How you've influenced guidelines and guideline scopes

Venous thromboembolic disease: diagnosis, management and thrombophilia testing scope

  • Question added about point-of-care D-dimer testing.
  • Question added about duration of pharmacological treatment for deep vein thrombosis or pulmonary embolism.

Prostate cancer: diagnosis and management scope

  • Question and recommendations added about follow-up protocols for people with raised prostate-specific antigen, negative MRI and negative biopsy.
  • Question added about follow-up protocols after radical treatment of prostate cancer.

Antenatal care scope

  • Question added about routes to access antenatal care, and the content and frequency of visits.
  • Question added about method of measuring blood pressure.

Lyme disease guideline

  • A diagnostic algorithm was added.
  • Clarification that Lyme disease is a possible but uncommon cause of the list of non-specific symptoms.

Gout: diagnosis and management scope

  • A whole new section about diagnosis was added.

Hypertension in adults guideline

  • Recommendation for adults with a 10 year risk of cardiovascular disease of 10% or more was changed. 'Offer antihypertensive drug treatment' was changed to 'Discuss their individual disease risk and their preferences for treatment, including no treatment'.

Survey feedback

We asked GP members about their experience of being on the panel. Their feedback helped us improve the process for everyone. Here is their feedback and our responses.

You said

It's time consuming to flick between all the different documents we send when we ask for comments.

We did

Created a new template that includes all the information you need in a single document.


You said

It's difficult to know what to comment on.

We did

Provide you with more targeted questions but still ask for other insights.


You said

MailChimp attachments don't open on iOS devices.

We did

Stopped sending attachments and tested the new email template using iOS.


You said

It isn't clear what we expect from your comments.

We did

Created a guide to commenting. This includes a range of real life examples of helpful comments.


You said

Commenting on draft recommendations is very time consuming.

We did

Only email the recommendations our moderators think are most relevant to primary care. We'll include a link to the full recommendations for those who'd like them.


You said

It would help to have notice of when requests for comments will be received.

We did

For comments on draft recommendations, we'll tell you in advance the name of the topic and the date the request will be sent. Unfortunately we can't give notice of requests for comments at pre-scoping stage.


You said

You're more likely to comment on topics you have a specific interest in.

We did

Twice a year we'll send you a list of topics likely to be commissioned in the next 6 months.


You said

Most members had heard about the panel through our website.

We did

Add information such as question examples and the guide to commenting to the GP reference panel page.


You said

It would be helpful if work on the panel was recognised as part of revalidation.

We did

Thank you letters will be sent out each September. These will list the topics you've commented on and outlines your role as a panel member. You can use these as evidence for your revalidation.


You said

Some guidelines are out of date with current practice in primary care. This could put potential members off joining the panel.

We did

Asked all current panel member for suggestions of out of date guidelines. This will help us prioritise which guidelines to update.