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 20210905 Sep 2021 20220305 Mar 2022
Management of overactive bladder in adults 20190805 Aug 2019 20220805 Aug 2022
PCSK9 inhibitors in the treatment of hypercholesterolaemia 20191105 Nov 2019 20211105 Nov 2021
Trans-Anal Irrigation (TAI) Pathway 20171205 Dec 2017 20221205 Dec 2022
Tobacco Dependency Treatment Guideline 20220205 Feb 2022 20250105 Jan 2025

Antimicrobial guidelines

Antimicrobial Guidelines 20220605 Jun 2022 20220805 Aug 2022 This guideline is reviewed quarterly; comments will be accepted continuously
Dental Antimicrobial Guidelines 20200205 Feb 2020 20230205 Feb 2023
GP guide - lnfluenza outbreak in an adult care home 20190105 Jan 2019 20220105 Jan 2022

Respiratory

Asthma Management Plan 20220405 Apr 2022
Asthma Management Plan - Inhaler Guide Under review
COPD Management Plan 20211105 Nov 2021 20230905 Sep 2023
COPD Management Plan - inhaler guide 20211205 Dec 2021 20230905 Sep 2023
Greener inhaler poster for patients 20220805 Aug 2022
Greener inhaler poster for staff 20220805 Aug 2022
Achieving the IIF respiratory and inhaler targets - A supportive plan for PCNs 20220805 Aug 2022

Dermatology and allergy

Chronic urticaria in primary care for adults and children 20170905 Sep 2017 20190905 Sep 2019
Cow's milk protein allergy: prescribing infant formula for in primary care 20200405 Apr 2020 20230405 Apr 2023
Dermatology pathways: Management of acne in primary care 20190405 Apr 2019 20220105 Jan 2022 Under review
Dermatology pathways: Management of actinic keratoses in primary care 20190405 Apr 2019 20220105 Jan 2022
Dermatology pathways: Management of eczema in primary care 20190405 Apr 2019 20220105 Jan 2022
Dermatology pathways: Emollient ladder 20190405 Apr 2019 20220105 Jan 2022
Dermatology pathways: Management of psoriasis in primary care 20190405 Apr 2019 20220105 Jan 2022
Dermatology pathways: Steroid ladder 20190405 Apr 2019 20220105 Jan 2022
Dermatology pathways: Management of warts in primary care 20190405 Apr 2019 20220105 Jan 2022

CNS and pain

Benzodiazepine and Z-drug prescribing: Resource Pack 20210505 May 2021 20240505 May 2024
Gabapentinoids - Prescribing for pain resource pack 20210705 Jul 2021 20230705 Jul 2023
Gabapentinoids - Prescribing for pain resource pack - editable version 20210705 Jul 2021 20230705 Jul 2023
Headache Pathway 20220605 Jun 2022 20250605 Jun 2025
Low strength antipsychotic prescribing in dementia: a resource for GPs 20151105 Nov 2015 20181105 Nov 2018
Neuropathic Pain in Adults - Guideline for Primary Care 20220505 May 2022 20250505 May 2025
Opioid Prescribing for Chronic Pain: Resource Pack 20180805 Aug 2018 20210905 Sep 2021
Palliative Care Pain and Symptom Control Guidelines for Adults 20191105 Nov 2019 20221105 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 20170405 Apr 2017 20200405 Apr 2020
The Royal College of Psychiatrists' Oct 2013: Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria 20131005 Oct 2013 20181005 Oct 2018

High cost drug pathways

High Cost Drug Pathway for Ankylosing Spondylitis and Psoriatic Arthritis 20180105 Jan 2018 20180905 Sep 2018
High Cost Drug Pathways for Inflammatory Bowel Disease in Adults 20190605 Jun 2019 20191205 Dec 2019
High Cost Drugs Pathway for Psoriasis 20200105 Jan 2020 20221105 Nov 2022
High Cost Drugs Pathway for Psoriasis – outcomes & monitoring framework 20200105 Jan 2020 20210105 Jan 2021
High cost drugs pathway for Rheumatoid Arthritis 20171205 Dec 2017 20190705 Jul 2019
Macular drugs pathways 20171105 Nov 2017 20191005 Oct 2019

Diabetes

Insulin Prescribing Aid for Adults with Type 2 Diabetes 20191105 Nov 2019 20221105 Nov 2022
Prescribing guidance in the self-monitoring of blood glucose (SMBG) 20151205 Dec 2015 20181205 Dec 2018