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

The table headings below are active links; click a heading to sort in ascending or descending order.

Document Title Issue Date Review Date Status
Inappropriate Polypharmacy Review and Treatment Optimisation: Resource Pack 20210902 Sep 2021 20220302 Mar 2022
Management of overactive bladder in adults 20190802 Aug 2019 20220802 Aug 2022
Trans-Anal Irrigation (TAI) Pathway 20171202 Dec 2017 20221202 Dec 2022
Tobacco Dependency Treatment Guideline 20220202 Feb 2022 20250102 Jan 2025

Antimicrobial guidelines

Antimicrobial Guidelines 20220602 Jun 2022 20220802 Aug 2022 This guideline is reviewed quarterly; comments will be accepted continuously
Dental Antimicrobial Guidelines 20200202 Feb 2020 20230202 Feb 2023
GP guide - lnfluenza outbreak in an adult care home 20190102 Jan 2019 20220102 Jan 2022

Respiratory

Asthma Management Plan 20220402 Apr 2022
Asthma Management Plan - Inhaler Guide 20221002 Oct 2022
COPD Management Plan 20211102 Nov 2021 20230902 Sep 2023
COPD Management Plan - inhaler guide 20211202 Dec 2021 20230902 Sep 2023
Greener inhaler poster for patients 20220802 Aug 2022
Greener inhaler poster for staff 20220802 Aug 2022
Achieving the IIF respiratory and inhaler targets - A supportive plan for PCNs 20220802 Aug 2022

Lipid management

Lipid management pathway (secondary prevention) 20221102 Nov 2022
PCSK9 inhibitors in the treatment of hypercholesterolaemia 20191102 Nov 2019 20211102 Nov 2021

Dermatology and allergy

Chronic urticaria in primary care for adults and children 20170902 Sep 2017 20190902 Sep 2019
Cow's milk protein allergy: prescribing infant formula for in primary care 20200402 Apr 2020 20230402 Apr 2023
Dermatology pathways: Management of acne in primary care 20190402 Apr 2019 20220102 Jan 2022 Under review
Dermatology pathways: Management of actinic keratoses in primary care 20190402 Apr 2019 20220102 Jan 2022
Dermatology pathways: Management of eczema in primary care 20190402 Apr 2019 20220102 Jan 2022
Dermatology pathways: Emollient ladder 20190402 Apr 2019 20220102 Jan 2022
Dermatology pathways: Management of psoriasis in primary care 20190402 Apr 2019 20220102 Jan 2022
Dermatology pathways: Steroid ladder 20190402 Apr 2019 20220102 Jan 2022
Dermatology pathways: Management of warts in primary care 20190402 Apr 2019 20220102 Jan 2022

CNS and pain

Benzodiazepine and Z-drug prescribing: Resource Pack 20210502 May 2021 20240502 May 2024
Gabapentinoids - Prescribing for pain resource pack 20210702 Jul 2021 20230702 Jul 2023
Gabapentinoids - Prescribing for pain resource pack - editable version 20210702 Jul 2021 20230702 Jul 2023
Headache Pathway 20220602 Jun 2022 20250602 Jun 2025
Low strength antipsychotic prescribing in dementia: a resource for GPs 20151102 Nov 2015 20181102 Nov 2018
Neuropathic Pain in Adults - Guideline for Primary Care 20220502 May 2022 20250502 May 2025
Opioid Prescribing for Chronic Pain: Resource Pack 20180802 Aug 2018 20210902 Sep 2021
Palliative Care Pain and Symptom Control Guidelines for Adults 20191102 Nov 2019 20221102 Nov 2022 Developed in line with GMMMG process by the Greater Manchester and Eastern Cheshire Strategic Clinical Networks. Adopted for use by GMMMG

Gender dysphoria

Gender Dysphoria - Supporting information for GPs 20170402 Apr 2017 20200402 Apr 2020
The Royal College of Psychiatrists' Oct 2013: Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria 20131002 Oct 2013 20181002 Oct 2018

High cost drug pathways

High Cost Drug Pathway for Ankylosing Spondylitis and Psoriatic Arthritis 20180102 Jan 2018 20180902 Sep 2018
High Cost Drug Pathways for Inflammatory Bowel Disease in Adults 20190602 Jun 2019 20191202 Dec 2019
High Cost Drugs Pathway for Psoriasis 20200102 Jan 2020 20221102 Nov 2022
High Cost Drugs Pathway for Psoriasis – outcomes & monitoring framework 20200102 Jan 2020 20210102 Jan 2021
High cost drugs pathway for Rheumatoid Arthritis 20171202 Dec 2017 20190702 Jul 2019
Macular drugs pathways 20171102 Nov 2017 20191002 Oct 2019

Diabetes

Insulin Prescribing Aid for Adults with Type 2 Diabetes 20191102 Nov 2019 20221102 Nov 2022
Prescribing guidance in the self-monitoring of blood glucose (SMBG) 20151202 Dec 2015 20181202 Dec 2018