Brain Natriuretic Peptide (BNP) Clinical Pathway
The new Brain Natriuretic Peptide (BNP) clinical pathway is now live across the CCG and available for all practices. The aim is to provide a Direct Access BNP blood test in Primary Care to rule out Heart Failure for patients without a past history of myocardial infarction. This is currently not utilised and patients are referred directly to secondary care for a Direct Access Echocardiogram test.
It is expected that patients with raised levels of serum natriuretic peptides will still be referred on to secondary care for an Echocardiograph by a GP.
Musculoskeletal Services (MSK)
A new truly integrated musculoskeletal service (MICATS) launched in Stafford and Surrounds and Cannock Chase on 1 October 2014. The service provides patients with a one stop access to the wide range of specialties to support the management of their conditions.
Putting patients at the centre of care, MICATS offers a joined up approach to providing multi-disciplinary MSK treatment (including carpal tunnel referrals), chronic pain management (for MSK patients only), rheumatology nursing care and community physiotherapy through a single point of access.
The service is led by a consultant musculoskeletal, sports and exercise physician (SEM) and includes a GP with a Special Interest (GPSI), specialist physiotherapists and podiatrists, community physiotherapists, nursing and pain management specialists.
New clinical pathways have been developed to improve services for patients with musculoskeltal conditions. The pathways were developed by the MSK working group following engagement with patients, consultants and other local clinicans.
The following MSK pathways now agreed by the CCG Membership Board are:
- pdf Foot and ankle pain (219 KB)
- pdf Knee Pain (208 KB)
- pdf Hip Pain (214 KB)
- pdf Hand and Wrist Pain (212 KB)
- pdf Elbow Pain (204 KB)
- pdf Shoulder Pain (364 KB)
- pdf Back Pain (263 KB)
- pdf Rheumatology (377 KB)
There is also a pdf Fact Sheet (337 KB) to provide you with additional information about the new service.
New clinical pathways have been developed to improve Continence service delivery for patients. The pathways have been developed by the four CCGs in South Staffordshire, working in partnership with clinicians from across the health economy and patients.
The new Integrated Continence pathways agreed by the CCG Membership Board are:
- Male Urinary Continence
- Female Urinary Continence
- Supporting Haematuria Algorithm (for male and female pathways)
The following patient information documents are also available to support patients managing their condition:
- pdf Bladder Diary Template (1.44 MB)
- pdf Bladder Diary Advice Sheet (488 KB)
- pdf Bladder Training Advice (350 KB)
- pdf Pelvic Floor Exercises (532 KB)
Please note that GPs may give bladder training first and a prescription for anticholinergics before the patient is referred to the Continence Service. Prescribing should be after a trial of bladder training and not be an open ended prescription.
Falls Management Service
The Falls Management Service Pathway and Service Specification have been developed in collaboration with clinical staff from Staffordshire and Stoke on Trent Partnership Trust and clinical leads from the Clinical Commissioning Group.
The pathway has been redesigned to bring the service in line with NICE Guidance with regards to eligibility criteria for patients over the age of 65. Additional guidance is provided to support effective referral into the Falls Service, which is provided by Staffordshire and Stoke on Trent Partnership Trust.
- pdf Falls Management Service - Pathway (201 KB)
- pdf Falls Management Service - Service Specification (602 KB)
- pdf Falls Management Service - Single Point of Access Flowchart (145 KB)
- pdf Falls Management Service - Referral Form (389 KB)
- pdf Falls Management Service - Generic Demographic Form (357 KB)
Nursing Home Protocols
Due to the high number of hospital admissions from residential and nursing homes for Urinary Tract Infections (UTIs) and Aspiration Pneumonia a group of multi-disciplinary professions worked in partnership to develop protocols for residential and nursing homes for these conditions.
The group comprised of GPs, Ambulance Service, Medicines Management, Clinical Nurse Specialists for Respiratory and Continence, Speech and Language Therapy (SALT) and residential and nursing home representatives. The new protocols, including relevant referral forms, are: