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
HRT Guidance for Menopause Management 20230103 Jan 2023 20251203 Dec 2025
Hypersalivation and Sialorrhoea in Adult Patients 20230103 Jan 2023 20251203 Dec 2025
Inappropriate Polypharmacy Review and Treatment Optimisation: Resource Pack 20210903 Sep 2021 20220303 Mar 2022
Management of overactive bladder in adults 20190803 Aug 2019 20220803 Aug 2022
Trans-Anal Irrigation (TAI) Pathway 20171203 Dec 2017 20221203 Dec 2022
Tobacco Dependency Treatment Guideline 20220203 Feb 2022 20250103 Jan 2025

Antimicrobial guidelines

Antimicrobial Guidelines 20221203 Dec 2022 20230303 Mar 2023 This is interim guidance to link to rapidly changing national advice regarding the management of sore throat and scarlet fever
Dental Antimicrobial Guidelines 20200203 Feb 2020 20230203 Feb 2023
GP guide - lnfluenza outbreak in an adult care home 20190103 Jan 2019 20220103 Jan 2022

Respiratory

Asthma Management Plan 20220403 Apr 2022
Asthma Management Plan - Inhaler Guide 20221003 Oct 2022
COPD Management Plan 20211103 Nov 2021 20230903 Sep 2023
COPD Management Plan - inhaler guide 20211203 Dec 2021 20230903 Sep 2023
Greener inhaler poster for patients 20220803 Aug 2022
Greener inhaler poster for staff 20220803 Aug 2022
Achieving the IIF respiratory and inhaler targets - A supportive plan for PCNs 20220803 Aug 2022

Lipid management

Lipid management pathway (secondary prevention) 20230203 Feb 2023 If prescribing inclisiran, please also click here for prescribing, ordering, and cost information.
Additional patient information is also available here.
PCSK9 inhibitors in the treatment of hypercholesterolaemia 20191103 Nov 2019 20211103 Nov 2021

Dermatology and allergy

Chronic urticaria in primary care for adults and children 20170903 Sep 2017 20190903 Sep 2019
Cow's milk protein allergy: prescribing infant formula for in primary care 20200403 Apr 2020 20230403 Apr 2023
Dermatology pathways: Management of acne in primary care 20190403 Apr 2019 20220103 Jan 2022 Under review
Dermatology pathways: Management of actinic keratoses in primary care 20190403 Apr 2019 20220103 Jan 2022
Dermatology pathways: Management of eczema in primary care 20190403 Apr 2019 20220103 Jan 2022
Dermatology pathways: Emollient ladder 20190403 Apr 2019 20220103 Jan 2022
Dermatology pathways: Management of psoriasis in primary care 20190403 Apr 2019 20220103 Jan 2022
Dermatology pathways: Steroid ladder 20190403 Apr 2019 20220103 Jan 2022
Dermatology pathways: Management of warts in primary care 20190403 Apr 2019 20220103 Jan 2022

CNS and pain

Benzodiazepine and Z-drug prescribing: Resource Pack 20210503 May 2021 20240503 May 2024
Gabapentinoids - Prescribing for pain resource pack 20210703 Jul 2021 20230703 Jul 2023
Gabapentinoids - Prescribing for pain resource pack - editable version 20210703 Jul 2021 20230703 Jul 2023
Headache Pathway 20220603 Jun 2022 20250603 Jun 2025
Low strength antipsychotic prescribing in dementia: a resource for GPs 20151103 Nov 2015 20181103 Nov 2018
Neuropathic Pain in Adults - Guideline for Primary Care 20220503 May 2022 20250503 May 2025
Opioid Prescribing for Chronic Pain: Resource Pack 20180803 Aug 2018 20210903 Sep 2021
Palliative Care Pain and Symptom Control Guidelines for Adults 20191103 Nov 2019 20221103 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 20170403 Apr 2017 20200403 Apr 2020
The Royal College of Psychiatrists' Oct 2013: Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria 20131003 Oct 2013 20181003 Oct 2018

High cost drug pathways

High Cost Drug Pathway for Ankylosing Spondylitis and Psoriatic Arthritis 20180103 Jan 2018 20180903 Sep 2018
High Cost Drug Pathways for Inflammatory Bowel Disease in Adults 20190603 Jun 2019 20191203 Dec 2019
High Cost Drugs Pathway for Psoriasis 20200103 Jan 2020 20221103 Nov 2022
High Cost Drugs Pathway for Psoriasis – outcomes & monitoring framework 20200103 Jan 2020 20210103 Jan 2021
High cost drugs pathway for Rheumatoid Arthritis 20171203 Dec 2017 20190703 Jul 2019
Macular drugs pathways 20171103 Nov 2017 20191003 Oct 2019

Diabetes

Insulin Prescribing Aid for Adults with Type 2 Diabetes 20191103 Nov 2019 20221103 Nov 2022
Prescribing guidance in the self-monitoring of blood glucose (SMBG) 20151203 Dec 2015 20181203 Dec 2018