Hertfordshire and West Essex ICB
Prescribing, Policies and Pathways
Prescribing, Policies and Pathways
The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more
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| Medicine / Guideline | Indication | RAG rating | Document type | Place |
|---|---|---|---|---|
| Acute and Chronic Otitis Media/Glue Ear and Indications for Grommets | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Adenoidectomy and Tonsillectomy and Grommets Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Allergic rhinitis pathway | Allergic rhinitis | Green | Prescribing pathway | Hertfordshire and West Essex ICB |
| Antihistamine | Seasonal allergic rhinitis - OTC | n/a | Position statement | Hertfordshire and West Essex ICB |
| Botulinum neurotoxin type A | Sialorrhoea | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Carpal Tunnel - Dupuytren's - Trigger Finger Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Chronic and Acute Sinusitis | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Dupilumab | chronic rhinosinusitis with nasal polyps | Double Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Ear Ache | Adult | n/a | Clinical pathways | South and West Hertfordshire | |
| Ear Infection | Adult | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Ear Wax | Adult and Children | n/a | Clinical pathways | South and West Hertfordshire | |
| Ear Wax Removal - Microsuction - Adults Only | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Eating & drinking at end of life | Nutrition support - End of life | n/a | Patient information | Hertfordshire and West Essex ICB |
| Fluticasone furoate 27.5micrograms/dose nasal spray (Avamys®) | Allergic rhinitis 3rd line | Green | Decision document | Hertfordshire and West Essex ICB |
| Fluticasone propionate 50micrograms/dose nasal spray (prescribed as Nasofan® only) | Allergic rhinitis 2nd line | Green | Decision document | Hertfordshire and West Essex ICB |
| Grommet insertion in Adults | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Grommet Insertion In Adults Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Grommets for glue ear in children | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Hearing Loss/Deafness | Adult | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Intranasal corticosteroids | Allergic rhinitis | Green | Decision document | Hertfordshire and West Essex ICB |
| Mometasone 50micrograms/dose nasal spray | Allergic rhinitis 1st line | Green | Decision document | Hertfordshire and West Essex ICB |
| Nasal Surgery | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Nasal Surgery Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Nose Bleeds | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Otitis Externa | n/a | Clinical pathways | East and North Hertfordshire | |
| Paediatric Acute Otitis Media | n/a | Clinical pathways | South and West Hertfordshire | |
| Paediatric Nasal Congestion | n/a | Decision document | South and West Hertfordshire | |
| Paediatric Obstructive Sleep Apnoea | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Referral and Surgery for Snoring, Sleep Disordered Breathing and Obstructive Sleep Apnoea | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Removal of adenoids for treatment of glue ear | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Rhinitis | Adults | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Rhinitis of Newborn | n/a | Clinical pathways | South and West Hertfordshire | |
| Seasonal Allergic Rhinitis (Hay Fever) | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Sinusitis and Facial Pain | Adults | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Sleep Apnoea | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Snoring and Sleep Apnoea Management in Adults | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Temporomandibular Joint Replacement | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Throat Symptoms | Adult | n/a | Clinical pathways | South and West Hertfordshire | |
| Tongue Tie | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Tonsillectomy for recurrent tonsillitis | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Tonsillectomy for tonsilloliths | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Tonsillitis and Tonsillectomy | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Treating your Hay Fever with Over The Counter (OTC) Medicines | Hay fever | n/a | Patient information | Hertfordshire and West Essex ICB |