Haematology

Patient Pathway

Acute Management Sickle Cell Disease Choose How to Use Incentive An Spirometer (S52) Painful crisis in SCD (S8) Sepsis in SCD (S9) Clinical guideline: the acute chest syndrome in patients with sickle cell disease (S10) Abdominal pain and jaundice in SCD (S11.1) Abdominal crises in SCD (S11.2) Acute Anaemia in SCD (S12) Acute neurological crises in SCD or Thal (S13) Priapism in SCD (S14) Acute renal failure in SCD (S15) Haematuria in SCD (S16) Visual problems in SCD (S17) Perioperative management in SCD or thal (S23.1) Peri-op transfusion in SCD or Thal (S23.2)

Acute Management Thalassaemia Choose Perioperative management in SCD or thal (S23.1) Peri-op transfusion in SCD or Thal (S23.2) Acute complications in Thal (S28) Sepsis in Thal (S33)

Annual Review Choose Annual review (S2) Annual Review Regional Patient List (S2.7) NHR Consent Form (S2.1) Eye Health Review SCD, Optometrist - OUH (S58.1) Eye Health Review SCD, Optometrist - Frimley (S58.3)

Chelation - Iron Overload Choose Deferiprone in SCD or Thal (S7.1) Deferasirox in SCD or Thal (S7.2) Deferasirox Chelation Durg Management Table (S7.21) Desferrioxamine in SCD or Thal (S7.3) Iron overload in thal intermedia (S30)

Dietary Advice Choose British Dietetics Association Website Diet and Osteoporosis Advice Diet and Vitamin D

G6PD Deficiency Choose G6PD Org Website MIMS Drugs to Avoid in G6PD Deficiency

Haemochromatosis Choose Haemochromatosis Website Haemochromatosis Leaflet July 2016

Long-Term Management and Followup Choose Clinical guideline: chronic renal disease in patients with haemoglobin disorders (S18) Orthopaedic complications in SCD or Thal (S19) Retinopathy in SCD (S20) Cardiac problems in SCD (S21) Endocrinopathies in SCD or Thal (S22) Hydroxycarbaminde in SCD or Thal (S26) Hydroxycarbamide Monitoring Table (S26.1) Preventing infection in SCD and Thal (S27) Splenectomy in Thal intermedia (S31) Chronic Pain in SCD (S32) Individualised Sickle-cell Care Plan Oxford (S36.1) Routine OPD Proforma (S41)

• Individualised Sickle Cell Care Plan for Oxford Template (Word) (S36.1)

Pregnancy Choose Pregnancy in SCD (S24) Pregnancy in Thalassaemic women (S25)

Referral, MDT and Workup Choose Referral to the Haemoglobinopathy Service (S37) New Patient Assessment (S38)

• MDT Review Proforma (Word) (S45)
• MDT Review for Patient Notes (Word) (S45.1)

Transfusion and Exchange Choose Transfusion in SCD (S4) Automated exchange in SCD (S5) Manual exchange in SCD (S6) Peri-op transfusion in SCD or Thal (S23.2) Planning Proforma for Automated Red-cell Exchange - Churchill Site (S50) Transfusion in Thal intermedia (S29)

Transition Choose Paeds to adult service transition (S1)

Trials Choose

Links

National Haemoglobinopathy Registry Choose National Haemoglobinopathy Registry Patient Information

OUH Transfusion Website Choose OUH Transfusion Website

Sickle Cell Disease Guidance Choose Acute painful episode: NICE Acute chest syndrome: BSH (2015 Sickle cell disease management. Clinical knowledge summary: NICE (2016) NHLBI Guidelines 2014 (USA) UK Standards for the clinical care of adults with sickle cell disease Guidelines on red cell transfusion in sickle cell disease. Part I: principles and laboratory aspects (BSH)(2017) Guidelines on red cell transfusion in sickle cell disease Part II: indications for transfusion (BSH) (2017) Significant haemoglobinopathies: guidelines for screening and diagnosis (BSH) (2010)

Sickle Cell Disease Reports Choose NCEPOD (2008): A Sickle Crisis?

Thalassaemia Guidance Choose UKTS (2016) TIF(2013) Non Transfusion dependent guidelines TIF(2016) Transfusion dependent guidelines

Nursing

Nursing Care Plans and Nursing Documents Choose Acute sickle cell crisis Nursing Care Plan (N.114) Ad-hoc Telephone Clinic Call Data Capture (S51) Patient management during acute or planned apheresis/automated exchange/dialysis procedures (N120) Lone Worker Procedure Haemoglobinopathy ANP (S47) Pain Relief Assessment Table (S39)

• Nursing Care Plan Template - right click to downloadW

NHSBT Exchange

• Red Cell Exchange Procedure Patient Information
• Red Cell Exchange Referral

Patient Information

Patient Information Choose Moving to the Adult Haemoglobinopathy Service (S34) Adult Haemoglobinopathy Service (S35) How to Use An Incentive Spirometer (S52) Fatigue Diary (S53) Hydroxycarbamide Patient Information (S48) Contact Preferences and Details for Events (S54) Priaprism Patient Information (S49)

Patient Questionnaires Choose Service Questionnaire 1 - SCDThal (S59.1) Service Questionnaire 2 - All Others (S59.2) Service Questionnaire 3 - Annual Review (S59.3)

Education

Education Choose NICE Educational Resource (Powerpoint document) Other Haemoglobin Disorders - Noémi Roy - 5 Oct 2016 Thames Valley Haemoglobinopathy ODN - Wale Atoyebi - 5 Oct 2016

Operational Delivery Network (ODN)

ODN Choose Individualised Sickle-cell Care Plan ODN Template (S36.0) Operational Delivery Network (ODN) Terms of Reference (S44.0)

• Individualised Sickle-cell Care Plan ODN Template (Word) (S36.0)

Milton Keynes Choose Individualised Sickle-cell Care Plan ODN MKUH Template (S36.1)

• Individualised Sickle-cell Care Plan ODN MKUH Template (Word) (S36.1)

Royal Berkshire Choose

Wexham Park/Frimley Health Choose S2.31 Regional Annual Review Letter - Frimley

GP Haemoglobinopathy Information

Choose

Helpful Websites and Contacts

Active 10

• Active 10 Website

OUH Red Cell Service Coordinator

• Tel: 01865 227826

NHS Choices

• Sickle Cell Disease
• Thalassaemia

Sickle cell Society

• 54 Station Rd,
  London, NW10 4UA
  Tel: 020 8961 7795/8346
  info@sicklecellsociety.org
  http://sicklecellsociety.org

UK thalassaemia Society

• http://ukts.org

Thalassaemia International

• www.thalassaemia.org.cy

Brent Sickle Cell and Thalassaemia Centre

• London North West Healthcare NHS Trust

General Health and Wellbeing Advice

• www.ouh.nhs/patient-guide/here-for-health/default.aspx