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Recommended Clinical Guidelines (CGs)

Recommended Clinical Guidelines (CGs) describe recommendations on the management of people with specific diseases and conditions – regarded as standards that the NHS is expected to achieve over time.

CGs are available to view on the National Institute for Health and Care Excellence (NICE) website or from the links below.

Under the revised circular HSC (SQSD) 3/13 for NICE Clinical Guidelines – Process for Endorsement, Implementation, Monitoring and Assurance in Northern Ireland all Clinical Guidelines are issued directly to the Health and Social Care (HSC) service by the Department of Health (DoH).  The new process came into effect on 18 December 2013. All DoH endorsement letters issued for action by Health and Social Care Board (HSCB), Public Health Agency (PHA), HSC Trusts, Family Practitioners, Regulation and Quality Improvement Authority (RQIA),  HSC Special Agencies and Non-Departmental Public Bodies under the revised process are available to download below:

NICE RefTitle and Link to NICE websiteDate issued by DoHDownload DoH Circular
NG147Diverticular disease: diagnosis and management22nd January 2020
NG147 (0.3 MiB)
NG136Hypertension in adults: diagnosis and management (updates and replaces CG127 & partially updates NG28)

 

 
21st October 2019
NG136 (0.4 MiB)
NG141Antimicrobial Prescribing Guideline NG141 - Cellulitis and erysipelas: antimicrobial prescribing2nd October 2019
NG141 (0.2 MiB)
NG134Depression in children and young people: identification and management (updates and replaces CG28)19th August 2019
NG134 (0.4 MiB)
NG133Hypertension in pregnancy: diagnosis and management (updates and replaces CG107)19th August 2019
NG133 (0.3 MiB)
NG131Prostate cancer: diagnosis and management5th July 2019
NG131 (0.3 MiB)
NG130Ulcerative colitis: management4th July 2019
NG130 (0.4 MiB)
NG129Crohn’s disease: management

 

 
28th June 2019
NG129 (0.4 MiB)
NG128Stroke and transient ischaemic attack in over 16s: diagnosis and initial management26th June 2019
NG128 (0.3 MiB)
NG127Suspected neurological conditions recognition and referral26th June 2019
NG127 (0.3 MiB)
CG154Ectopic pregnancy and miscarriage diagnosis and initial treatment replaces CG15421st June 2019
CG154 (0.3 MiB)
CG074Surgical site infections prevention and treament17th June 2019
CG074 (0.3 MiB)
NG124Specialist neonatal respiratory care for babies born preterm31st May 2019
NG124 (0.3 MiB)
NG121Intrapartum care for women with existing medical conditions or obstetric complications and their babies 30th April 2019
NG121 (0.3 MiB)
NG107Renal replacement therapy and conservative management (updates and replaces CG125 and TA48).27th November 2018
NG107 (0.2 MiB)
NG104Pancreatitis6th November 2018
NG104 (0.2 MiB)
NG101Early and locally advanced breast cancer: diagnosis and management (updates and replaces CG80 and TAs 107, 108, 109 and 112)11th September 2018
NG101 (0.2 MiB)
NG100Rheumatoid arthritis in adults: management - updates and replaces CG794th September 2018
NG100 (0.1 MiB)
NG099Brain tumours (primary) and brain metastases in adults4th September 2018
NG099 (0.2 MiB)
NG098Hearing loss in adults: assessment and management21st August 2018
NG098 (0.2 MiB)
NG097Dementia: assessment, management and support for people living with dementia and their carers (updates and replaces CG42 & partially updates TA217)17th August 2018
NG097 (0.2 MiB)
NG091Otitis media (acute): antimicrobial prescribing25th June 2018
NG091 (0.2 MiB)
NG07919th June 2018
NG079 (0.2 MiB)
NG08418th June 2018
NG084 (0.2 MiB)
NG095Lyme Disease8th June 2018
NG095 (0.2 MiB)
NG08931st May 2018
NG089 (0.2 MiB)
NG08810th May 2018
NG088 (0.2 MiB)
NG08710th May 2018
NG087 (0.2 MiB)
NG08511th April 2018
NG085 (0.2 MiB)
NG08323rd March 2018
NG083 (0.2 MiB)
NG08223rd March 2018
NG082 (0.2 MiB)
NG02023rd February 2018
NG020 (0.2 MiB)
NG01923rd February 2018
NG019 (0.2 MiB)
NG01823rd February 2018
NG018 (0.2 MiB)
NG01723rd February 2018
NG017 (0.2 MiB)
NG01223rd February 2018
NG012 (0.2 MiB)
NG01123rd February 2018
NG011 (0.2 MiB)
NG010Violence and aggression: short-term management in mental health, health and community settings.23rd February 2018
NG010 (0.2 MiB)
NG009Bronchiolitis in children.23rd February 2018
NG009 (0.2 MiB)
NG008Anaemia management in people with chronic kidney (replaces CG114)23rd February 2018
NG008 (0.2 MiB)
NG005Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes23rd February 2018
NG005 (0.2 MiB)
NG003Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period23rd February 2018
NG003 (0.2 MiB)
NG001Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people children and young people23rd February 2018
NG001 (0.2 MiB)
CG191Pneumonia: Diagnosis and management of community- and hospital-acquired pneumonia in adults23rd February 2018
CG191 (0.2 MiB)
CG190Intrapartum care: care of healthy women and their babies during childbirth23rd February 2018
CG190 (0.2 MiB)
CG189Obesity identification, assessment and management of overweight and obesity in children, young people and adults23rd February 2018
CG189 (0.2 MiB)
CG131Colorectal cancer: diagnosis and management23rd February 2018
CG131 (0.2 MiB)
CG097Lower urinary tract symptoms in men: management23rd February 2018
CG097 (0.2 MiB)
CG062Antenatal care for uncomplicated pregnancies23rd February 2018
CG062 (0.2 MiB)
CG061Irritable bowel syndrome in adults: diagnosis and management23rd February 2018
CG061 (0.2 MiB)
CG037Postnatal care up to 8 weeks after birth23rd February 2018
CG037 (0.2 MiB)
CG188Gallstone Disease: Diagnosis and management of cholelithiasis, cholecystitis and choledocholithiasis.13th February 2018
CG188 (0.2 MiB)
CG187Acute heart failure: diagnosing and managing acute heart failure in adults.13th February 2018
CG187 (0.3 MiB)
CG186Multiple sclerosis: management of multiple sclerosis in primary and secondary care.13th February 2018
CG186 (0.3 MiB)
CG185Bipolar disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care - updates and replaces NICE clinical guideline 3813th February 2018
CG185 (0.3 MiB)
CG184Dyspepsia and gastro oesophageal reflux disease: Investigation and management of dyspepsia, symptoms suggestive of gastro oesophageal reflux disease, or both.13th February 2018
CG184 (0.3 MiB)
CG183Drug allergy: diagnosis and management13th February 2018
CG183 (0.3 MiB)
CG182Chronic kidney disease in adults: assessment and management13th February 2018
CG182 (0.3 MiB)
CG181Cardiovascular disease: risk assessment and reduction, including lipid modification13th February 2018
CG181 (0.3 MiB)
CG180Atrial fibrillation: management13th February 2018
CG180 (0.4 MiB)
CG179Pressure ulcers: prevention and management13th February 2018
CG179 (0.2 MiB)
CG178Psychosis and schizophrenia in adults: prevention and management13th February 2018
CG178 (0.3 MiB)
CG177Osteoarthritis: care and management13th February 2018
CG177 (0.3 MiB)
CG176Head injury: assessment and early management13th February 2018
CG176 (0.3 MiB)
CG174Intravenous fluid therapy in adults in hospital13th February 2018
CG174 (0.3 MiB)
CG173Neuropathic pain in adults: pharmacological management in non-specialist settings13th February 2018
CG173 (0.3 MiB)
CG172Myocardial infarction: cardiac rehabilitation and prevention of further cardiovascular disease13th February 2018
CG172 (0.2 MiB)
CG081Advanced breast cancer: diagnosis and treatment13th February 2018
CG081 (0.3 MiB)
CG030Long-acting reversible contraception (update).13th February 2018
CG030 (0.3 MiB)
Clinical Guideline Ref Title and link to information on NICE website Date Endorsed by DoH View or download DoH Circular
CG191 Pneumonia: Diagnosis and management of community- and hospital-acquired pneumonia in adults 26/01/2015
CG191 (0.2 MiB, 523 downloads)
CG190 Intrapartum care: care of healthy women and their babies during childbirth 26/01/2015
CG190 (0.2 MiB, 534 downloads)
CG189 Obesity identification, assessment and management of overweight and obesity in children, young people and adults 14/01/2015
CG189 (0.2 MiB, 568 downloads)
CG188 Gallstone Disease: Diagnosis and management of cholelithiasis, cholecystitis and choledocholithiasis. 22/12/2014  
CG188 (0.2 MiB, 518 downloads)
CG187 Acute heart failure: diagnosing and managing acute heart failure in adults. 25/11/2014  
CG187 (0.3 MiB, 545 downloads)
CG186 Multiple sclerosis: management of multiple sclerosis in primary and secondary care. 28/11/2014  
CG186 (0.3 MiB, 555 downloads)
CG185 Bipolar disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care – updates and replaces NICE clinical guideline 38 14/11/2014  
CG185 (0.3 MiB, 534 downloads)
CG184 Dyspepsia and gastro oesophageal reflux disease: Investigation and management of dyspepsia, symptoms suggestive of gastro oesophageal reflux disease, or both. 21/10/2014  
CG184 (0.3 MiB, 517 downloads)
CG183 Drug allergy: diagnosis and management of drug allergy in adults, children and young people. 17/10/2014  
CG183 (0.3 MiB, 534 downloads)
CG182 Chronic kidney disease 17/10/2014  
CG182 (0.3 MiB, 518 downloads)
CG181 Lipid Modification. 23/09/2014  
CG181 (0.3 MiB, 614 downloads)
CG180 Atrial fibrillation: the management of atrial fibrillation (replaces CG 36) 07/08/2014  
CG180 (0.4 MiB, 547 downloads)
CG179 Pressure ulcers: prevention and management of pressure ulcers 07/07/2014  
CG178 Psychosis and schizophrenia in adults: treatment and management (updates and replaces CG82). 04/04/2014  
CG178 (0.3 MiB, 596 downloads)
CG177 Osteoarthritis: care and management in adults (updates and replaces CG59) 04/04/2014  
CG177 (0.3 MiB, 519 downloads)
CG176 Head injury: Triage, assessment, investigation and early management of head injury in children, young people and adults – (updates & replaces CG 56) 12/03/2014  
CG176 (0.3 MiB, 549 downloads)
CG175 Prostate cancer (updates and replaces CG 58) 21/02/2014  
CG174 Intravenous fluid therapy in adults in hospital. 22/07/2014  
CG174 (0.3 MiB, 693 downloads)
CG173 Neuropathic pain – pharmacological management (updates & replaces CG96) 14/01/2014  
CG173 (0.3 MiB, 520 downloads)
CG172 Myocardial Infarction: Secondary Prevention (updates & replaces CG48) 06/01/2014  
CG172 (0.2 MiB, 535 downloads)
NG107 Renal replacement therapy and conservative management (updates and replaces CG125 and TA48). 17/11/2018
NG107 (0.2 MiB, 467 downloads)
NG104 Pancreatitis 30/10/2018
NG104 (0.2 MiB, 485 downloads)
NG101 Early and locally advanced breast cancer: diagnosis and management (updates and replaces CG80 and TAs 107, 108, 109 and 112) 11/09/2018
NG101 (0.2 MiB, 532 downloads)
NG100 Rheumatoid arthritis in adults: management –
updates and replaces CG79
04/09/2018  
NG100 (0.1 MiB, 506 downloads)
NG99 Brain tumours (primary) and brain metastases in adults 04/09/2018  
NG099 (0.2 MiB, 479 downloads)
NG98 Hearing loss in adults: assessment and management 20/08/2018
NG098 (0.2 MiB, 497 downloads)
NG97 Dementia: assessment, management and support for people living with dementia and their carers (updates and replaces CG42 & partially updates TA217) 15/08/2018
NG097 (0.2 MiB, 495 downloads)
CG95 Chest Pain of Recent Onset 29/07/2013
NG91 Otitis media (acute): antimicrobial prescribing 22/06/2018  
NG091 (0.2 MiB, 517 downloads)
NG88 Heavy menstrual bleeding: assessment and management 08/05/2018  
NG088 (0.2 MiB, 581 downloads)
NG87 Attention deficit hyperactivity disorder: diagnosis and management 08/05/2018
NG087 (0.2 MiB, 524 downloads)
NG85 Pancreatic cancer in adults: diagnosis and management 09/04/2018
NG085 (0.2 MiB, 520 downloads)
NG84 Antimicrobial Prescribing Guideline 18/06/2018
NG084 (0.2 MiB, 519 downloads)
NG83 Oesophago-gastric cancer: assessment and management in adults 21/03/2018
NG083 (0.2 MiB, 524 downloads)
NG82 Age related macular degeneration 20/03/2018  
NG082 (0.2 MiB, 551 downloads)
CG81 Advanced breast cancer (update): Diagnosis and treatment – Addendum. 28/10/2014  
CG081 (0.3 MiB, 531 downloads)
NG79 Sinusitis (acute): antimicrobial prescribing. 14/06/2014
NG079 (0.2 MiB, 514 downloads)
CG 77 Antisocial Personality Disorder 29/07/2013
CG36 Atrial Fibrillation 29/07/2013
CG30 Long-acting reversible contraception (update). 28/10/2014  
CG030 (0.3 MiB, 514 downloads)
NG25 Preterm labour and birth. 13/01/2016
NG24 Blood Transfusion 13/01/2016
NG23 Menopause – diagnosis and management. 06/01/2016
NG20 Coeliac disease: recognition, assessment and management 12/10/2015
NG020 (0.2 MiB, 523 downloads)
NG19 Diabetic foot problems: prevention and management 12/10/2015
NG019 (0.2 MiB, 570 downloads)
NG18 Diabetes (type 1 and type 2) in children and young people: diagnosis and management 12/10/2015
NG018 (0.2 MiB, 527 downloads)
NG17 Type 1 diabetes in adults: diagnosis and management 12/10/2015  
NG017 (0.2 MiB, 537 downloads)
CG16 Self-harm (short-term management) 17/07/2012
NG12 Suspected cancer: recognition and referral 19/08/2015  
NG012 (0.2 MiB, 547 downloads)
NG11 Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges 20/07/2015  
NG011 (0.2 MiB, 518 downloads)
NG10 Violence and aggression: short-term management in mental health, health and community settings. 20/07/2015
NG010 (0.2 MiB, 546 downloads)
NG9 Bronchiolitis in children. 21/07/2015
NG009 (0.2 MiB, 508 downloads)
NG8 Anaemia management in people with chronic kidney (replaces CG114) 27/07/2015
NG008 (0.2 MiB, 527 downloads)
NG5 Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes 28/07/2015
NG005 (0.2 MiB, 535 downloads)
NG3 Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period 17/04/2015
NG003 (0.2 MiB, 528 downloads)
NG1 Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people children and young people 06/03/2015
NG001 (0.2 MiB, 516 downloads)

2013

>

 Ref  Title and link to information on NICE website  HSCB Issued
CG 171 Urinary incontinence: The management of urinary incontinence in women 02/12/2013
CG 170 Autism: Management of autism in children and young people 02/12/2013
CG 169 Acute kidney injury: Prevention, detection and management of acute kidney injury up to the point of renal replacement therapy 02/12/2013
CG 168 Varicose veins in the legs: The diagnosis and management of varicose veins 02/12/2013
CG 167 Myocardial infarction with ST-segment elevation: The acute management of myocardial infarction with ST-segment elevation 02/12/2013
CG 166 Ulcerative colitis: management in adults, children and young people 02/12/2013
CG 165 Hepatitis B (chronic): Diagnosis and management of chronic hepatitis B in children, young people and adults 02/12/2013
CG 164 Familial breast cancer: Classification and care of people at risk of familial breast cancer and management of breast cancer and related risks in people with a family history of breast cancer 02/12/2013
CG 163 Idiopathic pulmonary fibrosis: The diagnosis and management of suspected idiopathic pulmonary fibrosis 02/12/2013
CG 162 Stroke rehabilitation: Long-term rehabilitation after stroke 02/12/2013
CG 161 Falls: assessment and prevention of falls in older people 02/12/2013
CG 160 Feverish illness in children 29/07/2013
CG 159 Social anxiety disorder 29/07/2013
CG 158 Conduct disorders in children and young people 29/07/2013
CG 157 Hyperphosphataemia in chronic kidney disease 29/07/2013
CG 156 Fertility: assessment and treatment for people with fertility problems 02/12/2013
CG 155 Psychosis and schizophrenia in children and young people: Recognition and management 02/12/2013
CG 154 Ectopic pregnancy and miscarriage 29/07/2013
CG 153 Psoriasis 29/07/2013
CG 152 Crohn’s disease 29/07/2013
CG 151 Neutropenic sepsis 29/07/2013
CG 150 Headaches 29/07/2013
CG 149 Antibiotics for early-onset neonatal infection 29/07/2013
CG 148 Urinary incontinence in neurological disease 29/07/2013
CG 147 Lower limb peripheral arterial disease 29/07/2013
CG 146 Osteoporosis fragility fracture 29/07/2013
CG 145 Spasticity in Children and Young People 29/07/2013
CG 144 Venous thromboembolic diseases 29/07/2013
CG 143 Sickle Cell acute painful episode 29/07/2013
CG 142 Autism in adults 29/07/2013
CG 141 The management of acute upper gastrointestinal bleeding 29/07/2013
CG 140 Opioids in Palliative Care 29/07/2013
CG 139 Infection Control 29/07/2013
CG 138 Patient experience in adult NHS services 29/07/2013
CG 137 Epilepsy 07/08/2012
CG 136 Service user experience in adult mental health 06/07/2012
CG 135 Organ Donation 02/10/2012
CG 134 Anaphylaxis 22/08/2012
CG 133 Self-harm (longer-term management) 17/07/2012
CG 132 Caesarean section 29/07/2013
CG 131 Colorectal Cancer 06/07/2012
CG 130 Hyperglycaemia in acute coronary syndromes 06/07/2012
CG 129 Multiple Pregnancy 29/07/2013
CG 128 Autism in children and young people 06/07/2012
CG 127 Hypertension 29/07/2013
CG 126 Stable Angina 29/07/2013
CG 125 Peritoneal Dialysis 29/07/2013
CG 124 Hip Fracture 29/07/2013
CG 123 Common Mental Health Disorders 29/07/2013
CG 122 Ovarian Cancer 29/07/2013
CG 121 Lung Cancer 29/07/2013
CG 120 Psychosis with coexisting substance misuse 29/07/2013
CG 119 Diabetic foot problems – inpatient management 29/07/2013
CG 118 Colonoscopic surveillance for prevention of colorectal cancer in people with ulcerative colitis, Crohn’s disease or adenomas 29/07/2013
CG 117 Tuberculosis 29/07/2013
CG 114 Anaemia management in people with chronic kidney disease 29/07/2013
CG 113 Anxiety 29/07/2013
CG 112 Sedation in children and young people 29/07/2013
CG 110 Pregnancy & Complex Social Factors 29/07/2013
CG 105 Motor neurone disease – non-invasive ventilation 29/07/2013
CG 104 Metastatic malignant disease of unknown primary origin 29/07/2013
CG 103 Delirium 29/07/2013
CG 101 Chronic obstructive pulmonary disease (updated) 29/07/2013
CG 98 Neonatal jaundice 29/07/2013
CG 97 Lower urinary tract symptoms 29/07/2013