 A guide to insulin dose adjustment (11+ years) |
Paediatrics (Children's Services) |
|
|
Abdomino perineal excision of rectum and anus (APER) |
Colorectal Unit (Surgery), General Surgery |
|
|
After bereavement: Source of information, advice and support |
Chaplaincy |
|
|
Allogeneic Bone Marrow Harvest |
Haematological Oncology, Haematology (Medical), Oncology |
|
|
Allogeneic donor peripheral blood stem cell mobilisation and collection |
Haematological Oncology, Haematology (Medical), Oncology |
|
|
Amniocentesis |
Fetal Medicine, Maternal Fetal Assessment Unit (MFAU) |
|
|
An introduction to carbohydrate counting (6-10 years) |
Children's Services (Paediatrics) |
|
|
Anal Fistula |
Colorectal Unit (Surgery), General Surgery |
|
|
Anterior cervical discectomy for cervical myelopathy (pressure on the spinal cord) or cervical radiculopathy (pressure on a nerv |
Neurosciences, Neurosurgery |
|
|
Anterior resection |
Colorectal Unit (Surgery), General Surgery |
|
|
Appendicectomy (removal of an inflamed appendix) |
Colorectal Unit (Surgery), General Surgery |
|
|
April 2015 - Disclosure log |
Corporate services |
|
|
August 2015 - Disclosure log |
Corporate services |
|
|
Autologous fascial sling for stress urinary incontinence |
Gynaecology |
|
|
Axillo-femoral/axillo-profunda bypass (to improve the blood flow in the leg) |
Vascular Surgery |
|
|
Balloon dilation of the eustachian tube (BET) - Patient information and consent to |
Ear nose and throat (ENT), Plastic & Reconstructive Surgery |
|
|
Bartholin’s Cyst/Abscess Treatment using Word catheter |
Gynaecology |
|
|
Biopsy of brain tumour in adults |
Neurosciences, Neurosurgery |
|
|
Blood or Marrow Transplant |
Haematological Oncology, Haematology (Medical), Oncology |
|
|
Bone anchored heearing aid consent form |
Ear nose and throat (ENT) |
|
|
Bone Marrow Harvest |
Haematological Oncology, Haematology (Medical), Oncology |
|
|
Botulinum toxin injection for blepharospasm (spasm of the eyelids) |
Ophthalmology |
|
|
Botulinum toxin injection for blepharospasm/hemifacial spasm |
Neurology, Neurosciences, Neurosurgery |
|
|
Botulinum Toxin injection for cervical Dystonia (Spasmodic Torticollis) |
Neurology, Neurosciences, Neurosurgery |
|
|
Botulinum toxin injection for spasticity |
Neurorehabilitation |
|
 |
Breast unit |
|
|
BRAID participant information and informed consent part B |
Breast unit |
|
|
BRAID-participant-information-and-informed-consent.pdf |
Breast unit |
|
|
Breast surgery (axillary clearance) |
Breast unit |
|
|
Breast surgery (mastectomy) |
Breast unit |
|
|
Breast surgery: duct clearance or microdochectomy |
Breast unit |
|
|
Breast surgery: excision biopsy |
Breast unit |
|
|
Breast surgery: localisation and diagnostic excision biopsy |
Breast unit |
|
|
Breast surgery: localisation and wide local excision |
Breast unit |
|
|
Breast surgery: male mastectomy and axillary clearance |
Breast unit |
|
|
Breast surgery: mastectomy and axillary clearance |
Breast unit |
|
|
Breast surgery: re-excision |
Breast unit |
|
|
Breast surgery: re-excision and axillary clearance |
Breast unit |
|
|
Breast surgery: wide excision of the nipple and areola complex |
Breast unit |
|
|
Breast surgery: wide local excision |
Breast unit |
|
|
Breast surgery: wide local excision and axillary clearance |
Breast unit |
|
|
Caesarean section |
Obstetrics |
|
|
Caesarean section |
Gynaecology, Obstetrics |
|
|
Caesarean section in Arabic |
Delivery Unit, Gynaecology, Maternity Services |
|
|
Caesarean section: consent form |
Maternity Services |
|
|
Cancer and fertility: a guide for women |
Cancer Services |
|
|
Cardiac catheterisation and coronary angiography |
Cardiology |
|
|
Cartilage tympanoplasty |
Ear nose and throat (ENT) |
|
|
Cataract surgery - general anaesthesia |
Ophthalmology |
|
|
Cataract surgery - local anaesthesia |
Ophthalmology |
|
|
Cerebral angiogram of the brain - consent for |
Neurosurgery, Radiology |
|
|
Chest wall perforator flap based partial breast reconstruction |
Breast unit |
|
|
Chorionic villus sampling |
Fetal Medicine, Maternal Fetal Assessment Unit (MFAU) |
|
|
Closure of ileostomy |
General Surgery |
|
|
Colectomy |
Colorectal Unit (Surgery), General Surgery |
|
|
Colposuspension for stress urinary incontinence |
Gynaecology |
|
|
Combined kidney and pancreas transplantation |
Pancreas transplant, Transplant Services |
|
|
Consent for immunisations of neonates |
Neonatal Services |
|
|
Consent for immunisations of neonates (BCG etc) |
Neonatal Services |
|
|
Consent form: For donation of brain, pituitary tissue and cerebrospinal fluid by a nominated individual or person in a qualifyin |
Histopathology, Tissue bank |
|
|
Consent form: For donation of brain, pituitary tissue and cerebrospinal fluid by the donor |
Brain Bank, Histopathology |
|
|
Consent form: For donation of brain, spinal cord, pituitary tissue and cerebrospinal fluid by a Nominated Individual or Person i |
Brain Bank, Histopathology |
|
|
Consent form: For donation of brain, spinal cord, pituitary tissue and cerebrospinal fluid by the donor |
Brain Bank, Histopathology |
|
|
Consent to cleft lip repair (with or without nasal correction and/or vomerine flap) |
Ear nose and throat (ENT) |
|
|
Consent to cleft palate repair (with or without grommet insertion) |
Ear nose and throat (ENT), Paediatric Surgery |
|
|
Consent to perform an unrelated bone or marrow transplant donor search |
Haematological Oncology |
|
|
Costochondritis (rib pain) |
east un |
|
|
Cranioplasty |
Neurosurgery |
|
|
Craniotomy and resection of brain tumour in adults |
Neurosciences, Neurosurgery |
|
|
Craniotomy and resection of brain tumour with insertion of Carmustine (Gliadel®) implants in adults |
Neurosciences, Neurosurgery |
|
|
Cyanoacrylate Glue Closure for Varicose Veins |
Vascular Surgery |
|
|
Cystoscopy |
Gynaecology |
|
|
Cystoscopy: Flexible |
Urology |
|
|
December 2015 - Disclosure log |
Corporate services |
|
|
Diagnostic laparoscopy (Gynaecology): consent form |
Gynaecology |
|
|
Diphencyprone: topical immunotherapy |
Dermatology |
|
|
Distal or sub-total pancreatectomy (removal of a part of the pancreas) |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Dobutamine Stress Echocardiography |
Cardiology |
|
|
Donating breast milk to the breast milk bank |
Neonatal Services |
|
|
Donation of brain and related bodily fluids by the donor himself/herself |
Histopathology, Tissue bank |
|
|
Doppler-Guided Haemorrhoidal Artery Ligation |
Colorectal Unit (Surgery) |
|
|
Elective caesarean section with sterilisation |
Obstetrics |
|
|
Elective Caesarean section with sterilisation: consent form |
Maternity Services |
|
|
Elective coil occlusion of brain aneurysm |
Neurosciences |
|
|
Elective day-case cardioversion |
Cardiology |
|
|
Electrocochleography |
Ear nose and throat (ENT) |
|
|
Endometrial ablation using the novasure procedure |
Gynaecology |
|
|
Endoscopic hypophysectomy / transphenoidal hypophysectomy |
Neurosciences, Neurosurgery |
|
|
Endovascular repair of abdominal aortic aneurysm (EVAR) - ‘key hole’ repair of a ballooned artery in your abdomen |
Vascular Surgery |
|
|
Endovascular repair of thoracic aortic aneurysm– ‘key hole’ repair of a ballooned artery in your chest |
Vascular Surgery |
|
|
Excision of recurrence in breast/chest wall |
Breast unit |
|
|
Excision of spinal intradural tumour |
Neurosciences, Neurosurgery |
|
|
Extended total gastrectomy |
Upper Gastrointestinal (GI) Unit |
|
|
External cephalic version (ECV): consent form |
Maternity Services |
|
 Fast-track referral form: facial and/or oral symptoms |
Oral and Maxillofacial Surgery and Orthodontics |
|
|
February 2015 - disclosure log |
Freedom of Information (FoI) |
|
|
Femoro-popliteal and/or femoro-crural bypass (to improve the blood flow in the leg) |
Vascular Surgery |
|
|
For parents of a child who has lymphoma – Routine procedures under general anaesthetic for the whole course of lymphoma treatmen |
Paediatric Haematology and Oncology |
|
|
Form for adults who lack the capacity to consent to investigation or treatment |
Generic |
|
|
Formation of an ileo-anal pouch |
Colorectal Unit (Surgery), General Surgery |
|
|
Haemorrhoidectomy |
Colorectal Unit (Surgery), General Surgery |
|
|
Headaches - Information for young people and their parents |
Children's Services (Paediatrics), Emergency Department (ED) |
|
|
Hip arthroscopy and treatment of Femoroacetabular Impingement (FAI) |
Trauma & Orthopaedics |
|
|
Home management of miscarriage |
Gynaecology, Obstetrics |
|
|
Home termination of early pregnancy |
Gynaecology |
|
|
Hysterosalpingogram (HSG) - information for patients |
Radiology, Radiotherapy |
|
|
Hysteroscopic surgery |
Gynaecology |
|
|
Immunoglobulin replacement therapy |
Immunology (Clinical) |
|
|
Information about an adult post mortem |
Mortuary |
|
|
Infusion study via reservoir or valve pre-chamber |
Neurosciences, Neurosurgery |
|
|
Insertion of a central venous catheter |
Vascular Surgery |
|
|
Insertion of a deep brain stimulator (DBS) |
Neurosciences, Neurosurgery |
|
|
Insertion of a PICC (peripherally inserted central catheter): consent form |
Vascular Access Unit |
|
|
Insertion of a portacath |
Vascular Surgery |
|
|
Insertion of lumbar peritoneal and lumbar pleural shunt |
Neurosciences, Neurosurgery |
|
|
Insertion of ventriculo-peritoneal and ventriculo-atrial shunt |
Neurosciences, Neurosurgery |
|
|
Insertion of ventriculo-pleural shunt |
Neurosciences |
|
|
Interval cyto-reductive surgery for ovarian cancer |
Gynaecological Oncology |
|
|
January 2015 - disclosure log |
Freedom of Information (FoI) |
|
|
January 2016 - Disclosure log |
Corporate services |
|
|
Jaw or chin corrective surgery (orthognathic surgery) |
Oral and Maxillofacial Surgery and Orthodontics |
|
|
Jugular foramen decompression consent form |
Ear nose and throat (ENT) |
|
|
July 2015 - Disclosure log |
Corporate services |
|
|
Kidney (renal) biopsy |
Renal Services |
|
|
Kidney Transplantation |
Transplant Services |
|
|
Kidney transplantation from a living donor |
Transplant Services |
|
|
Laparoscopic abdominal wall hernia surgery |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic adrenalectomy |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Laparoscopic anti-reflux surgery |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic assisted vaginal hysterectomy and bilateral salpingectomy with ovarian conservation or bilateral oophorectomy |
Gynaecology |
|
|
Laparoscopic Cholecystectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic cholecystectomy |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Laparoscopic groin hernia repair |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic live donor nephrectomy (removal of kidneys from live donors using a key-hole technique) |
Transplant Services |
|
|
Laparoscopic para-oesophageal hernia |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic pre-peritoneal inguinal hernia repair |
Upper Gastrointestinal (GI) Unit |
|
|
Laparoscopic sterilisation |
Gynaecology |
|
|
Laparoscopically assisted oesophagectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Lateral internal anal sphincterotomy for anal fissure |
Colorectal Unit (Surgery), General Surgery |
|
|
Live donor hepatectomy (removal of part of the liver for the purpose of transplantation) |
Hepatobiliary & Pancreatic Surgery (HPB), Transplant Services |
|
|
Live donor liver transplantation (using part of a liver from a living donor) |
Transplant Services |
|
|
Liver resection |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Liver transplantation |
Transplant Services |
|
|
Living liver donation work-up |
Transplant Services |
|
|
Localisation and wide local excision and axillary clearance |
Breast unit |
|
|
Localisation and wide local excision and sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
|
Low flow Extracranial to intracranial bypass (STA-MCA) surgery to reduce the chances of future strokes |
Neurosurgery |
|
|
Lower limb amputation (permanent surgical removal of part of the foot/leg) |
Vascular Surgery |
|
|
Lumbar decompression |
Neurosciences, Neurosurgery |
|
|
Lumbar discectomy |
Neurosciences, Neurosurgery |
|
|
Lumbar infusion study |
Neurosciences, Neurosurgery |
|
|
Lumbar puncture |
Neurology, Neurosurgery |
|
|
Male mastectomy and sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
|
Manual vacuum aspiration (MVA) for termination of early pregnancy (TOP) |
Gynaecology, Obstetrics |
|
|
Manual vacuum aspiration for management of miscarriage (MVA) |
Gynaecology, Obstetrics |
|
|
March 2015 - Disclosure log |
Corporate services |
|
|
Mastectomy and sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
|
Mastoid Obliteration |
Ear nose and throat (ENT) |
|
|
May 2015 - Disclosure log |
Corporate services |
|
|
Meatoplasty / canalplasty consent form |
Ear nose and throat (ENT) |
|
|
Medical management of an ectopic pregnancy using methotrexate |
Gynaecology |
|
|
Medical management of miscarriage |
Gynaecology |
|
|
Medical management of persistent pregnancy of unknown location using methotrexate |
Gynaecology |
|
|
Medical termination of early pregnancy (up to 13 weeks gestation) |
Gynaecology |
|
|
Medical termination of mid-trimester pregnancy (13-18 weeks gestation) |
Gynaecology |
|
|
Minimally invasive oesophagectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Minor anorectal surgery (skin tags, fibroepithelial polyps, external haemorrhoids and warts) |
Colorectal Unit (Surgery), General Surgery |
|
|
monitor-special-measures-plan.pdf |
Corporate services |
|
|
Narrow band UVB therapy and minimal erythematic dose (MED) test |
Dermatology |
|
|
Narrow band UVB therapy and minimal erythematic dose test (MED) |
Phototherapy |
|
|
November 2015 - Disclosure log |
Corporate services |
|
|
October 2015 - Disclosure log |
Corporate services |
|
|
Oesophagectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Open cavity mastoidectomy |
Ear nose and throat (ENT) |
|
|
Open inguinal hernia surgery |
General Surgery, Upper Gastrointestinal (GI) Unit |
|
|
Orthodontic treatment |
Orthodontics |
|
|
Ossiculoplasty |
Ear nose and throat (ENT) |
|
|
Otosclerosis and stapedectomy |
Ear nose and throat (ENT) |
|
|
Paraumbilical hernia surgery |
Colorectal Unit (Surgery), General Surgery |
|
|
Paraurethral injection/intramural bulking procedures |
Gynaecology |
|
|
Partial gastrectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Patient agreement to investigation or treatment for neurosurgery, spinal surgery or vitreoretinal surgery: consent form 2 |
Nursing |
|
|
Patient agreement to investigation or treatment: consent form 1 |
Generic |
|
|
Patient agreement to systemic therapy, or radiotherapy, or procedure (consent form) |
Cancer Services |
|
|
Patient information and consent to cardiac catheterisation and coronary angiography |
Cardiology |
|
|
Patient information and consent to laparoscopic (key-hole) ovarian / fallopian tubal surgery |
Gynaecology |
|
|
Percutaneous Transhepatic Cholangiography (PTC) |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Peripheral blood stem cell mobilisation and Collection |
Haematological Oncology, Haematology (Medical), Oncology |
|
|
Permanent pacemaker implantation |
Cardiology |
|
|
Photodynamic Therapy (PDT) |
Dermatology |
|
|
Pilonidal sinus |
Colorectal Unit (Surgery), General Surgery |
|
|
Pinnaplasty - correction of prominent ear(s) |
Plastic & Reconstructive Surgery |
|
|
Posterior cervical decompression |
Neurosciences, Neurosurgery |
|
|
Posterior spinal instrumented fusion |
Neurosurgery |
|
|
Primary cyto-reductive surgery for suspected/ proven gynaecological cancer |
Gynaecological Oncology |
|
|
PUVA (Poralen and Ultraviolet Light A) |
Dermatology |
|
|
PUVA treatment - full body or hands or feet |
Phototherapy |
|
|
Registration of intent form: for donation of brain, pituitary tissue and cerebrospinal fluid by a nominated individual or person |
Histopathology, Tissue bank |
|
|
Registration of intent: For donation of brain, spinal cord, pituitary tissue and cerebrospinal fluid by a Nominated Individual o |
Brain Bank, Histopathology |
|
|
Retropubic midurethral sling/transobturator midurethral sling for the surgical treatment of stress urinary incontinence |
Gynaecology, Urogynaecology |
|
|
Reversal of Hartmann’s operation |
General Surgery |
|
|
Risk of cancer in the other testicle |
Cancer Services |
|
|
Routine procedures under general anaesthetic for the whole course of leukaemia treatment |
Paediatric Haematology and Oncology |
|
|
Sacrocolpopexy/Pelvic Floor Repair (PFR) /Sacrospinous fixation for prolapse |
Gynaecology, Urogynaecology |
|
|
Sacrohysteropexy/Pelvic Floor Repair (PFR) for Prolapse |
Gynaecology, Urogynaecology |
|
|
Sacrohysteropexy/Pelvic Floor Repair (PFR) for prolapse |
Gynaecology, Obstetrics |
|
|
Sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
|
September 2015 - Disclosure log |
Corporate services |
|
|
Solitary Pancreas Transplantation |
Transplant Services |
|
|
Spinal Cord Stimulation Trial / Spinal Cord Stimulation Full Implant: Patient information and consent to |
Pain Clinic |
|
|
Staging laparoscopy |
Upper Gastrointestinal (GI) Unit |
|
|
CF426_staging_laparoscopy_and_gastroscopy_v2.pdf |
Upper Gastrointestinal (GI) Unit |
|
|
Supplementary consent to investigation or treatment by patient who refuses to have a blood transfusion |
Generic |
|
|
Surgery for abdominal aortic aneurysm (AAA) |
Vascular Surgery |
|
|
Surgery for rectal prolapse |
General Surgery |
|
|
Surgery for ruptured intracranial aneurysms |
Neurosciences, Neurosurgery |
|
|
Surgery for unruptured intracranial aneurysms |
Neurosurgery |
|
|
Surgery of the carotid arteries – carotid endarterectomy |
Neurosurgery |
|
|
Surgery of the carotid arteries – carotid endarterectomy |
Vascular Surgery |
|
|
Surgery on the long saphenous varicose veins (in the leg) |
Vascular Surgery |
|
|
Surgery on the short saphenous varicose veins (in the calf of the leg) |
Vascular Surgery |
|
|
Surgical evacuation of retained products of conception (SERPOC) |
Gynaecology |
|
|
Surgical management of an ectopic pregnancy - consent to |
Gynaecology |
|
|
Surgical management of miscarriage |
Gynaecology |
|
|
Surgical removal of acoustic neuroma |
Neurosciences, Neurosurgery |
|
|
Surgical removal of impacted wisdom teeth |
Oral and Maxillofacial Surgery and Orthodontics |
|
|
Surgical termination of pregnancy (7-13 weeks gestation) |
Gynaecology |
|
|
Thoracic decompression |
Neurosciences, Neurosurgery |
|
|
Thoracic outlet syndrome and cervical or first rib removal |
Vascular Surgery |
|
|
Thoracoscopic Sympathectomy Hyperhidrosis (excessive sweating) or facial flushing |
Vascular Surgery |
|
|
Three phase oesophagectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Tissue typing: Donating a blood sample |
Tissue Typing |
|
|
Total abdominal hysterectomy bilateral salpingectomy with ovarian conservation or bilateral oophorectomy |
Gynaecology |
|
|
Total gastrectomy |
Upper Gastrointestinal (GI) Unit |
|
|
Total hip replacement (arthroplasty) |
Trauma & Orthopaedics |
|
|
Total knee replacement |
Trauma & Orthopaedics |
|
|
Total pancreatectomy (removal of the pancreas) |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Trans-cervical styloidectomy consent form |
Ear nose and throat (ENT) |
|
|
Transanal endoscopic microsurgery (TEMS) |
General Surgery |
|
|
Transcervical Resection of Fibroids (TCRF) |
Gynaecology |
|
|
Transoesophageal echocardiogram (TOE) consent form |
Cardiology |
|
|
Transvaginal Cervical Cerclage (cervical suture) |
Maternity Services |
|
|
Treatment of trigeminal neuralgia by percutaneous (radiofrequency or glycerol) lesioning |
Neurosciences, Neurosurgery |
|
|
Treatment options for female stress urinary incontinence |
Urology |
|
|
Tympanoplasty: combined approach tympanoplasty initial stage |
Ear nose and throat (ENT) |
|
|
Tympanoplasty: combined approach tympanoplasty subsequent stage |
Ear nose and throat (ENT) |
|
|
Uterine artery embolisation |
Gynaecology |
|
|
Vaginal surgery for prolapse |
Gynaecology |
|
|
VNUS closure (radiofrequency ablation of varicose veins) |
Vascular Surgery |
|
|
Whipple’s resection (pancreatico-duodenectomy) |
Hepatobiliary & Pancreatic Surgery (HPB) |
|
|
Wide excision of the nipple and areola complex and axillary clearance |
Breast unit |
|
|
Wide excision of the nipple and areola complex and sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
|
Wide local excision and sentinel lymph node (SLN) biopsy +/- axillary clearance |
Breast unit |
|
