BNSSG Adult Joint Formulary
1. Gastro–intestinal system Guidelines
BNSSG Stoma prescribing guidelines v3 2018
BNSSG Rectal and transanal irrigation guidelines June 18
Shaping better health
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
Pancreas - 2WW
Skin - 2WW
Upper GI - 2WW
Urology - 2WW
Cardiology
Dermatology
Ear, Nose & Throat
Gastroenterology
Gynaecology
Haematology
Hepatology
Lipids
Ophthalmology
Rheumatology
Urology
RAS on eReferral
Breast Feeding
Breast Surgery
Family History of Breast Cancer
Gynaecomastia
Mastitis and Breast Abscess
LWBC Resources for GPs
Macmillan Rehabilitation and Support Service
Nutrition in cancer
Toxicity Risk Assessment Tool
Advice & Guidance Service
Angina
Atrial Fibrillation
Cardiac Rehabilitation
Cardiac Rhythm Analysis
Heart Failure
Hypertension
Hypertension management NS MOM
LVSD management NS MOM
NT Pro BNP Testing
Pacemakers
Rapid Access Chest Pain Services
Care Home Directory
Falls
Fracture Liaison Service
Frailty
Hearing Services
Movement Disorders
Rapid Assessment Clinic For Older People
Falls (TEST)
Acne vulgaris
Actinic Keratosis
Advice and Guidance /Teledermatology
Alopecia
Benign Skin Lesions
Bowens Disease
Eczema
General Guidance
Hyperhydrosis (focal)
Leg Ulcer
Mole Mapping/Surviellance
Non-healing wounds NS MOM
Pityriasis Rosea
Pityriasis Versicolor
Pressure ulcers NS MOM
Primary Care Dermatology Services
Pruritis
Psoriasis
Rosacea
Scabies
Seborrhoeic Dermatitis
Skin Camouflage
Surgical & trauma wounds NS MOM
Tinea
Urticaria
Vulval Skin Care
Warts and Verrucas
Wound infection NS MOM
Hidradenitis Suppurativa
Community Diabetes Specialist Nurse (DSN)
Diabetes & Nutrition
Diabetes Foot Care
Diabetes Hypoglycaemia NS MOM
Diabetes Mellitus - Guidelines
Diabetes Structured Education
Diabetes suspected NS MOM
Diabetic Eye Screening
Initial management of type 2 diabetes NS MOM
Neuropathic Pain
Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program
Pregnancy and diabetes
Rapid Access Clinic
Type 2 diabetes - initiating insulin therapy NS MOM
Type 2 diabetes management NS MOM
Alcohol Misuse
Bristol ROADS
Bristol Shared Care
North Somerset Drug & Alcohol Service
South Gloucestershire Drug & Alcohol Service
Substance misuse NS MOM
End of Life Care
ReSPECT
EOL Guidance on pain NS MOM
EOL Gastrointestinal symptoms NS MOM
EOL Neurological symptoms NS MOM
EOL Psychological, spiritual & social NS MOM
EOL Respiratory symptoms NS MOM
EOL Skin problems NS MOM
EOL Other misc problems NS MOM
EOL End stage NS MOM
Macmillan Rehabilitation and Support Service
St Peters Hospice
Weston Hospice
Addison's Disease
Endocrinology Services - UHB and NBT
Hirsutism primary care NS MOM
Hirsutism treatment NS MOM
Thyroid Function Tests and Pregnancy
Thyrotoxicosis
Advice and Guidance Service
Audiology
Dizziness and Vertigo
Ear wax and microsuction
ENT HOT Clinic
Epistaxis
Hearing Problems
Middle ear problems
Moulded Ear Plugs
Nasal Treatment
Rhinosinusitis suspected NS MOM
Snoring
Speech & Language
Tinnitus
Tonsils
Vertigo - multiple episodes NS MOM
Vertigo - single episode NS MOM
Advice and Guidance Gastroenterology Service
Anaemia (Gastroenterology)
Coeliac Disease
Colon Polyps
Community Gastroenterology Service - PRIME
Constipation in Adults
Dyspepsia - Endoscopic oesophagitis
Dyspepsia and Reflux
Dyspepsia requiring endoscopy NS MOM
Endoscopy
Eosinophilic Oesophagitis
Faecal Calprotectin
FIT Test
Gallstones
GORD NS MOM
Haemorrhoids
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Rectal Bleeding
Urgent Gastroenterology Services
Advice & Guidance Service and FAQs
Cervical Conditions
Chronic Pelvic Pain
Dyspareunia
Early Pregnancy Assessment Clinic
Emergency Gynae Clinic - NBT
Endometriosis
Female Cosmetic Surgery
Female Genital Mutilation
Female Genitalia Surgery
Female Urinary Incontinence
Fibroids
Heavy Menstrual Bleeding NS MOM
Hyperemesis Gravidarum
Menopause
Menstrual Disorders
Oligomenorrhoea and irregular menstrual bleeding NS MOM
Open Access Gynae Imaging
Ovarian Conditions
PCOS
Pelvic Organ Prolapse
Post Menopausal Bleeding
Post-coital and intermenstrual bleeding NS MOM
Recurrent Miscarriage
Termination of Pregnancy
Vaginal Discharge
Vulval skin care
Advice and Guidance Service
Anaemia
Blood Tranfusions
Guidelines for Primary Care
Sickle Cell & Thalassaemia
Warfarin monitoring
Clostridium difficile in the community
COVID -19 (Coronavirus)
Immunisation Schedules
Infectious diseases - general
Influenza
Lyme Disease
Malaria
Measles
Mumps
Scarlet Fever
Syphilis
Tuberculosis
Whooping cough
Biochemistry Advice
Chronic Disease Monitoring
Inflammatory Marker Testing
Medical Calculators
Pathology
ADHD
Autism-Spectrum
Depression - mild to moderate NS MOM
Depression - moderate to severe NS MOM
Depression - Primary care presentation NS MOM
Eating Disorders
Employment Support
IAPT Services (NEW)
Neuropsychiatry
North Somerset Wellbeing Service
Perinatal Mental Health
Primary Care Liaison Service - AWP
Schizophrenia & Psychosis NS MOM
Self-help Guides
Suicidal Thoughts
Unusual Appearance
Veterans Mental Health
Chronic Headache and Migraine
First Seizure Clinic
Head Injury Therapy Unit
Headache - migraine NS MOM
Headache - TAC NS MOM
Headache - tension type NS MOM
Huntington's Disease
Multiple Sclerosis
Neuromuscular
Neurophysiology
Neuropsychiatry
Parkinson's Disease
Parkinson's suspected NS MOM
Peripheral Neuropathy
Restless Leg Syndrome
Specialist Community Neurology
Stroke
Transient Ischaemic Attack
Tremor
Trigeminal Neuralgia
Early Pregnancy Assessment Clinic
Maternity - antenatal and preconception
Post Natal Care
Termination of pregnancy
Thyroid Function Tests and Pregnancy
Acute Angle Closure Glaucoma
Allergic Eye Disease
Anterior Uveitis / Iritis
Blepharitis
Cataract
Chalazion & Styes
Chemical injury
Community Eye Service - South Gloucestershire
Conjunctivitis
Contact Lens Related Keratitis (Corneal Ulcer)
Corneal Abrasion
Corneal Foreign Body
Dry Eye
Endophthalmitis
Episcleritis
Giant Cell Arteritis
Glaucoma
Hyphaema
Neuro-ophthalmology
Open Eye Injury
Ophthalmic Shingles
Orbital Trauma / Suspected Orbital Fracture
Pre-septal and Post-septal Cellulitis
Rapid Access Ophthalmology Clinic
Pingueculum & Pterygium
Subconjunctival Haemorrhage
Referral Tips
Referral urgency guidance
Acute knee & shoulder clinics - NBT
Back pain/ Spinal pathway
Bunions
Carpal tunnel NS MOM
CATS & SATS - South Gloucestershire
Dupuytrens contracture
Foot and Ankle Problems
Fracture Clinics - Referral
Hand problems
Hip - Osteoarthritis
Hip pain NS MOM
INNF funding policies for orthopaedics
Knee injuries - assessment
Knee injuries - further assessment
Knee injuries - meniscal tears
Knee ligament tears
Knee pain - assessment
Knee pain - Anterior
Knee pain - Chronic
Knee - Osteoarthritis
MATS & Spinal Service - Bristol
MSK Service - North Somerset
Meralgia Paraesthetica
Neck pain
Neck pain - cervical radiculopathy
Plantar fasciitis - management
Shoulder Problems
Sports Injuries
Trigger finger NS MOM
Divarication of Recti
MSK Physio services
Neurophysiotherapy
Pelvic Health Physio
Respiratory Physio
Self-management Hip & Knee pain
Bristol Community Health
North Somerset Community Partnership
South Gloucestershire Services
Ingrown Toe Nail
Antibiotics
Cannabis prescribing
Community pharmacy NS MOM
Hosiery NS MOM
Medication to avoid in dementia patients
Medicines for Self Care
NSCP Community IV antibiotic service NS MOM
Prescribing in pregnancy and breast feeding
Toxbase
Vitamin D Deficiency
Open MRI Scanner
Radiology Guidelines for Primary Care
Radiology Queries and patient information
Spinal Imaging in Primary Care
Ultrasound guidance
Air pollution and health
Asthma
Bronchiectasis
Chronic cough
Chronic Obstructive Pulmonary Disease
Community Respiratory Service
COPD management - NS MOM
Home oxygen ordering
HOT Clinics
Interstial Lung Disease
Non-Invasive Ventilation
Obstructive Sleep Apnoea
Pleural Services
Pulmonary Rehabilitation
Respiratory RAS Service - NBT
Smoking Cessation
Spirometry
Tuberculosis
Advice and Guidance
Axial Spondyloarthritis (including ank spond)
Crystal arthropathy (Gout) NS MOM
Early Inflammatory Arthritis
Fibromyalgia
Giant Cell Arteritis
Hypermobility
Osteoporosis
Osteoporosis suspected NS MOM
Osteoporotic Vertebral Fracture
Polymyalgia Rheumatica (PMR)
Psoriatic Arthritis
Exercise on referral
One You South Gloucestershire
Self Care
Self-management Hip and Knee pain
Smoking Cessation
Smoking cessation advisor support NS MOM
Contraception
Contraception LARC NS MOM
Emergency contraception NS MOM
HIV
IUD
Loss of Libido
Pelvic Inflammatory Disease
Pregnancy Advisory Service
Sexual Assault/ Abuse Support
Sexual Health Guidelines and Referral
Syphilis
Social Prescribing
Speech & Language
Surgery
Foreign Body Removal
Hernias
Plastic Surgery - Burns (adult)
Pre-operative assessment
Surgical HOT Clinic - NBT
Cosmetic Treatment (including scar revision)
Acute GP Team (Emergency Admissions)
Admission Avoidance
Emergency Care Practitioners - South Gloucestershire
NBT - Surgical (SAU) HOT Clinic
Rapid Response
Transport to Hospital
Urgent care NS MOM
Urgent Care, MIU & WIC
Urgent Urology Pathway
Acute prostatitis NS MOM
Advice and Guidance Service
Bladder & Bowel Services
Bothersome male lower urinary tract symptoms NS MOM
Chronic prostatitis NS MOM
Circumcision in adults
Erectile Dysfunction
Haematospermia
Haematuria
Hydrocele
Lower Urinary Tract Symptoms in men
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
UTIs in Care Homes
Urodynamics
Varicocele
Vasectomy
Abdominal Aortic Aneurysm
Arterial Leg Ulcers
NHS Health Check
Peripheral Arterial Disease
Varicose Veins
Vascular Hot Clinic
Vascular Nurse Specialist Clinic
Developmental Delay Pathway
Faltering Growth
Motor Coordination
Motor Disorders
Neonatal milk guideline
Sleep Disorders
Speech and Language Therapy
Enablement
End of Life Care
Endocrinology
ENT
Audiology
Ear wax in children
ENT HOT Clinic (paediatric)
Epistaxis
Middle ear problems
Moulded Ear Plugs
Nasal problems
Sleep Apnoea in Children
Speech & Language
Tongue Tie
Tonsils and Adenoids
Chronic Abdominal Pain
Constipation
Milk Related Problems
Neonatal milk guideline
Reflux Disease
Coeliac disease (children) - DRAFT
Bronchiolitis - parents guide
Chicken Pox - parents guide
Common Childhood Illness - HandiApp
Constipation - A guide for parents
Croup - parents guide
Diarrhoea and vomitting - parents guide
Febrile Convulsions - parents guide
Feverish Illness - parents guide
Gastro-oesophageal Reflux - parents guide
Head Injury - parents guide
Increasing Iron Intake
Sore Throat - parents guide
Umbilical Granuloma - parents guide
Vulvovaginitis
Weaning to a Cows milk free diet
Wheezy action plan
Physiotherapy
Plagiocephaly
Radiology
Respiratory
Acute Asthma
Bronchiolitis
Chronic Asthma
Community Acquired Pneumonia
Croup
Sleep apnoea in children
BNSSG Safeguarding Children Handbook
Child Sexual Exploitation
First Response - Bristol
Sexual Abuse Support
The Star Clinic
Contact Us Reporting Tool
BNSSG Referral Service
Hospital waiting times
Development Area
Hereditary Haemochromatosis - DRAFT
Continence Pathway DRAFT
Breast Implants -DRAFT
End of life care - children DRAFT
Abdominal Aortic Aneurysm - DRAFT
Paediatric Radiology DRAFT
Glaucoma - DRAFT
Floaters & Flashing Lights
Immunology & Allergy - TEST
Inherited Heart Conditions - DRAFT
Consumer Genetic Testing - DRAFT
Concussion / mild brain injury DRAFT
Sirona 1 April
Lymphoedema DRAFT 01-04-20
Formulary Process
Joint Formulary Paperwork
Format of the Joint Formulary and TLS classifications
Meeting dates
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 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
7. Genito-urinary system Guidelines
8. Malignant disease Guidelines
9. Blood and nutrition Guidelines
11. Eye Guidelines
13. Skin Guidelines
14. Vaccine Guidelines
16. Palliative Care Guidelines
17. Other
BNSSG CCG
North Bristol NHS Trust
University Hospitals Bristol NHS Foundation Trust
Weston Area Health NHS Trust
Stock Shortages
Formulary Process and Paperwork
BNSSG Paediatric Formulary Decisions
Paediatric Chapters
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
BNSSG Stoma prescribing guidelines v3 2018
BNSSG Rectal and transanal irrigation guidelines June 18