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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:

TitleDescriptionDate addedDownload

NICE Clinical Guideline NG211 - Rehabilitation after traumatic injury -

18-05-2022 DownloadPreview
Covid-19 Rapid Guidance - March 2022

COVID-19 rapid guideline: managing COVID-19 -

06-04-2022 DownloadPreview

Pelvic floor dysfunction: prevention and non-surgical management | Guidance | NICE

15-02-2022 DownloadPreview

NICE Clinical Guideline NG208 – Heart valve disease presenting in adults: investigation and management (partially updates and replaces CG187) | Guidance | NICE

03-02-2022 DownloadPreview

Diverticular disease: diagnosis and management

22-01-2022 DownloadPreview
NG206 (Updated and replaces CG53)

Overview | Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management | Guidance | NICE

19-01-2022 DownloadPreview

NICE Clinical Guideline NG204 - Babies, children and young people's experience of healthcare -

17-01-2022 DownloadPreview

NICE Clinical Guideline NG198 - Acne vulgaris: management 

14-09-2021 DownloadPreview

NICE Clinical Guideline NG180 - Perioperative care in adults -

06-09-2021 DownloadPreview

Diagnosis, Management And Thrombophilia Testing (updates and replaces CG144)

20-08-2021 DownloadPreview

Prostate cancer: diagnosis and management

05-07-2021 DownloadPreview

Heavy menstrual bleeding: assessment and management

24-05-2021 DownloadPreview

Secondary bacterial infection of eczema and other common skin conditions: antimicrobial prescribing (partially updates CG57)

15-03-2021 DownloadPreview

Antenatal care for uncomplicated pregnancies | Guidance | NICE

23-02-2020 DownloadPreview

Acute kidney injury: prevention, detection and management

20-02-2020 DownloadPreview

Hypertension in adults: diagnosis and management (updates and replaces CG127 & partially updates NG28)

21-10-2019 DownloadPreview

Antimicrobial Prescribing Guideline NG141 - Cellulitis and erysipelas: antimicrobial prescribing

02-10-2019 DownloadPreview

Hypertension in pregnancy: diagnosis and management (updates and replaces CG107)

19-08-2019 DownloadPreview

Depression in children and young people: identification and management (updates and replaces CG28)

19-08-2019 DownloadPreview

Prostate cancer: diagnosis and management

05-07-2019 DownloadPreview
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Clinical Guideline Ref Title and link to information on NICE website Date Endorsed by DoH
CG191 Pneumonia: Diagnosis and management of community- and hospital-acquired pneumonia in adults 26/01/2015
CG190 Intrapartum care: care of healthy women and their babies during childbirth 26/01/2015
CG189 Obesity identification, assessment and management of overweight and obesity in children, young people and adults 14/01/2015
CG188 Gallstone Disease: Diagnosis and management of cholelithiasis, cholecystitis and choledocholithiasis. 22/12/2014
CG187 Acute heart failure: diagnosing and managing acute heart failure in adults. 25/11/2014
CG186 Multiple sclerosis: management of multiple sclerosis in primary and secondary care. 28/11/2014
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
CG184 Dyspepsia and gastro oesophageal reflux disease: Investigation and management of dyspepsia, symptoms suggestive of gastro oesophageal reflux disease, or both. 21/10/2014
CG183 Drug allergy: diagnosis and management of drug allergy in adults, children and young people. 17/10/2014
CG182 Chronic kidney disease 17/10/2014
CG181 Lipid Modification. 23/09/2014
CG180 Atrial fibrillation: the management of atrial fibrillation (replaces CG 36) 07/08/2014
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
CG177 Osteoarthritis: care and management in adults (updates and replaces CG59) 04/04/2014
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
CG175 Prostate cancer (updates and replaces CG 58) 21/02/2014
CG174 Intravenous fluid therapy in adults in hospital. 22/07/2014
CG173 Neuropathic pain – pharmacological management (updates & replaces CG96) 14/01/2014
CG172 Myocardial Infarction: Secondary Prevention (updates & replaces CG48) 06/01/2014
NG107 Renal replacement therapy and conservative management (updates and replaces CG125 and TA48). 17/11/2018
NG104 Pancreatitis 30/10/2018
NG101 Early and locally advanced breast cancer: diagnosis and management (updates and replaces CG80 and TAs 107, 108, 109 and 112) 11/09/2018
NG100 Rheumatoid arthritis in adults: management –
updates and replaces CG79
NG99 Brain tumours (primary) and brain metastases in adults 04/09/2018
NG98 Hearing loss in adults: assessment and management 20/08/2018
NG97 Dementia: assessment, management and support for people living with dementia and their carers (updates and replaces CG42 & partially updates TA217) 15/08/2018
CG95 Chest Pain of Recent Onset 29/07/2013
NG91 Otitis media (acute): antimicrobial prescribing 22/06/2018
NG88 Heavy menstrual bleeding: assessment and management 08/05/2018
NG87 Attention deficit hyperactivity disorder: diagnosis and management 08/05/2018
NG85 Pancreatic cancer in adults: diagnosis and management 09/04/2018
NG84 Antimicrobial Prescribing Guideline 18/06/2018
NG83 Oesophago-gastric cancer: assessment and management in adults 21/03/2018
NG82 Age related macular degeneration 20/03/2018
CG81 Advanced breast cancer (update): Diagnosis and treatment – Addendum. 28/10/2014
NG79 Sinusitis (acute): antimicrobial prescribing. 14/06/2014
CG 77 Antisocial Personality Disorder 29/07/2013
CG36 Atrial Fibrillation 29/07/2013
CG30 Long-acting reversible contraception (update). 28/10/2014
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
NG19 Diabetic foot problems: prevention and management 12/10/2015
NG18 Diabetes (type 1 and type 2) in children and young people: diagnosis and management 12/10/2015
NG17 Type 1 diabetes in adults: diagnosis and management 12/10/2015
CG16 Self-harm (short-term management) 17/07/2012
NG12 Suspected cancer: recognition and referral 19/08/2015
NG11 Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges 20/07/2015
NG10 Violence and aggression: short-term management in mental health, health and community settings. 20/07/2015
NG9 Bronchiolitis in children. 21/07/2015
NG8 Anaemia management in people with chronic kidney (replaces CG114) 27/07/2015
NG5 Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes 28/07/2015
NG3 Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period 17/04/2015
NG1 Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people children and young people 06/03/2015



 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