Buying health services for local people

COVID-19 (coronavirus) latest: do not leave your home

Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the gov.uk website.

Last updated: 30 March, 2020 15:59pm

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Nasal Polyps – Information for GPs

Referral Criteria / Commissioning position

Refer to secondary care when:

  • conventional primary care management is unsuccessful

Red flag symptoms

  • Unilateral growth
  • Unclear aetiology and doubts regarding benign quality
  • Associated facial swelling
  • Bloody discharge
  • Nasal polyps in children (think cystic fibrosis)

Investigations prior to referral

None

Information to include in referral letter

The GP referral letter should contain:

  • Timeline, possible triggers and impact on daily function
  • Exclusion of suspicious features
  • Allergy and smoking history
  • Aspirin sensitivity
  • History of  asthma
  • Medical and non-medical treatments attempted so far
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • Current regular medication
  • BMI
  • Alcohol consumption
  • Patient’s understanding and expectation of possible options available to the specialist

Patient information leaflets

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