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
or
| Medicine / Guideline | Indication | Place |
|---|---|---|
| Abdomen and Pelvis CT to rule out Pancreatic Cancer | South and West Hertfordshire | |
| Abdominal Hernia | Hertfordshire and West Essex ICB | |
| Access To Mental Health Services Guidance | East and North Hertfordshire, South and West Hertfordshire, West Essex | |
| Acromioclavicular Joint (ACJ) | South and West Hertfordshire | |
| Acute and Chronic Otitis Media/Glue Ear and Indications for Grommets | Hertfordshire and West Essex ICB | |
| ADHD | Hertfordshire and West Essex ICB | |
| Alcohol Related | Hertfordshire and West Essex ICB | |
| Alternatives To Admission | East and North Hertfordshire | East and North Hertfordshire | |
| Alternatives To Admission | West Essex | West Essex | |
| Alternatives To Admission| South West Hertfordshire | South and West Hertfordshire | |
| Anti-platelet Therapy in Suspected TIA | Hertfordshire and West Essex ICB | |
| Arrhythmia | South and West Hertfordshire | |
| Atrial Fibrillation (AF) | Hertfordshire and West Essex ICB | |
| Back Pain | East and North Hertfordshire | |
| Bladder-Renal Cancer | Suspected | Hertfordshire and West Essex ICB | |
| Brain and Central Nervous System Cancers | East and North Hertfordshire | |
| Brain MRI for the exclusion of Brain and CNS Cancer | South and West Hertfordshire | |
| Breast Cancer - Suspected (Adults >16 years) | Hertfordshire and West Essex ICB | |
| Breast Screening Service | Hertfordshire and West Essex ICB | |
| Breathlessness | Non-Acute | Hertfordshire and West Essex ICB | |
| Bronchiectasis in Adults | Hertfordshire and West Essex ICB | |
| Bunions | Hertfordshire and West Essex ICB | |
| Care Planning | Hertfordshire and West Essex ICB | |
| Carpal Tunnel Syndrome | South and West Hertfordshire | |
| Carpometacarpal Joint Osteoarthritis | South and West Hertfordshire | |
| Cervical Screening Decision for Adults with Learning Difficulties | South and West Hertfordshire | |
| Cervical Spine and Pain | South and West Hertfordshire | |
| Chest Pain | South and West Hertfordshire | |
| Child Sexual Exploitation | Hertfordshire and West Essex ICB | |
| Children's Cancer | Hertfordshire and West Essex ICB | |
| Chronic and Acute Sinusitis | Hertfordshire and West Essex ICB | |
| Chronic Pelvic Pain Endometriosis | South and West Hertfordshire | |
| Community Breast Pain | East and North Hertfordshire | |
| Community LRTI Pneumonia Intravenous Antibiotic pathway for Housebound Care Home patients Pathway | East and North Hertfordshire | |
| Complex Case Management, Locality MDT, and Frailty Clinics | South and West Hertfordshire | |
| COPD Pathway | East and North Hertfordshire | |
| Cough in Adults | Hertfordshire and West Essex ICB | |
| COVID Virtual Ward | East and North Hertfordshire | |
| COVID-19 Oximetry at Home | East and North Hertfordshire | |
| COVID-19 Respiratory Disease Update | Hertfordshire and West Essex ICB | |
| COVID-19 treatments: Information for clinicians | COVID-19 | Hertfordshire and West Essex ICB |
| Croup | Paediatrics | Hertfordshire and West Essex ICB | |
| CT Request and 2WW Non-Specific Symptoms Referral Pathway | South and West Hertfordshire | |
| CYP Eating Disorders and Emotional Distress | Hertfordshire and West Essex ICB | |
| De Quervains Pathway | South and West Hertfordshire | |
| Deep Vein Thrombosis (DVT) | East and North Hertfordshire | |
| Dementia | Hertfordshire and West Essex ICB | |
| Depression | Hertfordshire and West Essex ICB | |
| Dermatology / Skin Lesions / Skin Health for Adults over 16 years old | Hertfordshire and West Essex ICB | |
| Diabetes | South and West Hertfordshire | |
| Diabetes - Structured Education for Type 2 | East and North Hertfordshire | |
| Diagnosing Asymptomatic Heart Murmur | Hertfordshire and West Essex ICB | |
| Divarication of Recti | Hertfordshire and West Essex ICB | |
| Division of Ankyloglossia (Tongue Tie) | Hertfordshire and West Essex ICB, South and West Hertfordshire, West Essex | |
| Drug Titration and Review for Neuropathic Pain | Hertfordshire and West Essex ICB | |
| Dupuytren's Contracture - Assessment | Hertfordshire and West Essex ICB | |
| Ear Ache | Adult | South and West Hertfordshire | |
| Ear Infection | Adult | Hertfordshire and West Essex ICB | |
| Ear Wax | Adult and Children | South and West Hertfordshire | |
| Ear Wax Removal - Microsuction - Adults Only | Hertfordshire and West Essex ICB | |
| Eating Disorders | Hertfordshire and West Essex ICB | |
| Elbow Pain | Hertfordshire and West Essex ICB | |
| End of Life (EOL) | Hertfordshire and West Essex ICB | |
| Endometriosis | Hertfordshire and West Essex ICB | |
| Epilepsy, Fits and Seizures | Hertfordshire and West Essex ICB | |
| Exercise Protocol for the Management of CHD (Exercise for Cardiac Conditions) | East and North Hertfordshire | |
| Faecal Immunochemical Test (FIT) process pathway for suspected Lower GI Cancer | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Falls Pathways | Hertfordshire and West Essex ICB | |
| Foot / Lower Leg Wounds, including Ulcers | Hertfordshire and West Essex ICB | |
| Foot & Ankle Pain and Disorders excluding Bunions | Hertfordshire and West Essex ICB | |
| Foot Health for Diabetic Patients | East and North Hertfordshire | |
| Foot Symptoms | Adults Only | Hertfordshire and West Essex ICB | |
| Foreskin Problems - Paraphimosis & Phimosis & Circumcision | Hertfordshire and West Essex ICB | |
| Frailty | Acute, Urgent and Emergency | Hertfordshire and West Essex ICB | |
| Frailty Identification | Hertfordshire and West Essex ICB | |
| Fungal Nail Management | Hertfordshire and West Essex ICB | |
| Galstones | South and West Hertfordshire | |
| Gambling | Hertfordshire and West Essex ICB | |
| Ganglion | Hertfordshire and West Essex ICB | |
| Gender Dysphoria | Hertfordshire and West Essex ICB | |
| Glenohumeral Joint (Shoulder Pain) | South and West Hertfordshire | |
| Gynaecological Cancers - Suspected | Hertfordshire and West Essex ICB | |
| Haematological Cancer – Suspected | Hertfordshire and West Essex ICB | |
| Haematospermia | South and West Hertfordshire | |
| Haematuria | South and West Hertfordshire | |
| Haemorrhoids | Hertfordshire and West Essex ICB | |
| Hand and Wrist including Dupuytren's, Trigger Finger and Carpal Tunnel | Hertfordshire and West Essex ICB | |
| Head and Neck Cancer - Suspected | East and North Hertfordshire | |
| Headache | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Hearing Loss/Deafness | Adult | Hertfordshire and West Essex ICB | |
| Heart Failure | Hertfordshire and West Essex ICB | |
| Heart Valve Disease | South and West Hertfordshire | |
| Heavy Menstrual Bleeding (HMB) - Primary Care | Hertfordshire and West Essex ICB | |
| Hip Pain | Hertfordshire and West Essex ICB | |
| Hyperhidrosis Management | Hertfordshire and West Essex ICB | |
| Hypertension in Adults - Diagnosis and Initial Management | Hertfordshire and West Essex ICB | |
| Implementation Guide for Proactive care in Integrated Neighbourhood Teams | Hertfordshire and West Essex ICB | |
| Incidental Ovarian Cyst | South and West Hertfordshire | |
| Infertility | East and North Hertfordshire | |
| Inflammatory Bowel Disease (IBD) | East and North Hertfordshire | |
| Investigation of Persistent Lower GI symptoms where cancer is not suspected | South and West Hertfordshire | |
| Irritable Bowel Syndrome (IBS) | South and West Hertfordshire | |
| Knee Pain | Hertfordshire and West Essex ICB | |
| Learning Disabilities | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Left Ventricular Systolic Dysfunction (LVSD) Management | Hertfordshire and West Essex ICB | |
| Limping Child | Paediatric | Hertfordshire and West Essex ICB | |
| Liver Function Test (LFT) | Hertfordshire and West Essex ICB | |
| Loin Pain Renal Colic | South and West Hertfordshire | |
| Long COVID | Hertfordshire and West Essex ICB | |
| Lower GI/Colorectal Cancer Suspected | East and North Hertfordshire, South and West Hertfordshire | |
| Lung Cancer - Suspected | East and North Hertfordshire, South and West Hertfordshire | |
| Male LUTS | Hertfordshire and West Essex ICB | |
| Management of MSK conditions in patients with previous cancer | South and West Hertfordshire | |
| Management of Unscheduled Bleeding on Hormone Replacement Therapy (HRT) | South and West Hertfordshire | |
| Medication Overuse Headache | South and West Hertfordshire | |
| Migraine in Adults | Hertfordshire and West Essex ICB | |
| Modern Slavery and Human Trafficking | Hertfordshire and West Essex ICB | |
| Motor Neurone Disease (MND) | Hertfordshire and West Essex ICB | |
| Multiple Sclerosis (MS) | Hertfordshire and West Essex ICB | |
| Neck Pain | Hertfordshire and West Essex ICB | |
| Neuropathic Pain Drug Titration and Review | East and North Hertfordshire | |
| Non-Alcoholic Fatty Liver Disease (NAFLD) | East and North Hertfordshire, South and West Hertfordshire | |
| Nose Bleeds | Hertfordshire and West Essex ICB | |
| Otitis Externa | East and North Hertfordshire | |
| Ovarian Cancer | Hertfordshire and West Essex ICB | |
| Paediatric Abdominal Pain | Hertfordshire and West Essex ICB | |
| Paediatric Acute Otitis Media | South and West Hertfordshire | |
| Paediatric Asthma | Hertfordshire and West Essex ICB | |
| Paediatric Constipation | Hertfordshire and West Essex ICB | |
| Paediatric Diarhoea and Vomitting | Hertfordshire and West Essex ICB | |
| Paediatric Fever | Hertfordshire and West Essex ICB | |
| Paediatric Lymphadenopathy | Hertfordshire and West Essex ICB | |
| Paediatric Nasal Congestion | South and West Hertfordshire | |
| Paediatric Obstructive Sleep Apnoea | Hertfordshire and West Essex ICB | |
| Paediatric Sepsis | Hertfordshire and West Essex ICB | |
| Paediatric Suspected Bronchiolitis | Hertfordshire and West Essex ICB | |
| Paediatric Suspected Diabetes Same Day Referral Pathway - Children and Young People (CYP) 0-18 years | Hertfordshire and West Essex ICB | |
| Paediatric Suspected UTI | Hertfordshire and West Essex ICB | |
| Palpitations | Hertfordshire and West Essex ICB | |
| Pelvic Mass/Cancer | UI Physical Assessment | Hertfordshire and West Essex ICB | |
| Plastics Referral Pathway (including scar revision) | Hertfordshire and West Essex ICB | |
| Post-Menopausal Bleeding Management | East and North Hertfordshire | |
| Postcoital Bleeding in Pre-Menopausal Women | Hertfordshire and West Essex ICB | |
| Pre Diabetes | Hertfordshire and West Essex ICB | |
| Prolonged Jaundice Screen | South and West Hertfordshire | |
| Prostate Cancer - Suspected | Hertfordshire and West Essex ICB | |
| PSA Pathway | Hertfordshire and West Essex ICB | |
| Psoriasis Topical Treatment - Adults | Hertfordshire and West Essex ICB | |
| Pulmonary Rehabilitation | East and North Hertfordshire | |
| Rapid Onset Isolated Visual Loss (No other neurological symptoms or signs) | Hertfordshire and West Essex ICB | |
| Respiratory Conditions Referral Pathway | South and West Hertfordshire | |
| Rhinitis | Adults | Hertfordshire and West Essex ICB | |
| Rhinitis of Newborn | South and West Hertfordshire | |
| Risk feeding - Identification & management | Hertfordshire and West Essex ICB | |
| Rotator Cuff Injury or Inflammation | South and West Hertfordshire | |
| Safeguarding | Hertfordshire and West Essex ICB | |
| Sarcoma - Suspected Cancer | East and North Hertfordshire | |
| Seasonal Allergic Rhinitis (Hay Fever) | Hertfordshire and West Essex ICB | |
| Sexual Health Pathway | Hertfordshire and West Essex ICB | |
| Shoulder Instability Pathway | South and West Hertfordshire | |
| Shoulder Pain | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Sinusitis and Facial Pain | Adults | Hertfordshire and West Essex ICB | |
| Skin Cancer Suspected - Pigmented Lesion/ Melanoma/ SCC/ BCC | Hertfordshire and West Essex ICB | |
| Skin Tears | East and North Hertfordshire | |
| Snoring and Sleep Apnoea Management in Adults | Hertfordshire and West Essex ICB | |
| Spinal and Low Back Pain |SWH | South and West Hertfordshire | |
| Stroke | Hertfordshire and West Essex ICB | |
| Suicide Prevention | Hertfordshire and West Essex ICB | |
| Syncope Care Pathway | South and West Hertfordshire | |
| Tennis and Golfers Elbow | South and West Hertfordshire | |
| Test Syncope Care | South and West Hertfordshire | |
| Throat Symptoms | Adult | South and West Hertfordshire | |
| TIA (Transient Ischemic Attack) | East and North Hertfordshire | |
| Tonsillitis and Tonsillectomy | Hertfordshire and West Essex ICB | |
| Tremor in Primary Care |Initial Assessment | Hertfordshire and West Essex ICB | |
| Trigger Finger/Thumb | South and West Hertfordshire | |
| Urinary Incontinence (UI) | East and North Hertfordshire | |
| Urinary Incontinence (UI) Initial Assessment of Women: dipstick urine testing pathway | Hertfordshire and West Essex ICB | |
| Urinary Tract Infections (UTIs) | Hertfordshire and West Essex ICB, South and West Hertfordshire | |
| Urogynaecology - Female Incontinence and Prolapse | Hertfordshire and West Essex ICB | |
| Urology Cancer - Suspected (excluding Prostate) | Hertfordshire and West Essex ICB | |
| Varicose Veins Management | Hertfordshire and West Essex ICB | |
| Vitamin D guideline | Hertfordshire and West Essex ICB | |
| Weight Management | Hertfordshire and West Essex ICB |