Urgent Alert

From 1 April 2022 this website will not be updated.

  For the latest North West London health and care information, visit www.nwlondonics.nhs.uk.


This guidance is intended to support general practice. The guidance has been developed after careful consideration of the information and clinical opinion available to the speciality transformation working group, including consultant and GP leads for NW London trusts and CCGs.  Whilst it has been produced with significant input from clinicians, it provides general advice only and does not replace any part of a clinician’s responsibility to assess each clinical case on its own merits, when exercising their clinical judgement.  The CCG will not, therefore, accept liability for any loss, damage or inconvenience arising as a consequence of any use of or the inability to use any information in this guidance.

This guidance is not intended to be used as a performance management resource.

This is intended to be a guide only. It is not exhaustive and appropriate clinical judgment should be used for individual cases.