Clinical Management Plans: Version 2.00 Evidence Base

Clinical Management Plans: Version 2.00 Evidence Base Declaration for Clinical Quality Working Group May 2015

CMP Number

Title of CMP Date of approval

List of evidence used Declaration that evidence is within approved evidence base (tick)

1 Asthma 01/05/2015 JRCALC NICE Guidelines

Y

2 Cough 01/05/2015 Oxford Handbook of General Practice Y

3 Hyperventilation 01/05/2015 http://student.bmj.com/back_issues/0304/education/105.html JRCALC 2013

Y

4 LRTI (exacerbation COPD, bronchitis, pneumonia)

01/05/2015 Oxford Handbook of General Practice Y

5 Painful breathing 01/05/2015 Oxford Handbook of General Practice Y

6 Pulmonary Embolism 01/05/2015 NICE Guidelines (CG144) Oxford Handbook of General Practice 3rd Edition

Y

7 Rib fracture assessment and management

01/05/2015 http://www.patient.co.uk/health/care-of-rib-injuries JRCALC 2013

Y

8 AF/Arrhythmia [tachy and brady, irregular]

01/05/2015 Oxford Handbook of General Practice NICE CG180 - http://www.nice.org.uk/Guidance/CG180

Y

9 Anaemia – awareness of causes and management

01/05/2015 http://www.labtestsonline.org.au/understanding/conditions/anemia/ http://www.nhs.uk/conditions/Anaemia-iron-deficiency-/Pages/Introduction.aspx

Y

CMP Number



10 Chest pain (non-cardiac) 01/05/2015 Oxford Handbook of General Practice Y

11 Dizziness [near syncope, near faints, funny turns] – hypotension [incl postural], arrhythmias, valvular disorders

01/05/2015 Oxford Handbook of General Practice Y

12 DVT and PE – consider low molecular wt heparin e.g. clexane

01/05/2015 NICE Guidelines (CG144) Oxford Handbook of General Practice 3rd Edition

Y

13 Heart failure 01/05/2015 Oxford Handbook of General Practice European Society of Cardiology Guidelines - http://escardio.org/Guidelines-&-Education/Clinical-Practice-Guidelines/Acute-and-Chronic-Heart-Failure New York Heart Association Heart Failure Classification - http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp

Y

14 Hypertension [Nice 2011] 01/05/2015 nice.org.uk – CG127 (2011) Oxford handbook of general practice (2007) JRCALC 2013 Symptom Sorter 2008 eGuidelines - hypertension (2011)

Y

15 Hypotension 01/05/2015 NICE CG109 JRCALC 2013

Y

CMP Number



16 Pacemaker and ICD problems

01/05/2015 http://www.patient.co.uk/health/care-of-rib-injuries JRCALC 2013 http://www.patient.co.uk/doctor/Pacemaker-Syndrome-and-Pacemaker-Complications.htm

Y

17 Sickle cell crisis 01/05/2015 JRCALC 2013 www.nice.org.uk/guidance/CG143

Y

18 Addison disease and crisis 01/05/2015 JRCALC 2013 Y

19 Diabetes – new diagnosis 01/05/2015 CKS http://cks.nice.org.uk/diabetes-type-1 Diabetes UK http://www.diabetes.org.uk/ NICE guidance http://www.nice.org.uk/guidance/cg15

Y

20 hyper : ketotic and non ketotic hyperosmolar

01/05/2015 JRCALC, 2013 World Health Organisation NICE guidance http://www.nice.org.uk/guidance/cg15

Y

21 hypo follow through management

01/05/2015 Diabetes UK JRCALC 2013

Y

22 Thyroid presentation – hypothyroid and hyperthyroid

01/05/2015 http://cks.nice.org.uk/hypothyroidism#!diagnosissub http://cks.nice.org.uk/hyperthyroidism#!scenariorecommendation

Y

23 Abdo pain 01/05/2015 Symptom Sorter 2nd Edition Oxford Handbook of General Practice

Y

24 Appendicitis 01/05/2015 Oxford Handbook of General Practice, 2nd Ed (2006) Oxford Handbook of Clinical Medicine

Y

25 Bowel obstruction 01/05/2015 Oxford Handbook of General Practice, 3rd Edition Oxford Handbook of Clinical Medicine, 8th Edition Patient UK: http://www.patient.co.uk/doctor/Intestinal-Obstruction-and-Ileus.htm

Y

CMP Number



26 Catheter problems 01/05/2015 Oxford Handbook of General Practice Y

27 Constipation – senna vs movicol

01/05/2015 Oxford Handbook of General Practice, 3rd Edition Patient UK: http://www.patient.co.uk/health/constipation-in-adults-leaflet

Y

28 Diverticulitis 01/05/2015 Clinical knowledge summaries Oxford handbook of General practice BMJ

Y

29 Dyspepsia 01/05/2015 CKS (Nov 2013) - Dyspepsia Y

30 Nausea, vomiting and diarrhoea over 16

01/05/2015 Oxford Handbook of General Practice http://cks.nice.org.uk/gastroenteritis#!management

Y

31 Gall bladder pain 01/05/2015 http://cks.nice.org.uk/cholecystitis-acute http://www.patient.co.uk/doctor/gallstones-and-cholecystitis

Y

32 Haematuria 01/05/2015 http://cks.nice.org.uk/urological-cancer-suspected#!scenariobasis Symptom sorter 2nd edn

Y

33 Hernias 01/05/2015 Oxford Handbook of General Practice Y

CMP Number



34 Inflammatory bowel disease

01/05/2015 eGuidelines.co.uk (2011) ‘Guidelines for the management of inflammatory bowel disease in adult’. British Society of Gastroenterology. http://www.eguidelines.co.uk/eguidelinesmain/guidelines/summaries/gastrointestinal/bsg_ibd_adults.php National institute for health and care excellence (2013). ‘Ulcerative colitis: management in adults, children and young people’. NICE. Manchester National Institute for Health and Care Excellence (2012). ‘Crohn's disease. Management in adults, children and young people’. NICE. Manchester Simon et al (2010) ‘Oxford Handbook of General Practice’. Oxford University Press. New York

Y

35 Irritable bowel syndrome 01/05/2015 Symptom sorter 2nd Edition eGuidelines: Diagnosis and Management of IBS in primary care NICE CG61 Irritable Bowel Syndrome NHS choices -http://www.nhs.uk/Conditions/Irritable-bowel-syndrome/Pages/Introduction.aspx

Y

36 LUTI with indwelling catheter

01/05/2015 http://cks.nice.org.uk/urinary-tract-infection-lower-women#!scenario:3 http://cks.nice.org.uk/urinary-tract-infection-lower-men#!scenariorecommendation:4

y

37 Obtaining catheter sample 01/05/2015 http://www.nursingtimes.net/nursing-practice/clinical-zones/continence/obtaining-a-catheter-specimen-of-urine/1314915.article#

y

38 Ostomies & Stoma problems

01/05/2015 Simon et al (2010) Oxford handbook of general practice y

CMP Number



39 Peptic ulcer disease – consider H2 antagonist ranitidine

01/05/2015 http://cks.nice.org.uk/urological-cancer-suspected#!scenariobasis Symptom sorter 2nd edn

y

40 Pyelonephritis 01/05/2015 Clinical Knowledge Summaries (2013) Acute Pyelonephritis. Available at: http://cks.nice.org.uk/pyelonephritis-acute

y

41 Renal Colic 01/05/2015 Clinical Knowledge Summaries (2009) Renal Colic. Available at http://cks.nice.org.uk/renal-colic-acute

y

42 UTI In Men 01/05/2015 Oxford Handbook of General Practice 3rd Edition Clinical Knowledge Summaries http://cks.nice.org.uk/urinary-tract-infection-lower-men

y

43 UTI in Women 01/05/2015 NICE Guidelines(online), Scottish Intercollegiate Guidelines Network (online) Oxford Handbook of General Practice 3rd Edition (2010) Oxford Handbook of Emergency Medicine 4th Edition (2012) Oxford Handbook of Clinical Examination and Practical Skills (2010) Symptom Sorter (2010) The Minor Illness Manual (2012).

y

44 Adult seizures including alcoholic, post vasovagal

01/05/2015 JRCALC Clinical Practice Guidelines 2013 https://www.epilepsy.com/epilepsy/auras - accessed on 28/11/13 www.youngepilepsy.org.uk - accessed on 26/10/2013 – 29/10/2013 Febrile seizures – CMP SECAmb 2009 (CKS & GP notebook) http://cks.nice.org.uk/alcohol-problem-drinking#azTab – accessed 30/12/2013

y

45 Bell’s Palsy 01/05/2015 BMJ learning module CKS Oxford handbook of A&E medicine Oxford handbook of Clinical diagnosis

y

CMP Number



46 Head injury over 16 01/05/2015 Head injury NICE CG 176 (2014) y

47 Headaches 01/05/2015 Oxford Handbook of General Practice SIGN JRCALC 2013

y

48 Problems with: MS, Parkinson’s, MND, Huntingdon’s, Cerebral palsy.

01/05/2015 Patient.co.uk Oxford handbook of General practice

y

49 TIA 01/05/2015 Scottish Intercollegiate Guidelines Network (2008). Guideline 108: Management of patients with stroke or TIA: Assessment, Investigation, immediate management and secondary prevention. Edinburgh: Scottish Intercollegiate Guidelines Network. Department of Health (2007) National Stroke Strategy. London: Department of Health. National Institute of Clinical Excellence (2008). NICE Clinical Guideline 68: Stroke: Diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). London: National Institute of Clinical Excellence. Oxford Handbook of Emergency Medicine (2012)

y

50 Transient Loss of Consciousness

01/05/2015 NICE 2010, Transient Loss of consciousness y

51 Vertigo including Meniere’s

01/05/2015 NICE Clinical Knowledge Summary, Vertigo; http://cks.nice.org.uk/vertigo, Oxford Handbook of General Practice - S Chantal, H Everitt & F van Dorp The Minor Illness Manual, 4th Edition - G Johnson, I Hill-Smith

y

52 Blepharitis 01/05/2015 Oxford Handbook of General Practice’. (2005). Oxford. http://cks.nice.org.uk/blepharitis#!scenariorecommendation

y

CMP Number



53 Blunt trauma to eye 01/05/2015 Minor Injuries: A Clinical Guide (Purcell) y

54 Chemicals in eye 01/05/2015 Minor Injuries: A Clinical Guide. Purcell. http://cks.nice.org.uk/corneal-superficial-injury#!scenariorecommendation:3

y

55 FB in eye (inc corneal abrasions)

01/05/2015 Minor Injuries: A Clinical Guide. Purcell. http://cks.nice.org.uk/corneal-superficial injury#!scenariorecommendation

y

56 Pain in eye and red eye 01/05/2015 Minor Injuries: A Clinical Guide (Purcell) http://www,gpnotebook.co.uk Symptom Sorter 2nd edn Oxford Handbook of General Practice

y

57 Epistaxis 01/05/2015 Oxford Handbook of General Practice http://www.patient.co.uk/showdoc/40000953/ http://cks.nice.org.uk/epistaxis#!scenariorecommendation:7

y

58 Rapid Rhino 01/05/2015 NA y

59 foreign body : external auditory meatus

01/05/2015 Oxford Handbook of Emergency Medicine Minor Injuries A clinical guide

y

60 foreign body : nose 01/05/2015 Oxford Handbook of Emergency Medicine Minor Injuries A clinical guide

y

61 oral Candida 01/05/2015 http://www.dermnetnz.org/fungal/oral-candidiasis.html http://cks.nice.org.uk/candida-oral

y

62 Otitis externa 01/05/2015 Oxford Handbook of General Practice http://cks.nice.org.uk/otitis-externa#!scenariorecommendation

y

63 Otitis media 01/05/2015 Oxford Handbook of General Practice Symptom Sorter, 2nd edn http://cks.nice.org.uk/otitis-media-acute#!scenarioclarification

y

CMP Number



64 URTI/Tonsillitis (sore throat)

01/05/2015 Oxford Handbook of General Practice GP Notebook : http:// www.gpnotebook.co.uk http://cks.nice.org.uk/sore-throat-acute#!scenariorecommendation

y

65 Facial injuries 01/05/2015 Purcell, P. (2010) Minor Injuries - A Clinical Guide. 2nd Ed. Elsevier Wyatt et al.(2012) Oxford Handbook of Emergency Medicine. 4th Ed. OUP

y

66 Animal bites 01/05/2015 http://cks.nice.org.uk/bites-human-and-animal#!scenario:2 y

67 Human bites 01/05/2015 http://cks.nice.org.uk/bites-human-and-animal#!scenariorecommendation

y

68 Insect bites 01/05/2015 CKS: http://cks.nice.org.uk/insect-bites-and-stings#!scenariorecommendation

y

69 Minor burns and scalds 01/05/2015 http://cks.nice.org.uk/burns-and-scalds y

70 Pre-tibial lacerations 01/05/2015 - Minor Injuries: A Clinical Guide (Purcell) - Ball, C. ‘The management of pretibial lacerations in the community’ Journal of Community Nursing. http://www.jcn.co.uk/journal.asp?MonthNum=06&YearNum=2002&Type=backissue&ArticleID=478 - Nursing Times - http://www.nursingtimes.net/printPage.html?pageid=200403

y

71 Pressure Sore/Ulcer 01/05/2015 NHS choices – Pressure Ulcers - http://www.nhs.uk/Conditions/Pressure-ulcers/Pages/Introduction.aspx

y

72 Rashes 01/05/2015 - http://www.patient.co.uk/showdoc/23068852/ - http://www.gpnotebook.co.uk/simplepage.cfm?ID=-2073362419

y

73 Shingles 01/05/2015 - Oxford Handbook of General Practice - http://www.gpnotebook.co.uk/simplepage.cfm?ID=1141243908 - http://cks.nice.org.uk/shingles#!scenariorecommendation:3

y

CMP Number



74 Skin & Wound Assessment

01/05/2015 • Symptom sorter – 2nd Edn • The minor illness manual – 4th Edn • http://www.unexplainedbruising.net/ • http://cks.nice.org.uk/lacerations#!diagnosissub– accessed 13/01/2014 • SECAmb PGD • Tetanus CMP • http://cks.nice.org.uk/burnsandscalds#!scenariorecommendation:5 • http://cks.nice.org.uk/lacerations#!scenariorecommendation

y

75 Skin infections 01/05/2015 http://www.patient.co.uk/doctor/cellulitis-and-erysipelas-pro

76 Urticaria 01/05/2015 http://cks.nice.org.uk/urticaria#!background http://cks.nice.org.uk/urticaria#!management

y

77 Venous Ulceration : including bed sores, varicose and neuropathic [e.g. diabetic]

01/05/2015 http://cks.nice.org.uk/leg-ulcer-venous#!scenariorecommendation y

78 Wound closure with sutures or glue

01/05/2015 cks.nice.org.uk/lacerations www.patient.co.uk/doctor/Simple-wound-management-and-suturing

79 emergency contraception 01/05/2015 www.patient.co.uk/doctor/emergency-contraception-pro y

80 emergency contraceptive advice

01/05/2015 • The minor illness manual 4th Edn • http://www.nhs.uk/Conditions/contraception-guide/Pages/combined-contraceptive-pill.aspx • http://www.nhs.uk/Conditions/contraception-guide/Pages/the-pill-progestogen-only.aspx

y

81 Pelvic pain 01/05/2015 -Oxford Handbook of General Practice. y

CMP Number



82 Pregnancy Problems 01/05/2015 - The Minor Illness Manual fourth edition - Oxford Handbook of General Practice 2004

y

83 Sexual health 01/05/2015 · NHS Choices: http://www.nhs.uk/chq/Pages/977.aspx?CategoryID=118&SubCategoryID=121 · Oxford Handbook of General Practice, 2nd Edition. · http://cks.nice.org.uk/hiv-infection-and-aids

y

84 Vaginal Bleeding 01/05/2015 • http://www.nhs.uk/Conditions/Periods-painful/Pages/Treatment.aspx • http://www.nhsdirect.nhs.uk/~/media/Selfcare/FemaleSexualHealth/VaginalBleeding.ashx (2010) • The Minor illness Manual 4th edn

y

85 Prostatitis 01/05/2015 - Simon, C Everitt, H and Kendrick. T (2008), Oxford Handbook of General Medicine. 2nd ed: OUP. - http://www.nhs.uk/Conditions /Testicular-lumps-benign/Pages/Causes.aspx - http://cks.nice.org.uk/prostatitis-acute#!topicsummary - http://cks.nice.org.uk/prostatitis-chronic#!topicsummary - http://www.nhs.uk/Conditions/Prostatitis/Pages/Treatment.aspx

y

86 Scrotal swelling/pain 01/05/2015 - Oxford Handbook of General Practice - Symptom Sorter 2nd Edition - http://cks.nice.org.uk/scrotal-swellings#!background

y

CMP Number



87 Sexual health 01/05/2015 - NHS Choices: http://www.nhs.uk/chq/Pages/977.aspx?CategoryID=118&SubCategoryID=121 - Oxford Handbook of General Practice, 2nd Edition. - http://cks.library.nhs.uk/balanitis http://cks.nice.org.uk/urethritis-male#!backgroundsub - STI Statistics. AVERT Web site. http://www.avert.org/stdstatisticuk.htm

y

88 Arthritis 14/05/2015 - http://cks.nice.org.uk/rheumatoid-arthritis#!scenariorecommendation, http://cks.nice.org.uk/gout#!scenariobasis:1 - Oxford Handbook of General Practice, 3rd edition - Symptom Sorter, 3rd edition

y

89 Ankle injuries 14/05/2015 - Minor Injuries, A Clinical Guide (Purcell) - http://cks.nice.org.uk/sprains-and-strains#!scenario - http://www.gp-training.net/rheum/ottawa.htm

y

90 Chest wall pain post injury 14/05/2015 - http://www.nhs.uk/conditions/rib-injuries/Pages/Introduction.aspx - Minor injuries, a clinical guide, Purcell 2006

y

91 c-spine clearance following RTC/whiplash

14/05/2015 - B P Armstrong, H K Simpson, R Crouch, C D Deakin ‘Prehospital clearance of the cervical spine: does it need to be a pain in the neck?’ - http://emj.bmj.com/cgi/content/abstract/24/7/501 - JRCALC Guidelines 2013 - Intensive Care Society Guidelines 2005 - Canadian C Spine Rules - CKS: http://cks.nice.org.uk/neck-pain-whiplash- injury#!scenariorecommendation

y

CMP Number



92 Hand Injuries 14/05/2015 Purcell, D. (2010) Minor injuries, a clinical guide. 2nd edn. Edinburgh: Churchill Livingston. (Accessed 12 December 2013)

y

93 Hip/pelvic pain (post fall) 14/05/2015 - Patient UK: http://www.patient.co.uk/showdoc/40001280/ - ‘Massive haemorrhage after a low-energy pubic ramus fracture in a 71-year-old woman’ Postgraduate Medical Journal 2006

y

94 Knee injuries 14/05/2015 http://cks.nice.org.uk/knee-pain-assessment#!scenariorecommendation

y

95 Knee pain (non-traumatic) 14/05/2015 - CKS (2011) http://cks.nice.org.uk/knee-pain-assessment#!scenario - Simon et al (2010) ‘Oxford Handbook of General Practice’. Oxford University Press. New York. - Wyatt et al (2006) ‘Oxford Handbook of Emergency Medicine. Oxford University Press. New York

y

96 Non traumatic back pain 14/05/2015 cks.nice.org.uk/back-pain-low-without-radiculopathy y

97 Non traumatic neck pain 14/05/2015 - Simon et al (2010) ‘Oxford Handbook of General Practice’. Oxford University Press. New York - CKS (2009) http://cks.nice.org.uk/neck-pain-non-specific#!topicsummary

y

98 Olecranon bursitis 14/05/2015 Purcell: Minor Injuries: A Clinical Guide. 2003 y

99 Polymyalgia Rheumatica 14/05/2015 - National Institute for Health and Care Excellence: Clinical Knowledge Summaries (2009) - Polymyalgia Summary: cks.nice.org.uk/polymyalgia-rheumatica - Oxford Handbook of General Practice, 2nd edition - Oxford Handbook of Clinical Medicine, 6th edition

y

100 Radial head subluxation 14/05/2015 - A Comparison of Supination/Flexion to Hyperpronation in the Reduction of Radial Head Subluxations PEDIATRICS Vol. 102 No. 1 July 1998. - http://www.patient.co.uk/doctor/Radial-Head-Subluxation.htm

y

CMP Number



101 Septic Arthritis 14/05/2015 - http://cks.nice.org.uk/rheumatoid-arthritis#!scenariorecommendation - Oxford Handbook of General Practice, 3rd edition - Symptom Sorter, 3rd edition, Radcliffe Publishing

y

102 Shoulder injuries 14/05/2015 - Purcell, D. (2003) Minor Injuries, A Clinical Guide. Livingstone - http://cks.nice.org.uk/shoulder-pain#!scenariorecommendation

y

102a Shoulder pain 14/05/2015 cks.nice.org.uk/shoulder-pain y

103 Sprain or strain management

14/05/2015 - Oxford medical dictionary – 2nd Ed - http://cks.nice.org.uk/sprains-and-strains#!scenariorecommendation:2 – accessed Jan 2014 - http://cks.nice.org.uk/sprains-and-strains#!scenariorecommendation:3

y

CMP Number



104 Acute behavioural disturbance

14/05/2015 British Medical Association. (2009) The Mental Capacity Act 2005: Guidance for health professionals. Available: http://www.bma.org.uk/irnages/mentalcapacityactguidance2009_tcm4l-190120.pdf Department of Health. (2004) Improving the Management of Patients with Mental Ill Health in Emergency Care Settings Elliott R, Brown P. (2013). Exploring the developmental need for a paramedic pathway to mental health. Journal of Paramedic Practice. 5 (5), pp 264–270 Mind. (2013). Types of mental health problems. Available: http://www.mind.org.uk National Collaborating Centre for Mental Health. (2011). Common Mental Health Disorders: Identification and pathways to care (CG123). London: NCCMH National Institute for Health and Clinical Excellence. (2004). Self-harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care (CG16). London: NICE

y

105 Acute confusion 14/05/2015 National Institute for Health and Clinical Excellence (NICE). (2010) Delirium [Quick Reference Guide]. Available at: http://www.nice.org.uk/ Oxford Handbook of General Practice. 3rd edn.

y

106 Alcohol education 14/05/2015 http://cks.nice.org.uk/alcohol-problem-drinking#azTab y

107 Alcohol screening 14/05/2015 • Alcohol use disorders identification test • http://cks.nice.org.uk/alcohol-problem-drinking#azTab

y

CMP Number



108 Chronic confusion 14/05/2015 Journal of Dementia Care 2001 / Patient UK / GP Notebook NICE: CG42, 2006 & CG56, 2007 / Dementia UK / Alzheimer’s Society Diagnostic and Statistical Manual of Mental Disorders, 5th Edn Oxford Handbook of General Practice, 3rd Edn Oxford Handbook of Clinical Medicine, 7th Edn

y

109 Depression 14/05/2015 cks.nice.org.uk/depression Samaritans — telephone helpline: 08457 90 90 90 . SaneLine: telephone helpline: 0845 767 8000 6pm to 11pm MIND — www.mind.org.uk. Depression Alliance — www.depressionalliance.org. Depression UK: — www.depressionuk.org. Mental Health Foundation — www.mentalhealth.org.uk

y

110 Mental Health Crisis 14/05/2015 Oxford Handbook of General Practice The MIND Guide to Crisis Services booklet: www.MIND.org.uk/

y

111 Misuse of Drugs (Recreational Drug Use)

14/05/2015 NICE guideline CG51 & CG52, cks.nice.org.uk/opioid-dependence, www.nta.nhs.uk/who-healthcare.aspx, JRCALC 2013

y

112 Panic/anxiety attack 14/05/2015 NICE Guidelines CG022: http://cks.nice.org.uk/generalized-anxiety-disorder#!scenariorecommendation

y

CMP Number



113 Substance abuse problems

14/05/2015 NICE Clinical Guidelines CG 115: http://www.nice.org.uk/nicemedia/live/13337/53191/53191.pdf NICE Clinical Guidelines CG 120: http://www.nice.org.uk/nicemedia/live/13414/53691/53691.pdf Oxford Handbook of General Practice. 3rd edn. World Health Organisation [WHO] (2010) International Statistical Classification of Diseases and Related Health Problems 10th Revision [ICD-10]. Available at: www.who.int. Oxford Handbook of Mental Health Nursing 2007

y

114 Suicide risk assessment 14/05/2015 http://www.patient.co.uk/doctor/suicide-risk-assessment-and-threats-of-suicide http://cks.nice.org.uk/depression#!scenarioclarification Self-harm,suicide and risk:helping peoplevwho self harm http://www.rcpsych.ac.uk/files/pdfversion/cr158.pdf Self-harm: longer-term management, NICE 133

y

115 Dental pain 14/05/2015 http://cks.nice.org.uk/dental-abscess http://cks.nice.org.uk/dental-abscess#!scenariorecommendation Minor illness manual 4th Edn

y

116 EOLC / DNACPR 14/05/2015 http://www.gpnotebook.co.uk http://www.macmillan.co.uk cks.nice.org.uk/palliative-cancer-care

y

117 Ethics in Clinical Decision Making

14/05/2015 Department of Health: Reference guide to consent to for examination or treatment (2001) Health & Care Professions Council: Standards of Conduct, Performance & Ethics (2012) Oxford Handbook of Clinical Examination & Practical Skills (2007).

y

CMP Number



118 Fever/flu/Pyrexia of unknown origin

14/05/2015 • Public Health England Guidance Documents: http://www.hpa.org.uk • The Minor Illness Manual 4th Edn • National Institute of Clinical Excellence (NICE)

y

119 Management of frequent fallers

14/05/2015 • http://cks.nice.org.uk/falls-risk-assessment#!scenariorecommendation:1 • DH – ‘Urgent care pathways for older people with complex needs’ • http://www.patient.co.uk/showdoc/40026041

y

120 Management of multi-casualty RTCs

14/05/2015 NA - refer to signposted specific CMPs (i.e. C-spine clearance) y

121 Nutritional Issues 14/05/2015 www.eatwell.gov.uk https://www.nice.org.uk/guidance/cg32

y

122 Principles of using medicines

14/05/2015 • National Institute for Health and Clinical Excellence [NICE] (2009) ‘Medicines adherence’ http://www.nice.org.uk/nicemedia/live/11766/43042/43042.pdf (Accessed: 12th December 2013) • JRCALC (2013) ‘UK Ambulance Services Clinical Practice Guidelines’

y

123 Signposting for cancer 14/05/2015 www.nice.org.uk/guidance/CG27 y

124 Smoking Cessation 14/05/2015 NICE QS43: ‘Smoking cessation – supporting people to stop smoking.’ Aug 2013 www.smokefree.nhs.uk

y

125 Tetanus 14/05/2015 http://cks.nice.org.uk/lacerations#!scenariorecommendation:11 accessed 28/12/13 http://www.patient.co.uk/doctor/tetanus#ref-1 accessed 28/12/13

y

126 Mental Capacity Act 14/05/2015 Mental Capacity Act and Informed Consent Guidelines V1.0 (SECAmb) Mental Capacity Act 2005

y

CMP Number



127 Acute common childhood illness and prevention [incl rashes]

14/05/2015 The minor Illness manual fourth edition Oxford Handbook of general practice www.patient.co.uk/doctor/common-childhood-rashes

y

128 Bronchiolitis 14/05/2015 http://cks.nice.org.uk/cough-acute-with-chest-signsinchildren#!scenariorecommendation:3

y

129 croup - need dexamethasone

14/05/2015 • http://cks.nice.org.uk/croup#!scenariorecommendation:3 • The minor illness manual 4th edn

y

130 Safeguarding children 14/05/2015 • JRCALC • Safeguarding Children: http://www.everychildmatters.gov.uk/socialcare/safeguarding/ • http://www.patient.co.uk/showdoc/40002084/

y

131 Feverish illness in children 14/05/2015 Clinical Knowledge Summaries. http://cks.nice.org.uk/feverish-children-risk-assessment#!scenario

y

132 Head Injury under 16 14/05/2015 Head injury NICE CG 176 (2014)

y

133 UTI in children 14/05/2015 http://cks.nice.org.uk/urinary-tract-infection-children- y