Greater Manchester Medicines Management Group

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Clinical Guidance and Pathways

On this page you will find any clinical guidance and treatment pathways that have been approved by GMMMG or its Subgroups.

Documents are listed alphabetically
The ‘Short Title’, ‘BNF’, ‘Issue Date’ and ‘Review Date’ headings below are active links. Click a heading to sort in ascending or descending order.

40 documents currently listed

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Short TitleA-Z

BNF

Document Title

Comment

Issue
Date

Review
Date

pdf document (1,322 KB)

Ankylosing Spondylitis and Psoriatic Arthritis Biologics Pathway

10

Harmonised Biologics Pathway for Ankylosing Spondylitis and Psoriatic Arthritis

Jan 2018

Sep 2018

pdf document (888 KB)

Antimicrobial Guidelines

5

Greater Manchester Antimicrobial Guidelines

Comments will be received continuously for this guideline as it is reviewed quarterly

Jun 2020

Sep 2020

pdf document (385 KB)

Asthma Inhaler Guide

3

GMMMG Asthma Management Plan

Dec 2018

pdf document (140 KB)

Asthma Management Plan

3

GMMMG Asthma Management Plan

Dec 2018

pdf document (270 KB)

Chronic Urticaria

13

The management of chronic urticaria in primary care for adults and children

Sep 2017

Sep 2019

pdf document (967 KB)

CMPA Allergy

9

Prescribing infant formula for cow's milk protein allergy in primary care

May 2020

May 2023

pdf document (487 KB)

COPD

3

Greater Manchester COPD Management Plan

Dec 2017

Dec 2020

pdf document (194 KB)

COPD

3

Greater Manchester COPD Management Plan - References used to Guidance

Dec 2017

Dec 2020

pdf document (442 KB)

COPD

3

Greater Manchester COPD Management Plan - GMMG COPD inhaler Guide

Sep 2018

Dec 2020

pdf document (292 KB)

COPD

3

Greater Manchester COPD Management Plan - CCG implementation Aid

Dec 2017

Dec 2020

pdf document (287 KB)

COPD

3

Greater Manchester COPD Management Plan - Triple therapy step down flowchart

Dec 2017

Dec 2020

pdf document (107 KB)

Dental Antimicrobial Guidelines

Misc

GMMMG Dental Antimicrobial Guidelines

Feb 2020

Feb 2023

pdf document (165 KB)

Dermatology acne

13

GM guidelines for the management of acne in primary care

Apr 2019

Jan 2022

pdf document (294 KB)

Dermatology actinic keratoses

13

GM guidelines for the management of actinic keratoses in primary care

Apr 2019

Jan 2022

pdf document (135 KB)

Dermatology eczema

13

GM guidelines for the management of eczema in primary care

Apr 2019

Jan 2022

pdf document (152 KB)

Dermatology emollient ladder

13

GM emollient ladder

Apr 2019

Jan 2022

pdf document (136 KB)

Dermatology psoriasis

13

GM guidelines for the management of psoriasis in primary care

Apr 2019

Jan 2022

pdf document (149 KB)

Dermatology steroid ladder

13

GM steroid ladder

Apr 2019

Jan 2022

pdf document (124 KB)

Dermatology warts

13

GM guidelines for the management of warts in primary care

Apr 2019

Jan 2022

pdf document (311 KB)

Gender Dysphoria

6

Gender Dysphoria - Supporting information for GPs

Apr 2017

Apr 2020

pdf document (618 KB)

Gender Dysphoria

6

The Royal College of Psychiatrists? Oct 2013: Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria

Oct 2013

Oct 2018

pdf document (280 KB)

Headache Pathway

4

NW Headache Pathway

Sep 2015

pdf document (145 KB)

Headache Pathway Guideline Notes

4

NW Headache Pathway Guideline Notes

Jun 2015

Jun 2017

pdf document (908 KB)

Inflammatory Bowel Disease Biologics Pathway

1

Biologics Pathways for Inflammatory Bowel Disease in Adults

Jun 2019

Dec 2019

pdf document (688 KB)

Insulin Prescribing in Type 2 Diabetes

6

GMMMG Insulin Prescribing Aid for Adults with Type 2 Diabetes

Nov 2019

Nov 2022

pdf document (330 KB)

lnfluenza outbreak

5

GP guide - lnfluenza outbreak in an adult care home

Jan 2019

Jan 2022

pdf document (690 KB)

Low strength antipsychotic prescribing in dementia

4

Low strength antipsychotic prescribing in dementia: a resource for GPs

Nov 2015

Nov 2018

pdf document (2,215 KB)

Macular Drugs Pathways

1

Macular Drugs Pathways

Nov 2017

Oct 2019

pdf document (207 KB)

Neuropathic Pain

4

Neuropathic Pain in Adults- Guideline for Primary Care

Dec 2019

Dec 2022

pdf document (631 KB)

NOACs

2

NOAC prescriber decision support

Feb 2020

Nov 2022

pdf document (2,565 KB)

Opioid resource pack

4

GMMMG Opioid Prescribing for Chronic Pain: Resource Pack

Aug 2018

Sep 2021

pdf document (683 KB)

Overactive bladder in adults

7

Management of overactive bladder in adults

Aug 2018

Aug 2022

pdf document (1,697 KB)

Palliative Care Guidelines

Misc

GMMMG Palliative Care Pain and Symptom Control Guidelines for Adults

Developed in line with GMMMG process by the Greater Manchester and Eastern Cheshire Strategic Clinical Networks. Adopted for use by GMMMG

Nov 2019

Nov 2022

pdf document (221 KB)

PCSK9 inhibitors

2

PCSK9 inhibitors in the treatment of hypercholesterolaemia

Nov 2019

Nov 2021

pdf document (421 KB)

Polypharmacy

Misc

Polypharmacy Guidance

May 2016

May 2017

pdf document (234 KB)

Psoriasis Biologics Pathway

13

GMMMG High Cost Drugs Pathway for Psoriasis

Jan 2020

Nov 2022

pdf document (216 KB)

Psoriasis Biologics Pathway
outcomes framework

13

GMMMG High Cost Drugs Pathway for Psoriasis outcomes & monitoring framework

Jan 2020

Jan 2021

pdf document (1,997 KB)

Rheumatoid Arthritis High Cost Drugs

10

GMMMG High Cost Drugs Pathway for rheumatoid arthritis

Dec 2017

Jul 2019

pdf document (694 KB)

Self-monitoring of blood glucose

6

Prescribing guidance in the self-monitoring of blood glucose (SMBG)

Dec 2015

Dec 2018

pdf document (213 KB)

Trans-anal irrigation pathway

1

Greater Manchester Trans-Anal Irrigation (TAI) Pathway

Dec 2017

Dec 2022

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