PCST - Primary Care Support Tool

Blood Pressure Reading

Systolic

Diastolic

mmHg

Patient Status

Patient is diabetic

Current Symptoms

Chest pain

Palpitations

Shortness of breath

Algo by Dr. P. Kader

Prevention Type

Primary Prevention

Secondary Prevention (CVD)

CKD Status

eGFR <60 and/or albuminuria

eGFR <30

Risk Factors

Qrisk ≥10%

T1DM age over 40

Diabetes >10 years

Nephropathy

HIV

CVD Type

CHD (Coronary Heart Disease)

Angina

ACS (Acute Coronary Syndrome)

MI (Myocardial Infarction)

Stroke

TIA (Transient Ischemic Attack)

PAD (Peripheral Artery Disease)

Algo by Dr. G. Ambrose

Age

Results

Symptoms

Red Flags

Patient Age Group

Select the patient's age category

Adult (16+)

Child (<16)

Dipstick Results

Enter relevant dipstick findings

Leukocytes

Pos.

Neg.

Nitrites

Pos.

Neg.

Blood

Pos.

Neg.

Urinary Symptoms

Does the patient have any of the following symptoms? (Select all that apply)

Pain or burning when passing urine

Frequent need to pass urine

Urgency to pass urine

Passing small amounts of urine

Lower abdominal pain or discomfort

Cloudy or foul-smelling urine

Visible blood in urine

Additional symptoms in children:

Fever

Irritability or being unsettled

Poor feeding

Vomiting

Red Flag Assessment

Are any of the following red flags present? (Select all that apply)

Signs of sepsis (fever with rigors, tachycardia, hypotension, confusion)

Loin/flank pain (possible pyelonephritis)

High fever (>38°C)

Persistent vomiting (unable to keep fluids down)

Signs of dehydration

New confusion or altered mental state

Pregnant patient

Additional red flags in children:

Child appears seriously unwell

Non-blanching rash

Quick Reference Guide

Sample Collection

Use clean-catch midstream sample
Fresh sterile catheter sample acceptable
Never use urine from leg bags

Key Markers

Leukocytes: White blood cells in urine
Nitrites: Bacterial presence indicator
Blood: Red blood cells (haematuria)

UTI Likely When

Nitrite positive (any combination)
Leukocytes AND nitrites positive
Leukocytes AND blood positive

We found a saved draft from earlier. Would you like to continue?

GP Treatment Status

Currently treated by their GP for mental health?

Yes No

Additional Support Needed

Does the patient need additional support beyond GP care?

Yes - Needs more support

No - GP care sufficient

Current Psychological Support

Is the patient receiving any form of psychological support?

Yes - Already receiving support

No - Not receiving support

Current Symptoms

Is the patient experiencing any of the following? (Select all that apply)

Low Mood

Anxiety

Phobias

Bereavement

Work Related Stress/Burnout

Low Self Esteem

Not Coping

Stress

Anger Management

Loneliness

Menopausal Concerns

Problems Sleeping

Complex Needs Assessment

Does the patient match any of the following criteria? (All patients should be 18 or over)

Requires CMHT referral

Ongoing serious MH concerns requiring MH Professional intervention

In crisis - self harm/suicidal ideation or intent

Support for complex needs/personality disorder

Dual diagnosis (drugs/alcohol and mental health)

Severe depressive episodes needing long term review and support

Bucks Mind Services

Buckinghamshire Mind have a wide range of services to refer patients into, including:

Talking Therapies
Minds Supported Self Help
Individual Support Services
Citizens Advice
Housing Support
Bucks Mind Safe Haven
Bucks Mind Befriending Service
Bucks Mind Support Groups
Samaritans (116 123)
Papyrus HOPELINEUK
GP Referral
Amparo Services
Social Prescribers
Gateway Community Navigators
SMI Physical Health Team
PCN Mental Health Practitioners

Algo by Paul Walden

No resources found matching your search.

Training and Signposting Resources

Seriously unwell (requires 999/ED)

Hospital Site

Select the FHFT hospital site for referral

Frimley Park Hospital (South)

Wexham Park Hospital (North)

Reason for Contacting Paediatrics

What does the GP need from Paediatrics?

Advice on a case

Refer to PAU

Support
Resources

ARRS Resources

Quick Reference Guide

Sample Collection

Key Markers

UTI Likely When

Bucks Mind Services

SupportResources

Quick Reference Guide

Sample Collection

Key Markers

UTI Likely When

Bucks Mind Services

Support
Resources