Best practice library – pathways

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Key overarching resources

The resources below are organised by specialty, and where relevant, sub-specialty.

The video below is a guide to the clinical pathways and how they have been developed.

Click here to view NHSX advice how to use digital ways of working along clinical pathways

Click here to view the GIRFT pathway template >

Click here to view guidance on pathway development >

Orthopaedics

Total hip replacement pathway >

Total Knee Replacement pathway >

Uni Knee Replacement pathway >

GIRFT Hip & Knee Pathway Supporting Guidance >

Anterior Cruciate Ligament Reconstruction pathway >

Bunions pathway >

Therapeutic shoulder arthroscopy for rotator cuff repair OR subacromial decompression pathway >

Orthopaedic pathway code recipes >

Spinal

Posterior Lumbar Decompression / Discectomy pathway >

One or Two Level Posterior Fusion surgery (PLF / TLIF / PLIF) pathway >

Lumbar Nerve Root Block/Epidural pathway >

Lumbar Medial Branch Block/Facet Joint Injections pathway >

One or Two Level Anterior Cervical Discectomy & Fusion/Disc Replacement
(ACDF/CDR), Posterior Cervical Foraminotomy pathway >

Spinal pathway code recipes >

Urology

Male bladder outflow surgery pathway >

Bladder outflow obstruction pathway >

Bladder tumour resection pathway (in cases of breakdown in cancer services) >

Cystoscopy plus (rigid cystoscopy, endoscopic lower urinary tract procedures) >

Minor peno-scrotal surgery pathway >

Ureteroscopy and stent management pathway >

Urology pathway code recipes >

Ear, nose and throat

Endo sinus surgery pathway >

Nasal airway surgery pathway >

Myringoplasty pathway >

Tonsillectomy pathway >

ENT pathway code recipes >

Ophthalmology

NHSE/I Low Complexity Daycase Cataract Surgery Pathway >

Glaucoma pathway >

AMD (Age-related macular degeneration) pathway >

Diabetic macular oedema pathway >

Urgent and emergency eye care pathway >

General Surgery

Inguinal Hernia pathway >

Laparoscopic Cholecystectomy pathway >

Paraumbilical Hernia pathway >

General surgery pathway code recipes >

Gynaecology

Operative laparoscopy pathway >

Endometrial ablation pathway >

Hysteroscopy pathway >

Laparoscopic hysterectomy (with or without removal of ovaries) pathway >

Vaginal hysterectomy (anterior/posterior vaginal wall repair) pathway >

Gynaecology pathway code recipes >

Oral and maxillofacial surgery (OMFS)

Removal of wisdom teeth, impacted teeth and buried teeth in adults >

Removal of impacted teeth in children >

Isolated zygoma orbit >

Isolated fractured mandible >

Extraction of teeth in adults >

Extraction of teeth in children >