Outpatient guidance for endocrinology teams now added to GIRFT advice pack

NHS England’s Getting It Right First Time (GIRFT) and Outpatient Recovery and Transformation (OPRT) programmes have added advice for endocrinology teams to their guidance highlighting actions for tackling demand for outpatient appointments.

The guidance pulls together a concise summary of available advice which can help to reduce long waits for appointments and improve patient care.

Endocrinology is now included in an updated version of the GIRFT/OPRT Clinically-led specialty outpatient guidance, which was originally shared in 2022 to focus on the surgical and medical specialties with the highest number of +78 week waits. The guide also offers a support focus on common themes and challenges in the outpatient department, such as remote consultation, reducing DNAs, and driving patient initiated follow-up (PIFU).

Endocrinology also has its own individual guide, found here.

Information for rheumatology has also now been added, taking the number of featured specialties in the guidance to 17: cardiology, dermatology, diabetes, endocrinology, ENT, gastroenterology, general surgery, geriatric medicine, gynaecology, neurology, ophthalmology, oral maxillofacial surgery, orthopaedics, respiratory/sleep medicine, rheumatology, spinal surgery and spinal pain, and urology.

Read the NIHR Health and Care Research alert on the safety of testosterone treatment, which is based on Adverse cardiovascular events and mortality in men during testosterone treatment: an individual patient and aggregate data meta-analysis (The Lancet, 2022) 

Guidelines on the evaluation and management of primary hyperparathyroidism and hypoparathyroidism (Journal of Bone and Mineral Research, 2022)

European Society of Endocrinology clinical practice guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors. (October 2018)

Tasks and responsibilities for prevention programs targeting iodine deficiency disorders. 

National Osteoporosis Society physical activity, exercise and osteoporosis consensus statement and quick guide.

National Osteoporosis Society vitamin D guidelines and quick guide.

Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. (August 2018)

Guidance for the assessment and management of prostate cancer treatment-induced bone loss. A consensus position statement from an expert group. (December 2018)

One page guides to help GPs treat pituitary insufficiency, ovarian insufficiency, testicular
insufficiency, bone health, thyroid problems and hot flushes when HRT
is contraindicated. 

Effective secondary prevention of fragility fractures: clinical standards for fracture liaison services.

A position statement by the British Thyroid Association Executive Committee. (May 2015) 

American Association of Clinical Endocrinologists position statement.

The Society endorses this position statement on the recognition of obesity as a disease. (October 2018)

British Skull Base Society Clinical Consensus Document on Management of Head and Neck Paragangliomas.