This month, 12 care maps have been updated with the latest evidence and 7 care maps have been removed pending further update. Highlights include the following:
The ‘Prostate cancer’ care map has been updated in line with the new Public Health England (PHE) guidance and summary guidance to provide clear and balanced information on asymptomatic patients and prostate specific antigen testing for prostate cancer. Recommendations on specialist management of prostate cancer from the National Institute of Health and Care Excellence (NICE) has been added. Updated recommendations on the assessment and general management of prostate cancer and information on managing and referral of patients with adverse effects has been included.
The ‘Red eye’ care map has undergone significant structural and content changes. Recommendations have been added regarding initial assessment of red eye in primary care, including emergency referral to secondary care for serious causes of red eye, and on the primary care management of non-serious causes of red-eye, including conjunctivitis and blepharitis.
The ‘Stable angina’ care map has been updated with recommendations added throughout the pathway, including prescribing considerations. The latest guidance on assessment and diagnosis of recent onset chest pain and latest fitness-to-drive assessment information published by the Driver and Vehicle Licensing Agency (DVLA) has been incorporated.
The full list of pathways receiving an update is:
- Acute coronary syndrome
- Depression in Adults
- Gallstones (and associated conditions)
- Headache in adults
- Pelvic inflammatory disease
- Post-exposure prophylaxis
- Premenstrual syndrome
- Prostate cancer
- Red eye
- Stable Angina
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 pathway. 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 in this publication.