Hypoglycaemia: Admit, observe or discharge – decision support tool >
Foot problem: Management of patients presenting to the emergency department with a foot problem >
Discharge support tool for new diagnosis of diabetes >
Discharge support tool for pre-existing diagnosis of diabetes >
- Endocrinology
- ENT
Otology pathways:
Myringoplasty and Tympanoplasty pathway >
Post op follow up following cholesteatoma surgery pathway >
Rhinology pathways:
Indications for nasal airway surgery >
Functional septorhinoplasty pathway (page 2) >
Nasal septoplasty pathway (page 3) >
Inferior turbinate reduction surgery pathway (page 4) >
Laryngology pathways:
Non-specific throat symptoms pathway >
Submandibular Gland Excision pathway >
Paediatric pathways:
Day Case Paediatric Tonsillectomy pathway >
Paediatric Otitis Media Effusion pathway >
Paediatric Recurrent Acute Otitis Media pathway >
Endocrinology pathways:
- Gastroenterology
- General Surgery
- Geriatric Medicine
- Gynaecology and Maternity
- Hand Surgery
Currently under review – Adult carpal tunnel syndrome
Traumatic amputations of the digits, hand and wrist >
Hand Surgery: Bite wounds >
Hand Surgery: Lacerations and Cuts >
Hand Surgery: Adult Wrist Ganglion >
Hand Surgery: Adult Trigger Digit >
- Hospital Dentistry
- Ophthalmology
- Oral and Maxillofacial Surgery
- Orthopaedics
Currently under review – Elective primary total hip replacement pathway >
Currently under review – Elective primary total and uni knee replacement pathway >
Trauma total elbow replacement pathway >
Elective total elbow replacement pathway >
Currently under review – Bunions pathway >
Currently under review – Therapeutic shoulder arthroscopy for rotator cuff repair OR subacromial decompression pathway
- Orthopaedic Trauma Surgery
- Paediatric General Surgery and Urology
Acute abdominal pain and appendicectomy pathway guidance >
Acute abdominal pain and appendicectomy literature review >
Paediatric testicular torsion pathway >
Paediatric robotically assisted laparascopic pyeloplasty pathway >
Paediatric robotically assisted nephrectomy and hemi-nephrectomy pathway >
Paediatric robotically assisted ureteric reimplantation pathway >
- Pathology
- Rheumatology
- Robotic-assisted Surgery
- Spinal Services
Lumbar Medial Branch Block – Facet Joint Injections pathway >
Lumbar Nerve Root Block – Epidural pathway >
National suspected Cauda Equina Syndrome pathway >
One or Two Level Anterior Cervical Discectomy & Fusion – Disc Replacement pathway >
One or Two Level Posterior Fusion Surgery (PLF-TLIF-PLIF) pathway >
Posterior Lumbar Decompression – Discectomy pathway >
- Urology