This month, 15 care pathways have been updated with the latest evidence, 3 care pathways have been removed pending further update and 82 care pathways have been deprioritised. Highlights include the following:

The ‘Acute diarrhoea in children’ pathway has undergone content changes to include guidance on the management of diarrhoea in children, including recommendations on when to investigate acute diarrhoea. Guidance on medication, including recommended oral rehydration salts for children requiring rehydration, has been added, along with additional practice-informed recommendations.

The ‘Diabetes’ pathway has undergone extensive structural and content changes to include updated guidance on the diagnosis and management of type 2 diabetes and related complications, including recommendations in line with the Internal Clinical Guidelines Team (ICGT) and National Institute for Health and Care Excellence (NICE) guideline on the management of Type 2 diabetes in adults. Up to date UK epidemiological information and additional guidance on self-monitoring and insulin delivery has been incorporated.

The ‘Menopause’ pathway has undergone content changes to include updated guidance on the diagnosis and management of menopause, additional recommendations on the management of premature ovarian insufficiency, information on the association between HRT and endometrial hyperplasia, and information on the treatment of menopause in women with or at risk of breast cancer.

The full list of pathways receiving an update is:

  • Acute diarrhoea in children
  • Anticoagulation
  • Asthma in children
  • Atrial Fibrillation
  • Bladder cancer
  • Chronic kidney disease
  • Deep vein thrombosis
  • Diabetes
  • Early childhood assessment
  • Female urinary incontinence
  • HIV
  • Hypertension
  • Menopause
  • Obesity in adults
  • Shingles and postherpetic neuralgia

Changes in the information landscape can be identified by different sources, including regular searches for national clinical guidelines, recently published quality-appraised secondary literature, and user feedback. The impact of new information is assessed to determine a timeframe for updating the care map. Practice-based knowledge from clinical experts is then added where appropriate.

Download the report for a brief summary of changes for all care maps updated and deprioritised in this publication.