Acute Cystitis and Pyelonephritis Pathway

August 11, 2021

A joint Medical-Urology pathway has been agreed for Pyelonephritis Study Running  – Send Urine Sample prior to Antibiotics (if this does not interfere with treatment of Red-Flag… Read more

Antibiotics Guides

September 22, 2020

Sepsis – Click Here Suspected Covid-19 – Click Here Site Specific – Click Here Paediatric – Click Here Using APP: Sepsis PDF HERE Ideally use… Read more

Avian Flu – 2022

November 12, 2022

Avian flu is droplet spread and can sometimes effect humans as well as birds. Severity varies in  human cases  varies widely from mild to severe… Read more

Be #urosceptical

July 1, 2019

Ditch the Dipstick – for patients >65Yrs or Catheterised! Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient… Read more

COVID-19 (40 Step Desaturation Test)

April 12, 2020

NHS England has introduced the use of a “40 step desaturation test” into discharge planning from the ED. You will have heard Covid -19 patients… Read more

COVID-19 (Awake Self-Proning)

April 8, 2020

There is increasing evidence that Awake Self-Proning of our Covid-19 patients can improve oxygenation. Proning the patient can has several effects which can dramatically improve their SaO2… Read more


March 19, 2020

NIV/CPAP  is NOT an Aerosol Generating Proceedure (AGP) [As of Sept 2022] CPAP/EPAP levels of 8-15cmH2O is suggested to work well by the Italian society of… Read more

COVID-19 (Doning/Doffing Video)

March 10, 2020

2 video links to PHE how to Don and Doff your PPE Read more

COVID-19 (Donning/Doffing-LOCAL)

March 25, 2020

Local instructional videos for donning/doffing Non-Aerosol Generating Procedures Aerosol Generating Procedures Disponible FFP3 (Leeds) Read more

COVID-19 (Paediatric multisystem inflammatory syndrome)

May 13, 2020

AKA: Paediatric Inflammatory Multi-system Syndrome – Temporally associated with SARS-CoV 2  Although COVID-19 seems a benign disease in almost all children there are increasing evidence (however… Read more

COVID-19 (X-Ray learning resource)

March 15, 2020

British Society of Thoracic Imaging (BSTI) have released a free learning resource containing CXR and CT of confirmed Covid-19 cases, will short history including time… Read more

Covid-19 Trust Isolation (Dec 2021)

December 24, 2021

The trust isolation policies have been updated inline with national guidance. Scenario 1 – Staff member Symptomatic Scenario 2 – Staff member asymptomatic, with a… Read more

Covid-19: Oximetry @home pathway

January 14, 2022

In 2022 we can now refer Covid-19 patients who are being discharged into the  “Oximetry @home” pathway. CHFT staff need to complete the attached referral… Read more

Gentamicin – Prescribing on EPR

September 12, 2019

Do NOT use this regime for: Pregnant women Children under 16 years Urology surgery prophylaxis patients ANY patient who has ascites, limb amputation, cystic fibrosis,… Read more

Influenza POCT (Adult)

December 17, 2019

Flu season has arrived, and we need to be thinking about who to test and who to treat. Full guide HERE But don’t forget MERS!! Q1.… Read more

Legionnaires Disease

July 20, 2021

There has been a resent increase in cases of Legionnaires Disease in the North West. So remember to request Urine Legionella Antigen test, if you… Read more


January 23, 2024

Suspected/Confirmed patients should be ISOLATED & wear PPE  Treating Staff – (should not be; non-immunised, pregnant or immunocompromised) single-use, disposable gloves single-use, disposable apron (or… Read more

Meningitis – Adults

January 15, 2021

Keep your suspicions high – early signs it may not be clear Sepsis Kills – give antibiotics & fluid early Consider Acyclovir Give Dexamethasone with Antibiotics… Read more

MERS Standard Operating Procedure

August 22, 2019

Please see the updated SOP for Middle East respiratory syndrome coronavirus. Make sure you are familiar with this protocol and for anymore information please contact… Read more

Mpox (Formerly: Monkeypox)

March 21, 2024

Wear Gloves & Wash Your Hands!!! There have been >100 patients identified as having Mpox in the UK during the current outbreak. Most of these… Read more

Notifiable Diseases

May 10, 2019

Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control… Read more

OPAT – Cellulitis 2023

February 10, 2023

Our OPAT service can provide IV antibiotics for cellulitis for those patients that can be managed as out patients but either require IV antibiotics or… Read more

Paediatric Infections – School Exclusion/Isolation

April 26, 2023

Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public… Read more

Pneumonia – Paeds

November 28, 2019

CAP is far less common than URTI’s, however, it needs to be considered within your differentials. Depending on severity there is a guide to investigation… Read more

Rabies [notifiable disease]

April 4, 2021

Recent Incident: Bat contact was not recognized (effectively touching a bat without gloves means treatment is recommended) Rabies is an acute viral encephalomyelitis caused by members of… Read more


June 13, 2024

Three large scale multi-centre trials into Severe Sepsis and Septic Shock: ProCESS (USA), ARISE(Aus), ProMISe(UK), all showed the same thing. What works is good early… Read more

Sepsis- A leaflet for Patients

August 28, 2019

Sepsis – Keeping the patient informed A patient information leaflet about sepsis is now available by searching for Sepsis here:  Patient Information Leaflet This can… Read more

Sex, Bites, and Needle Sticks

September 12, 2019

First Aid (ALL) Encourage bleeding Wash with copious amounts of water or saline Don’t Suck Don’t use Caustic agents   Read more

Sore Throat

November 13, 2020

Background Acute sore throats are often caused by a virus, last about a week and get better without antibiotics. withholding antibiotics rarely causes complications. Antibiotic… Read more

Sore Throat and Group A Strep 2022

December 15, 2022

Due to the increased prevalence of Group A Strep (GAS) during winter 2022-23 national guidance on how we treat sore throats was updated (National advice… Read more

Tick-Bourne Diseases

August 6, 2020

The prevalence of diseases transmitted by tick bite have increased in recent years, within the UK. And it is now recognised that there are 3… Read more