Gastroenterology and Liver

CCG clinical threshold policies  

It is helpful if  proforma are used. Links to policies are below

• Bariatric surgery-referral for Tier  3 Weight Management
• Dyspepsia
  
• Cholecystectomy for gallstones
  
• Haemorrhoids
  
• Hernia
  
• Lower GI endoscopy
  

CCG Prescribing Guidelines

• Constipation –management in adults 
  
• anti-obesity agents in overweight and obese adults
• oral nutrition supplements in the community
• oral nutritional supplements for care home residents

 Faecal Immunochemical Testing (FIT) in Primary Care (Mar 2019) 

• FIT Patient Pathway
• Taking a FIT Sample - Patient Leaflet
• FIT Info for GPs
• CRUK - Key things to know about FIT (England - Screening vs Symptomatic FIT Infographic)
• CRUK GP education slides for symtomatic FIT (PowerPoint)

Addenbrooke's (N3)

  Gastroenterology and Hepatology pages

 Referral guidance

• Calprotectin
• Hepatology referral guidance
  
• Hepatology A&G FAQ  
• IBS (Bowel symptoms in young patients) Feb 2019

Referral proforma 

• Coeliac Disease        
  
• Crohn's/Colitis suspected  
  
• Dyspepsia (not fast-track)
• Dysphagia (SALT referral)
• Hepatology referral proforma Jan 2019
• Hepatology fibroscan proforma Jan 2019
• Iron deficiency anaemia 

   General Surgery

    General surgery page  (includes  Breast, colorectal, HPB, Upper Gi Surgery and Vascular)

CPFT

• Dietetics 
• Dietetics referral form

Weight management/healthy eating

• Weight management-EveryoneHealth-~Cambridgeshire county council
• Healthy  Peterborough

NICE Guidance

• Cancer referrals upper GI and Lower GI
• Coeliac disease
  
• Crohn’s Disease
  
• Faecal calprotectin diagnostic tests for inflammatory disease of the bowel
  
• Faecal incontinence in adults: management
  
• Gastro-oesophageal reflux disease and dyspepsia in adults
  
• Irritable bowel syndrome in adults
  
• Non-alcoholic fatty liver disease (NAFLD)
  
• Ulcerative colitis
  

 Useful links

• British Dietetic Association (BDA)-Food Facts-helpful leaflets
  
• CKS Gastroenterological pages
• Eastern Liver Network-contains guidelines, referral pathways, information
• Manchester anaemia guideline (comprehensive flow charts and guidance)