A-Z
Topics
Latest
A
- Accident prevention (see unintentional injuries among under-15s)
- Acute coronary syndromes (see chest pain)
- Acute coronary syndromes, hyperglycaemia
- Acute heart failure
- Acute hospitals (adult inpatient wards), safe staffing for nursing
- Acute kidney injury
- Acute pancreatitis (see pancreatitis)
- Acute upper gastrointestinal bleeding
- Acutely ill patients in hospital
- ADHD (see attention deficit hyperactivity disorder)
- Advanced breast cancer
- Adverse drug reactions (see drug allergy)
- Age-related macular degeneration
- Aggression and violence
- Agoraphobia (see panic disorder)
- Air pollution
- Alcohol-use disorders
- Allergy, drug (see drug allergy)
- Allergy, food (see food allergy in children and young people)
- Allergy, severe reaction (see anaphylaxis)
- Alzheimer's disease (see dementia)
- Amyotrophic lateral sclerosis (see motor neurone disease)
- Anaemia management in people with chronic kidney disease
- Anaphylaxis: assessment and referral after emergency treatment
- Ankylosing spondylitis (see spondyloarthritis)
- Anorexia (see eating disorders)
- Antenatal and postnatal mental health
- Antenatal care for uncomplicated pregnancies
- Antibiotics for early-onset neonatal infection (see early-onset neonatal infection)
- Antibiotics in respiratory tract and ear infections
- Antimicrobial prescribing for common infections
- Antimicrobial stewardship
- Antimicrobials for bronchiectasis (non-cystic fibrosis)
- Antimicrobials for prostatitis
- Antisocial behaviour and conduct disorders in children and young people
- Antisocial personality disorder (see personality disorders)
- Anxiety (see generalised anxiety disorder)
- Aortic aneurysms
- Arthritis, osteoarthritis
- Arthritis, rheumatoid
- Asthma
- Atopic dermatitis (see eczema)
- Atopic eczema (see eczema)
- Atrial fibrillation
- Attachment difficulties in children and young people
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Axial spondyloarthritis (see spondyloarthritis)
- Back pain, low
- Bacterial meningitis and meningococcal septicaemia in under 16s
- Barrett’s oesophagus
- Bed sores (see pressure ulcers)
- Bedwetting in children and young people
- Behaviour change
- Behaviour that challenges and learning disabilities
- Benign prostatic hyperplasia (see lower urinary tract symptoms in men)
- Bipolar disorder
- Blackouts (see transient loss of consciousness)
- Bladder cancer
- Bladder infection (see urinary tract infections)
- Blood and bone marrow cancers
- Blood and immune system conditions
- Blood poisoning
- Blood pressure, high (see hypertension)
- Blood transfusion
- Body dysmorphic disorder (see obsessive-compulsive disorder)
- Borderline personality disorder (see personality disorders)
- Bowel cancer (see colorectal cancer)
- Bowel cancer prevention (see colonoscopic surveillance)
- Bowel incontinence (see faecal incontinence)
- Brain cancer (see brain tumours and metastases)
- Brain tumours and metastases
- Breast cancer, advanced
- Breast cancer, early and locally advanced
- Breast cancer, familial
- Breast conditions
- Breast milk, donor banks
- Breastfeeding (see maternal and child nutrition)
- Bronchiectasis (non-cystic fibrosis) – antimicrobial prescribing
- Bronchiolitis in children
- Bulimia (see eating disorders)
- Caesarean section
- Cancer of unknown primary origin (see metastatic malignant disease of unknown primary origin)
- Cancer, suspected
- Cardiovascular disease prevention
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Care and support of people growing older with learning disabilities
- Care homes, managing medicines
- Care homes, oral health
- Cataracts
- Catheter-associated UTIs (see urinary tract infections)
- Cerebral palsy
- Cervical cancer
- Challenging behaviour and learning disabilities
- Changing behaviour
- Chest pain
- Child abuse and neglect
- Child growth, faltering
- Child maltreatment (see child abuse and neglect)
- Childbirth (see fertility, pregnancy and childbirth)
- Children's attachment (see attachment difficulties in children and young people)
- Children's palliative care, for people with life-limiting conditions (see end of life care for people with life-limiting conditions)
- Cholelithiasis, cholecystitis and choledocholithiasis (see gallstone disease)
- Chronic fatigue syndrome myalgic encephalomyelitis
- Chronic heart failure
- Chronic kidney disease
- Chronic kidney disease, anaemia management
- Chronic kidney disease, hyperphosphataemia
- Chronic obstructive pulmonary disease
- Chronic pancreatitis (see pancreatitis)
- Cirrhosis
- Cluster headache (see headaches)
- Cochlear implants (see hearing loss)
- Coeliac disease
- Coexisting severe mental illness and substance misuse: assessment and management in healthcare settings
- Coexisting severe mental illness and substance misuse: community health and social care services
- Cold homes, reducing preventable excess winter deaths (see excess winter deaths and illnesses associated with cold homes)
- Colonoscopic surveillance
- Colorectal cancer
- Colorectal cancer prevention (see colonoscopic surveillance)
- Common mental health disorders in primary care
- Community engagement
- Community pharmacies: promoting health and wellbeing
- Community-acquired pneumonia (see pneumonia)
- Complex fractures (see trauma)
- Complex social factors and pregnancy: service provision
- Concussion and coma (see head injury)
- Conduct disorders and antisocial behaviour in children and young people
- Constipation
- Contraception
- Contraception (reversible), long acting
- Contraceptive services for under 25s
- Controlled drugs: safe use and management
- Cough (see self-limiting respiratory tract and ear infections – antibiotic prescribing)
- Criminal justice system, health of people in
- Critical illness rehabilitation
- Crohn’s disease
- Cycling and walking
- Cystic fibrosis
- Cystitis (see urinary tract infections)
- Deafness (see hearing loss)
- Decision-making and mental capacity
- Deep vein thrombosis (see venous thromboembolism)
- Delirium
- Dementia
- Dementia, disability and frailty in later life: mid-life approaches to delay or prevent onset
- Dental and oral health
- Dental services, local authority improvement approaches (see oral health improvement for local authorities and their partners)
- Depression
- Developmental follow-up of children and young people born preterm
- Diabetes
- Diabetes (type 2) prevention
- Diabetes in children and young people
- Diabetes in pregnancy
- Diabetic foot care
- Diarrhoea and vomiting in children
- Diet
- Domestic violence and abuse
- Domiciliary care for older people
- Donor breast milk banks
- Drug allergy
- Drug misuse management in over 16s
- Drug misuse prevention
- Dual diagnosis (see coexisting severe mental illness and substance misuse: assessment and management in healthcare settings)
- Dual diagnosis (see coexisting severe mental illness and substance misuse: community health and social care services)
- Dyspepsia and gastro-oesophageal reflux disease
- Ear, nose and throat conditions
- Early and locally advanced breast cancer
- Early-onset neonatal infection
- Earwax removal (see hearing loss)
- Eating disorders
- Ectopic pregnancy and miscarriage
- Eczema
- Emergency and acute medical care in over 16s: service delivery and organisation
- End of life care for infants, children and young people (see end of life care for people with life-limiting conditions)
- End of life care for people with life-limiting conditions
- Endocarditis prophylaxis (see prophylaxis against infective endocarditis)
- Endocrine cancers
- Endocrine, nutritional and metabolic conditions
- Endometriosis
- Enteral nutrition (see nutrition support in adults)
- Epilepsy
- Excess winter deaths and illnesses associated with cold homes
- Exercise (see physical activity)
- Eye conditions
- Faecal incontinence
- Falls in older people (see preventing falls in older people)
- Faltering growth
- Familial breast cancer
- Familial hypercholesterolaemia
- Fatty liver disease, non-alcoholic
- Fertility
- Fertility, pregnancy and childbirth
- Fever in under 5s
- Feverish illness in children
- Fibroids, uterine (see heavy menstrual bleeding)
- Flu vaccination (see influenza)
- Food allergy in under 19s
- Foot care for people with diabetes
- Fractured neck of femur (see hip fracture)
- Fractures (see trauma)
- Fragility fractures (see osteoporosis)
- Gallstone disease
- Gastric cancer (see oesophageal and gastric cancer)
- Gastroenteritis in children (see diarrhoea and vomiting in children)
- Gastrointestinal bleeding, acute upper
- Gastrointestinal cancers
- Gastrointestinal conditions
- Gastro-oesophageal reflux disease and dyspepsia
- Generalised anxiety disorder
- Gestational diabetes
- Glaucoma
- Glue ear (see surgical management of otitis media with effusion in children)
- Growth, faltering
- Gynaecological conditions (see urogenital conditions)
- Haematemesis (see acute upper gastrointestinal bleeding)
- Haematological cancers (see blood and bone marrow cancers)
- Harmful sexual behaviour among children and young people
- Head injury
- Headaches
- Health of people in the criminal justice system
- Health services, adult user experience
- Healthcare-associated infections, prevention and control
- Hearing loss
- Heart attack, secondary prevention
- Heart defects, structural
- Heart failure, acute
- Heart failure, chronic
- Heart rhythm conditions
- Heartburn (see dyspepsia and gastro-oesophageal reflux disease)
- Heavy menstrual bleeding
- Hepatitis B (chronic)
- Hepatitis B and C testing
- High blood pressure (see hypertension)
- Hip fracture
- HIV testing and prevention
- Home care for older people
- Hospital-acquired pneumonia (see pneumonia)
- Hypercholesterolaemia, familial (see familial hypercholesterolaemia)
- Hypercholesterolaemia, non-familial (see cardiovascular disease prevention)
- Hyperglycaemia in acute coronary syndromes
- Hyperkinetic disorder (see attention deficit hyperactivity disorder)
- Hyperphosphataemia in chronic kidney disease
- Hypertension
- Hypertension in pregnancy
- Idiopathic pulmonary fibrosis
- Immune system and blood conditions
- Immunisations for under 19s
- Inadvertent perioperative hypothermia
- Incontinence, faecal
- Incontinence, urinary
- Incontinence, urinary in neurological disease
- Independence and mental wellbeing in older people
- Induction of labour
- Infant feeding (see maternal and child nutrition)
- Infant growth, faltering
- Infections, antimicrobials for common
- Infective endocarditis, prophylaxis
- Inflammatory bowel disease (see Crohn's disease)
- Inflammatory bowel disease (see ulcerative colitis)
- Influenza
- Injuries, multiple serious (see trauma)
- Intermediate care including reablement
- Interstitial lung disease (see idiopathic pulmonary fibrosis)
- Intrapartum care
- Intravenous fluid therapy in hospital
- Irritable bowel syndrome in adults
- Jaundice, neonatal
- Kidney cancer (see renal cancer)
- Kidney conditions
- Kidney disease, chronic
- Kidney injury, acute
- Kidney stones
- Labour (see intrapartum care)
- Labour, induced
- Larynx, mouth and throat cancer (see upper aerodigestive tract cancer)
- Learning disabilities and behaviour that challenges
- Learning disabilities, mental health problems
- Learning disabilities, older people
- Leukaemia (see blood and bone marrow cancers)
- Life-limiting conditions, end of life care (see end of life care for people with life-limiting conditions)
- Lifestyle weight management services for overweight or obese adults
- Lifestyle weight management services for overweight or obese children and young people
- Lipid modification (see cardiovascular disease prevention)
- Liver cancers
- Liver conditions
- Liver disease, non-alcoholic fatty
- Local formulary development
- Long-acting reversible contraception
- Long-term sickness and incapacity for work
- Looked-after babies, children and young people
- Low back pain and sciatica
- Lower limb peripheral arterial disease
- Lower urinary tract symptoms in men
- Lung cancer
- Lyme disease
- Lymphoma (see blood and bone marrow cancers)
- Lymphoma, non-Hodgkin's
- Macular degeneration, age-related
- Managing long-term sickness and incapacity for work
- Managing medicines for people receiving social care in the community
- Managing medicines in care homes
- Manic depression (see bipolar disorder)
- Maternal and child nutrition
- Medicines adherence (see medicines optimisation)
- Medicines optimisation
- Melanoma
- Meningitis, bacterial and meningococcal septicaemia
- Menopause
- Menorrhagia (see heavy menstrual bleeding)
- Mental capacity and decision-making
- Mental health disorders (common) in primary care
- Mental health problems in people with learning disabilities
- Mental health services, adult service user experience
- Mental health, antenatal and postnatal
- Mental illness (severe) and substance misuse, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services)
- Mental wellbeing and independence in older people
- Mental wellbeing at work
- Metabolic conditions (see endocrine, nutritional and metabolic conditions)
- Metastatic malignant disease of unknown primary origin
- Metastatic spinal cord compression
- Migraine (see headaches)
- Miscarriage and ectopic pregnancy
- Monitoring ill patients (see acutely ill patients in hospital)
- Motor neurone disease
- Mouth, larynx and throat cancer (see upper aerodigestive tract cancer)
- Multimorbidity
- Multiple long-term conditions (see multimorbidity)
- Multiple pregnancy
- Multiple sclerosis
- Multiple serious injuries (see trauma)
- Musculoskeletal conditions
- Myalgic encephalomyelitis, chronic fatigue syndrome
- Myeloma
- Myocardial infarction with ST-segment elevation
- Myocardial infarction without ST-segment elevation (see chest pain)
- Myocardial infarction: rehabilitation and preventing further cardiovascular disease
- Needle and syringe programmes
- Neonatal infection (see early-onset neonatal infection)
- Neonatal jaundice
- Neurological conditions
- Neurological disease, urinary incontinence
- Neuropathic pain
- Neutropenic sepsis
- Nocturnal enuresis (see bedwetting in children and young people)
- Non-alcoholic fatty liver disease
- Non-Hodgkin’s lymphoma
- Non-ST-segment elevation myocardial infarction (see chest pain)
- Nose conditions (see ear, nose and throat conditions)
- Nutrition support in adults
- Nutritional conditions (see endocrine, nutritional and metabolic conditions)
- Obesity
- Obesity: working with local communities
- Obsessive-compulsive disorder and body dysmorphic disorder
- Oesophageal and gastric cancer
- Older people with social care needs and multiple long-term conditions (see social care for older people with multiple long-term conditions)
- Older people, learning disabilities
- Older people: independence and mental wellbeing
- Opioids for pain relief in palliative care
- Oral and dental health
- Oral health for adults in care homes
- Oral health improvement for local authorities and their partners
- Organ donation for transplantation
- Osteoarthritis
- Osteoporosis
- Otitis media (acute) (see self-limiting respiratory tract and ear infections – antibiotic prescribing)
- Otitis media with effusion, surgical management in children
- Outdoor air quality and health (see air pollution)
- Ovarian cancer
- Overactive bladder (see urinary incontinence)
- Overweight or obese adults, lifestyle weight management services
- Overweight or obese children and young people, lifestyle weight management services
- Pain, neuropathic
- Palliative care, for people with life-limiting conditions (see end of life care for people with life-limiting conditions)
- Palliative care, opioids
- Pancreatic cancer
- Pancreatitis
- Panic disorder
- Parenteral nutrition (see nutrition support in adults)
- Parkinson’s disease
- Patient experience in adult NHS services
- Patient group directions
- People with learning disabilities, mental health problems
- People’s experience in adult social care services
- Perioperative hypothermia, inadvertent
- Peripheral arterial disease, lower limb
- Personality disorders
- Physical activity
- Pneumonia
- Postnatal and antenatal mental health
- Postnatal care
- Post-traumatic stress disorder
- Pre-eclampsia (see hypertension in pregnancy)
- Pregnancy (see fertility, pregnancy and childbirth)
- Pregnancy and complex social factors: service provision
- Pregnancy, diabetes
- Pregnancy, hypertension
- Pregnancy, multiple
- Pregnancy, preventing teenage (see preventing sexually transmitted infections and under-18 conceptions)
- Premature labour and birth (see preterm labour and birth)
- Premature ovarian insufficiency (see menopause)
- Preoperative tests
- Pressure ulcers
- Preterm labour and birth
- Preventing falls in older people
- Preventing sexually transmitted infections and under-18 conceptions
- Preventing suicide
- Preventing type 2 diabetes
- Prevention and control of healthcare-associated infections
- Prison, health of people in
- Promoting mental wellbeing at work
- Prophylaxis against infective endocarditis
- Prostate cancer
- Prostatitis – antimicrobial prescribing
- Psoriasis
- Psoriatic arthritis (see spondyloarthritis)
- Psychosis and schizophrenia
- Psychosis with coexisting substance misuse (see coexisting severe mental illness and substance misuse: assessment and management in healthcare settings)
- Pulmonary embolism (see venous thromboembolism)
- Pyelonephritis (see urinary tract infections)
- Reablement (see intermediate care)
- Reactive arthritis (see spondyloarthritis)
- Rehabilitation after critical illness
- Renal and ureteric stones
- Renal cancer
- Renal conditions
- Renal failure, acute (see acute kidney injury)
- Renal failure, established (see chronic kidney disease)
- Renal replacement therapy (see chronic kidney disease)
- Respiratory conditions
- Respiratory syncytial virus infection (see bronchiolitis in children)
- Respiratory tract and ear infections (self-limiting), antibiotic prescribing
- Rheumatoid arthritis
- Safe midwifery staffing for maternity settings
- Safe staffing for nursing in adult inpatient wards in acute hospitals
- Sarcoma
- Schizophrenia and psychosis
- Sciatica and low back pain
- Sedation in children and young people
- Seizures (see epilepsy)
- Self-harm
- Self-limiting respiratory tract and ear infections – antibiotic prescribing
- Sepsis
- Septicaemia, meningococcal and bacterial meningitis (see bacterial meningitis and meningococcal septicaemia)
- Service user experience in adult mental health services
- Severe mental illness and substance misuse, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services)
- Sexual behaviour, harmful
- Sexually transmitted infections, prevention
- Sickle cell disease: acute painful episode
- Sinusitis (see self-limiting respiratory tract and ear infections – antibiotic prescribing)
- Skin cancer
- Skin cancer prevention (see sunlight exposure: risks and benefits)
- Skin conditions
- Skin damage (see skin conditions)
- Smokeless tobacco cessation: South Asian communities
- Smoking
- Smoking cessation in secondary care
- Smoking: tobacco harm-reduction approaches
- Social and emotional wellbeing for children and young people
- Social anxiety disorder
- Social care for older people with multiple long-term conditions
- Social care services, people's experience
- Social factors (complex) in pregnancy: service provision
- Sore throat (see self-limiting respiratory tract and ear infections – antibiotic prescribing)
- Spasticity in children and young people
- Spinal cord compression, metastatic (see metastatic spinal cord compression)
- Spinal injury (see trauma)
- Spondyloarthritis
- Stable angina (see chest pain)
- ST-elevation myocardial infarction (see myocardial infarction with ST elevation)
- Stomach cancer (see oesophageal and gastric cancer)
- Stroke
- Structural heart defects
- Substance misuse and severe mental illness, coexisting (see coexisting severe mental illness and substance misuse: community health and social care services)
- Suicide prevention
- Sunlight exposure: risks and benefits
- Surgical management of otitis media with effusion in children
- Surgical site infection (see prevention and control of healthcare-associated infections)
- Suspected cancer recognition and referral
- Teenage pregnancy prevention (see preventing sexually transmitted infections and under-18 conceptions)
- Throat conditions (see ear, nose and throat conditions)
- Throat, larynx and mouth cancer (see upper aerodigestive tract cancer)
- Tissue viability (see pressure ulcers)
- Tobacco (see smoking)
- Tobacco cessation (smokeless): South Asian communities
- Tobacco harm reduction approaches
- Transfusion (see blood transfusion)
- Transient ischaemic attack (see stroke)
- Transient loss of consciousness
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Transition from children's to adults' services
- Trauma
- Tuberculosis
- Type 1 diabetes in adults
- Type 2 diabetes in adults
- Ulcerative colitis
- Unintentional injuries among under-15s
- Unstable angina (see chest pain)
- Upper aerodigestive tract cancer
- Upper gastrointestinal bleeding, acute
- Ureteric stones
- Urinary incontinence in neurological disease
- Urinary incontinence in women
- Urinary tract infections
- Urinary tract symptoms in men, lower
- Urogenital conditions
- Urological conditions (see urogenital conditions)
- Vaccinations (see immunisation for children and young people)
- Varicose veins in the legs
- Venous thromboembolism
- Violence and aggression
- Vitamin D: supplement use in specific population groups
- Vomiting and diarrhoea in children
- Walking and cycling
- Weight management services (lifestyle) for overweight or obese adults
- Weight management services (lifestyle) for overweight or obese children and young people
- Winter deaths and illnesses associated with cold homes (see excess winter deaths and illnesses associated with cold homes)
- Workplace health: policy and management practices
- Young offender institutions, health of people in
-
Conditions and diseases
-
Blood and immune system conditions
- Allergies
- Anaphylaxis: assessment and referral after emergency treatment
- Blood and bone marrow cancers
- Blood conditions
- Coeliac disease
- Breast conditions
-
Cancer
- Bladder cancer
- Blood and bone marrow cancers
- Brain tumours and metastases
- Breast cancer
- Cervical cancer
- Complications of cancer
- Endocrine cancers
- Gastrointestinal cancers
- Liver cancers
- Lung cancer
- Metastatic malignant disease of unknown primary origin
- Oesophageal and gastric cancer
- Ovarian cancer
- Pancreatic cancer
- Prostate cancer
- Renal cancer
- Sarcoma
- Skin cancer
- Suspected cancer recognition and referral
- Upper aerodigestive tract cancer
-
Cardiovascular conditions
- Acute coronary syndromes
- Aortic aneurysms
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Chest pain
- Heart failure
- Heart rhythm conditions
- Hypertension
- Lipid disorders
- Lower limb peripheral arterial disease
- Prophylaxis against infective endocarditis
- Stable angina
- Stroke
- Structural heart defects
- Varicose veins in the legs
- Venous thromboembolism
- Chronic fatigue syndrome myalgic encephalomyelitis
-
Diabetes and other endocrine, nutritional and metabolic conditions
- Cystic fibrosis
- Diabetes
- Endocrine, nutritional and metabolic conditions
- Faltering growth
- Lipid disorders
- Nutrition support in adults
- Obesity
- Osteoporosis
-
Digestive tract conditions
- Acute upper gastrointestinal bleeding
- Barrett’s oesophagus
- Coeliac disease
- Constipation
- Cystic fibrosis
- Diarrhoea and vomiting in children
- Dyspepsia and gastro-oesophageal reflux disease
- Faecal incontinence
- Gallstone disease
- Gastrointestinal cancers
- Gastrointestinal conditions
- Inflammatory bowel disease
- Irritable bowel syndrome in adults
- Pancreatitis
- Upper aerodigestive tract cancer
- Ear, nose and throat conditions
- Eye conditions
-
Fertility, pregnancy and childbirth
- Contraception
- Fertility
- Intrapartum care
- Postnatal care
- Pregnancy
- Genetic conditions
- Gynaecological conditions
-
Infections
-
Antibiotic use
- Antimicrobial prescribing for common infections
- Antimicrobial stewardship
- Bronchiectasis (non-cystic fibrosis) – antimicrobial prescribing
- Early-onset neonatal infection
- Prophylaxis against infective endocarditis
- Prostatitis – antimicrobial prescribing
- Self-limiting respiratory tract and ear infections – antibiotic prescribing
- Urinary tract infections
- Bacterial meningitis and meningococcal septicaemia in under 16s
- Fever in under 5s
- Hepatitis
- HIV testing and prevention
- Influenza
- Lyme disease
- Preventing sexually transmitted infections and under-18 conceptions
- Prevention and control of healthcare-associated infections
- Sepsis
- Tuberculosis
-
Antibiotic use
- Injuries, accidents and wounds
- Kidney conditions
-
Liver conditions
- Alcohol-use disorders
- Chronic liver disease
- Hepatitis
- Liver cancers
-
Mental health and behavioural conditions
- Alcohol-use disorders
- Antenatal and postnatal mental health
- Antisocial behaviour and conduct disorders in children and young people
- Anxiety
- Attachment difficulties in children and young people
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Bipolar disorder
- Common mental health disorders in primary care
- Decision-making and mental capacity
- Delirium
- Dementia
- Depression
- Eating disorders
- Harmful sexual behaviour among children and young people
- Health of people in the criminal justice system
- Learning disabilities and behaviour that challenges
- Mental health problems in people with learning disabilities
- Personality disorders
- Post-traumatic stress disorder
- Psychosis and schizophrenia
- Self-harm
- Service user experience in adult mental health services
- Transition between community or care home and inpatient mental health settings
- Violence and aggression
- Multiple long-term conditions
- Musculoskeletal conditions
-
Neurological conditions
- Brain tumours and metastases
- Cerebral palsy
- Delirium
- Dementia
- Epilepsy
- Faecal incontinence
- Headaches
- Metastatic spinal cord compression
- Motor neurone disease
- Multiple sclerosis
- Neuropathic pain
- Parkinson’s disease
- Spasticity in children and young people
- Transient loss of consciousness
- Trauma
- Urinary incontinence
- Oral and dental health
- Respiratory conditions
- Skin conditions
- Urogenital conditions
- Urological conditions
-
Blood and immune system conditions
-
Health protection
- Communicable diseases
- Drug misuse
- Environment
-
Lifestyle and wellbeing
- Air pollution
- Alcohol
- Behaviour change
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Community pharmacies: promoting health and wellbeing
- Diet, nutrition and obesity
- Drug misuse
-
Mental health and wellbeing
- Antenatal and postnatal mental health
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Decision-making and mental capacity
- Health of people in the criminal justice system
- Mental wellbeing and independence in older people
- Promoting mental wellbeing at work
- Social and emotional wellbeing for children and young people
- Oral and dental health
- Physical activity
- Sexual health
- Smoking and tobacco
- Suicide prevention
- Sunlight exposure
-
Population groups
- Behaviour change
- Black and minority ethnic groups
-
Children and young people
- Antisocial behaviour and conduct disorders in children and young people
- Asthma
- Attachment difficulties in children and young people
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Bedwetting in children and young people
- Bronchiolitis in children
- Cerebral palsy
- Child abuse and neglect
- Constipation
- Depression
- Diabetes in children and young people
- Diarrhoea and vomiting in children
- Dyspepsia and gastro-oesophageal reflux disease
- Eczema
- End of life care for people with life-limiting conditions
- Faltering growth
- Fever in under 5s
- Food allergy in under 19s
- Harmful sexual behaviour among children and young people
- Immunisations for under 19s
- Intravenous fluid therapy in hospital
- Lifestyle weight management services for overweight or obese children and young people
- Looked-after babies, children and young people
- Preventing sexually transmitted infections and under-18 conceptions
- Psychosis and schizophrenia
- Sedation in children and young people
- Sepsis
- Social and emotional wellbeing for children and young people
- Spasticity in children and young people
- Suicide prevention
- Surgical management of otitis media with effusion in children
- Transition between community or care home and inpatient mental health settings
- Transition from children's to adults' services
- Unintentional injuries among under-15s
- Urinary tract infections
-
Infants and neonates
- Cerebral palsy
- Developmental follow-up of children and young people born preterm
- Diarrhoea and vomiting in children
- Dyspepsia and gastro-oesophageal reflux disease
- Early-onset neonatal infection
- End of life care for people with life-limiting conditions
- Faltering growth
- Fever in under 5s
- Looked-after babies, children and young people
- Maternal and child nutrition
- Neonatal jaundice
- Postnatal care
- Sedation in children and young people
- Sepsis
-
Older people
- Care and support of people growing older with learning disabilities
- Cataracts
- Dementia
- Dementia, disability and frailty in later life: mid-life approaches to delay or prevent onset
- End of life care for people with life-limiting conditions
- Excess winter deaths and illnesses associated with cold homes
- Hearing loss
- Home care for older people
- Mental wellbeing and independence in older people
- Preventing falls in older people
- Social care for older people with multiple long-term conditions
-
People with learning disabilities
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Care and support of people growing older with learning disabilities
- Harmful sexual behaviour among children and young people
- Learning disabilities and behaviour that challenges
- Mental health problems in people with learning disabilities
-
Vulnerable groups
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Coexisting severe mental illness and substance misuse: community health and social care services
- Decision-making and mental capacity
- Domestic violence and abuse
- Harmful sexual behaviour among children and young people
- Health of people in the criminal justice system
- Influenza
- Looked-after babies, children and young people
- People’s experience in adult social care services
- Pregnancy and complex social factors: service provision
- Suicide prevention
- Tuberculosis
-
Service delivery, organisation and staffing
- Acute and critical care
-
Adult social services
- Coexisting severe mental illness and substance misuse: community health and social care services
- Domestic violence and abuse
- Home care for older people
- Intermediate care including reablement
- Managing medicines for people receiving social care in the community
- Social care for older people with multiple long-term conditions
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Transition from children's to adults' services
- Contraception
- End of life care
-
Maternity services
- Intrapartum care
- Postnatal care
- Pregnancy
- Safe midwifery staffing for maternity settings
-
Medicines management
-
Antibiotics
- Antimicrobial prescribing for common infections
- Antimicrobial stewardship
- Bronchiectasis (non-cystic fibrosis) – antimicrobial prescribing
- Early-onset neonatal infection
- Prophylaxis against infective endocarditis
- Prostatitis – antimicrobial prescribing
- Self-limiting respiratory tract and ear infections – antibiotic prescribing
- Urinary tract infections
- Controlled drugs: safe use and management
- Drug allergy
- Intravenous fluid therapy in hospital
- Local formulary development
- Managing medicines for people receiving social care in the community
- Managing medicines in care homes
- Medicines optimisation
- Patient group directions
-
Antibiotics
- Oral and dental health
- Organ and tissue transplantation
- Patient and service user care
- Safeguarding
-
Service transition
- Health of people in the criminal justice system
- Intermediate care including reablement
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Transition from children's to adults' services
- Staffing
- Suicide prevention
- Surgical care
-
Settings
- Accident and injury prevention
-
Care homes
- Attachment difficulties in children and young people
- Delirium
- Dementia
- Harmful sexual behaviour among children and young people
- Learning disabilities and behaviour that challenges
- Looked-after babies, children and young people
- Managing medicines in care homes
- Oral health for adults in care homes
- Pressure ulcers
- Prevention and control of healthcare-associated infections
- Suicide prevention
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Urinary tract infections
-
Communities
- Air pollution
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Care and support of people growing older with learning disabilities
- HIV testing and prevention
- Managing medicines for people receiving social care in the community
- Obesity: working with local communities
- People’s experience in adult social care services
- Suicide prevention
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Community engagement
- Community pharmacies: promoting health and wellbeing
- Drug misuse
- Environment
- Home
-
Hospitals
- Acutely ill patients in hospital
- Intermediate care including reablement
- Intravenous fluid therapy in hospital
- Pressure ulcers
- Prevention and control of healthcare-associated infections
- Sedation in children and young people
- Sepsis
- Smoking cessation in secondary care
- Transition between community or care home and inpatient mental health settings
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs
- Urinary tract infections
-
Prisons and other secure settings
- Alcohol-use disorders
- Cardiovascular disease: identifying and supporting people most at risk of dying early
- Coexisting severe mental illness and substance misuse: assessment and management in healthcare settings
- Common mental health disorders in primary care
- Controlled drugs: safe use and management
- Drug misuse
- Health of people in the criminal justice system
- Hepatitis B and C testing
- HIV testing and prevention
- Immunisations for under 19s
- Looked-after babies, children and young people
- Personality disorders
- Preventing type 2 diabetes
- Smoking
- Smoking: tobacco harm-reduction approaches
- Suicide prevention
- Tuberculosis
- Type 1 diabetes in adults
- Violence and aggression
-
Schools and other educational settings
- Alcohol-use disorders
- Attachment difficulties in children and young people
- Attention deficit hyperactivity disorder
- Autism spectrum disorder
- Child abuse and neglect
- Harmful sexual behaviour among children and young people
- Immunisations for under 19s
- Looked-after babies, children and young people
- Preventing sexually transmitted infections and under-18 conceptions
- Smoking
- Social and emotional wellbeing for children and young people
- Unintentional injuries among under-15s
- Transport
- Workplaces
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Oral health for adults in care homes
About
What is covered
This interactive flowchart covers oral health, including dental health and daily mouth care, for adults in care homes. The aim is to maintain and improve their oral health and ensure timely access to dental treatment. It includes recommendations on:
- availability of local oral health services
- oral health promotion services
- general dental practices and community dental services
- care home policies on oral health and providing residents with support to access dental services
- oral health assessment and mouth care plans
- daily mouth care
- care staff knowledge and skills.
The recommendations should be considered alongside the advice in Public Health England's Delivering better oral health toolkit.
NICE and The Social Care Institute for Excellence have co-produced Improving oral health for adults in care homes: A quick guide for care home managers.
Updates
Updates to this interactive flowchart
6 June 2017 Oral health for adults in care homes (NICE quality standard 151) added.
Person-centred care
People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.
Your responsibility
Guidelines
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Technology appraisals
The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Medical technologies guidance, diagnostics guidance and interventional procedures guidance
The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Short Text
What is covered
This interactive flowchart covers oral health, including dental health and daily mouth care, for adults in care homes. The aim is to maintain and improve their oral health and ensure timely access to dental treatment. It includes recommendations on:
- availability of local oral health services
- oral health promotion services
- general dental practices and community dental services
- care home policies on oral health and providing residents with support to access dental services
- oral health assessment and mouth care plans
- daily mouth care
- care staff knowledge and skills.
The recommendations should be considered alongside the advice in Public Health England's Delivering better oral health toolkit.
NICE and The Social Care Institute for Excellence have co-produced Improving oral health for adults in care homes: A quick guide for care home managers.
Updates
Updates to this interactive flowchart
6 June 2017 Oral health for adults in care homes (NICE quality standard 151) added.
Sources
NICE guidance and other sources used to create this interactive flowchart.
Oral health for adults in care homes (2016) NICE guideline NG48
Oral health for adults in care homes quality standard (2017) NICE quality standard 151
Related
Quality standards
Oral health for adults in care homes
These quality statements are taken from the oral health for adults in care homes quality standard. The quality standard defines clinical best practice for oral health for adults in care homes and should be read in full.
Quality statements
Oral health assessment in care homes
This quality statement is taken from the oral health for adults in care homes quality standard. The quality standard defines clinical best practice for oral health for adults in care homes and should be read in full.
Quality statement
Adults who move into a care home have their mouth care needs assessed on admission.
Rationale
Self-care can deteriorate before a person moves into a care home, so they may be admitted with poor oral health. Mouth care needs may not be visible and can be missed if they are not specifically assessed. It is important that mouth care needs are assessed as soon as possible when someone moves into a care home, so that tailored care can start straight away.
Quality measures
Structure
Evidence of local arrangements to ensure that adults have their mouth care needs assessed on admission.
Data source: Local data collection, for example, mouth care policies.
Process
Proportion of adults living in a care home who had their mouth care needs assessed on admission.
Numerator – the number in the denominator who had their mouth care needs assessed on admission.
Denominator – the number of adults living in a care home.
Data source: Local data collection, for example, audits of personal care plans.
Outcome
a) Satisfaction of resident or carer with the care home admission process.
Data source: Local data collection, for example, comments, feedback or surveys from residents and carers.
b) Satisfaction of resident or carer with the mouth care they receive.
Data source: Local data collection, for example, comments, feedback or surveys from residents and carers.
What the quality statement means for different audiences
Service providers (care homes) ensure that the mouth care needs of adults are assessed on admission to a care home. They ensure that care staff are trained to understand mouth care needs and carry out the assessment, and that they are aware of signs of dental ill health, for example tooth decay, abscesses, dry mouth and gum disease.
Health and social care practitioners (care staff in care homes) assess the mouth care needs of adults on admission to a care home and are aware of signs of dental ill health, for example tooth decay, abscesses, dry mouth and gum disease.
Commissioners (commissioners of care home services) ensure that care homes assess the mouth care needs of adults on admission. They should also ensure that care home services train care staff to understand mouth care needs and carry out the assessment, and that they are aware of signs of dental ill health, for example tooth decay, abscesses, dry mouth and gum disease.
Adults moving into care homes have a check to find out if they need help with their daily dental and mouth care when they move in. They (or their family members or carers if appropriate) are asked if they need help with brushing their teeth and looking after their dentures. Care staff also record details of the person’s dentist and their last appointment, or help them to find a dentist if they don’t have one. They also check if the person wants their dentures marked with their name.
Source guidance
Oral health for adults in care homes (2016) NICE guideline NG48, recommendation 1.2.1
Definitions of terms used in this quality statement
Assessment of mouth care needs
This should include establishing:
- How the resident usually manages their daily mouth care (for example, toothbrushing and type of toothbrush, removing and caring for dentures including partial dentures). Check whether they need support.
- If they have dentures, including partial dentures, whether they are marked or unmarked. If unmarked, ask whether they would like to arrange for marking and offer to help.
- If the resident is experiencing any dental pain.
- The name and address of their dentist or any dental service they have had contact with, and where and how long ago they saw a dentist or received dental treatment. Record if there has been no contact or they do not have a dentist, and help them find one.
Care homes can consider using an assessment tool, for example the Australian Institute of Health and Welfare’s Oral health assessment tool, to help with carrying out mouth care needs assessments.
The timing of regular follow-up mouth care assessments can be agreed with the resident during the initial assessment because this will vary depending on need. Some people may not need support on admission. This should be monitored so that support can be offered if their requirements change.
Staff in care homes can carry out mouth care needs assessments, however full oral health care assessments should be carried out by dental professionals.
[NICE’s guideline on oral health for adults in care homes, recommendation 1.2.1 and expert opinion]
On admission
The mouth care needs assessment should be completed as part of the admission process, or at least within a week of the person being admitted (sooner for people admitted for a short stay).
[NICE’s guideline on oral health for adults in care homes, the committee’s discussion]
Equality and diversity considerations
Adults with dementia and other cognitive difficulties may not be able to communicate their mouth care needs. When family and friends are involved in ongoing care, care staff should consider involving them in the assessment, with the resident’s permission, if it will help staff understand the resident’s usual mouth care routine. Some adults may have lost contact with family or friends, and care staff should make sure they establish the mouth care needs of these adults by carrying out the assessment.
Recording mouth care needs in care plans
This quality statement is taken from the oral health for adults in care homes quality standard. The quality standard defines clinical best practice for oral health for adults in care homes and should be read in full.
Quality statement
Adults living in care homes have their mouth care needs recorded in their personal care plan.
Rationale
Mouth care needs and the plan of support to address these needs should be recorded in the personal care plan for adults living in care homes. This will help to make sure that action is taken to meet the person’s needs, and that their needs are regularly reviewed and updated.
Quality measures
Structure
Evidence of local arrangements for adults living in care homes to have their mouth care needs recorded in their personal care plan.
Data source: Local data collection, for example, mouth care policies.
Process
Proportion of adults living in a care home who have their mouth care needs recorded in their personal care plan.
Numerator – the number in the denominator who have their mouth care needs recorded in their personal care plan.
Denominator – the number of adults living in a care home.
Data source: Local data collection, including audits of personal care plans.
Outcome
Care staff awareness of individual residents’ mouth care needs.
Data source: Local data collection, for example, staff interviews and surveys.
What the quality statement means for different audiences
Service providers (care homes) ensure that adults living in care homes have their mouth care needs recorded in their personal care plan, which is regularly reviewed and updated.
Health and social care practitioners (care staff in care homes) record the mouth care needs of adults living in care homes in their personal care plans. Practitioners regularly review the personal care plan and update it when mouth care needs change.
Commissioners (commissioners of care home services) ensure that care homes record adults’ mouth care needs in their personal care plan, which is regularly reviewed and updated.
Adults living in care homes have a record of any help and support they need with their mouth care included in their written care plan. The care plan will be reviewed and updated if the support they need changes.
Source guidance
Oral health for adults in care homes (2016) NICE guideline NG48, recommendation 1.2.4
Supporting daily mouth care in care homes
This quality statement is taken from the oral health for adults in care homes quality standard. The quality standard defines clinical best practice for oral health for adults in care homes and should be read in full.
Quality statement
Adults living in care homes are supported to clean their teeth twice a day and to carry out daily care for their dentures.
Rationale
For good oral health, adults with natural teeth should brush them with fluoride toothpaste twice a day and adults with full dentures should carry out daily care, such as brushing, removing food debris and removing dentures overnight. Adults with both natural teeth and partial dentures should do both. Good oral health is important to maintain self-esteem, dignity and quality of life. Adults with poor oral health often have problems with eating, speaking and socialising.
Quality measures
Structure
Evidence of local arrangements for adults living in care homes to be supported to clean their teeth twice a day and carry out daily care for dentures.
Data source: Local data collection, for example, mouth care policies.
Process
Proportion of adults in a care home who are supported with daily mouth care.
Numerator – the number in the denominator who are supported with daily mouth care.
Denominator – the number of adults living in a care home.
Data source: Local data collection, for example, audits of personal care plans.
Outcome
Oral health-related quality of life for adults living in care homes.
Data source: Local data collection. Oral health-related quality of life can be established for some groups of residents using an Oral Health Impact Profile.
What the quality statement means for different audiences
Service providers (care homes) ensure that adults living in care homes are supported with daily mouth care, including cleaning their teeth twice a day and undertaking daily care for dentures, if support is needed. They ensure that care staff are trained to offer this support.
Health and social care practitioners (care staff in care homes) support adults living in care homes with daily mouth care, including cleaning their teeth twice a day and undertaking daily care for dentures, if support is needed. This may involve carrying out daily mouth care for residents who are unable to do this for themselves.
Commissioners (commissioners of care home services) ensure that care homes provide support with daily mouth care, if needed. They should also ensure that care staff are trained to offer this support.
Adults living in care homes who need help with mouth care are supported to brush their teeth twice a day, if they have their own teeth, and to care for their dentures every day, including cleaning and removing them overnight.
Source guidance
Oral health for adults in care homes (2016) NICE guideline NG48, recommendation 1.3.1
Definitions of terms used in this quality statement
Support to clean teeth and carry out denture care
This is the help that some people may need to carry out these tasks. This could include, but is not limited to:
- brushing natural teeth at least twice a day with fluoride toothpaste
- providing daily oral care for full or partial dentures (such as brushing, removing food debris and removing dentures overnight)
- using their choice of appropriate cleaning products for dentures if possible
- using their choice of toothbrush, either manual or electric/battery powered
- daily use of mouth care products prescribed by dental clinicians (for example, this may include a high fluoride toothpaste or a prescribed mouth rinse)
- daily use of any over-the-counter products preferred by residents if possible, such as particular mouth rinses or toothpastes; if the resident uses sugar-free gum, consider gum containing xylitol.
Some people may not need support to clean their teeth or dentures. This should be monitored so that support can be offered if their requirements change.
[NICE’s guideline on oral health for adults in care homes, recommendation 1.3.1 and expert opinion]
Equality and diversity considerations
Care home managers should make sure care staff know what to do if a resident declines support with mouth care, in line with the Mental Capacity Act and local policies about refusal of care (see also NICE’s information on your care). People should not be forced to receive mouth care against their wishes. However, repeated refusal should not be ignored and some people may need additional support to feel comfortable receiving mouth care.
Reasonable adjustments should be made, in line with the Equality Act, to ensure that people with disabilities can receive the mouth care which is most suitable for them.
Effective interventions library
Effective interventions library
Successful effective interventions library details
Implementation
NICE has produced resources to help implement its guidance on:
Pathway information
Person-centred care
People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.
Your responsibility
Guidelines
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Technology appraisals
The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Medical technologies guidance, diagnostics guidance and interventional procedures guidance
The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
Supporting information
Glossary
24-hour accommodation with either non-nursing care (for example, a residential home) or nursing care
24-hour accommodation with either non-nursing care (for example, a residential home) or nursing care
activities such as removing and cleaning dentures, toothbrushing and use of fluoride toothpaste
all adults aged 18 years upwards who live in care homes
all adults aged 18 years upwards who live in care homes
Paths in this pathway
Pathway created: July 2016 Last updated: September 2018
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