Search Results

Perinatal mental health conditions

The new guideline on Perinatal mental health conditions is an update to SIGN 127: Perinatal mood disorder.

Epilepsies in children and young people: Investigative procedures and management

Update to include diagnosis and assessment; pharmacological and non-pharmacological interventions; and transition from paediatric to adult services.

Long term follow up of survivors of childhood cancer

This guideline is applicable to all people who have survived cancer in childhood, and who may experience late effects that are related to their treatment.

Epilepsy in children

This guideline is about diagnosing and managing epilepsies in children and young people.

Children and young people exposed prenatally to alcohol

Alcohol consumption in pregnancy has the potential to cause significant fetal damage.

Assessment, diagnosis and interventions for autism spectrum disorders

This guideline updates SIGN 98, published in 2007 to reflect the most recent evidence covering children and young people.

Dental interventions to prevent caries in children

The guideline provides recommendations based on current evidence for best practice in dental interventions to prevent caries in children aged 0–18 years carried out by dental care teams within dental practices in Scotland.

Autism

This guideline is about assessment and diagnosis for autism, and approaches to help after diagnosis.

Management of attention deficit and hyperkinetic disorders in children and young people

Eating disorders

This guideline provides recommendations based on current evidence for best practice in the management of people with anorexia nervosa, bulimia nervosa, binge eating disorders and eating-disordered psychopathology occurring in the context of type 1 diabetes mellitus.

Management of schizophrenia

This guideline provides evidence based recommendations for the care and treatment of adults with schizophrenia, including dual diagnosis, access and engagement, pharmacological interventions, psychological therapies and perinatal issues.

Risk reduction and management of delirium

This guideline provides recommendations based on current evidence for best practice in the detection, assessment, treatment and follow up of adults with delirium, as well as reducing the risk of delirium.

Diagnosis and management of epilepsy in adults

The guideline makes evidence-based recommendations covering all aspects of diagnosis and management of adults with epilepsy including a completely revised section on epilepsy and women’s health and new sections covering psychiatric comorbidity, sleep, and mortality (including sudden unexpected death in epilepsy).

Prevention and remission of type 2 diabetes

This guideline provides recommendations on the prevention, early detection, and early non-pharmacological and pharmacological treatment to reduce the risk of type 2 diabetes.

Asthma: diagnosis, monitoring and chronic asthma management

A new collaborative guideline developed jointly by British Thoracic Society (BTS), National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN).

Management of hepatitis C

This guideline provides evidence-based recommendations covering screening, testing, diagnosis, referral, treatment, care and follow up of infants, children and adults with, or exposed to, HCV infection.

SIGN 98 Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders

Management of Chronic pain 2023 update

This guideline will focus on assessing and managing chronic pain (pain lasting longer than 12 weeks) in adults.

British guideline on the management of asthma

The guideline covers diagnosis and management of asthma in adults and children.

Long COVID

This booklet explains the recommendations in a guideline, produced by the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Care Excellence (NICE) and the Royal College of General Practitioners (RCGP) on managing the long-term effects of COVID-19.

Eating disorders

Booklet and animated videos for people living with eating disorders.

Pharmacological management of migraine

This guideline provides recommendations on the pharmacological management of adults with acute migraine, and prophylaxis for patients with episodic or chronic migraine or medication overuse headache.

Assessment, diagnosis, care and support for people with dementia and their carers

The guideline will cover diagnosis and assessment, non-pharmacological interventions for management of distressed behaviours, grief, advanced care planning, transition and palliative approaches.

COVID-19 guideline: management of the long-term effects of COVID-19

Prevention and management of dental decay in the pre-school child

Bipolar affective disorder

Diagnosis and management of epilepsies in children and young people

SIGN 76 Long term follow up of survivors of childhood cancer

Management of obesity in children and young people

Diagnosis and management of childhood otitis media in primary care

Safe Sedation of Children Undergoing Diagnostic and Therapeutic Procedures

Publications

Management of chronic pain

This guideline provides recommendations based on current evidence for best practice in the assessment and management, in non-specialist settings, of adults with chronic non-malignant pain, defined for the purposes of this guideline as pain that has been present for more than 12 weeks.

Delirium

This guideline is for assessment, treatment and follow up of adults with delirium, as well as reducing the risk of delirium.

Migraine

This booklet explains the recommendations in a clinical guideline, produced by the Scottish Intercollegiate Guidelines Network (SIGN), about the use of medication to manage migraines.

Module 1 - About SIGN

Module 6 - Presentation of Guidelines

Care of deteriorating patients

This guideline focuses on the management of acute clinical deterioration in non-pregnant adult patients within primary, secondary and community care settings.

Management of perinatal mood disorders

The guideline provides recommendations based on current evidence for best practice in the management of antenatal and postnatal mood and anxiety disorders, including depression, anxiety and postpartum psychosis.

Management of sore throat and indications for tonsillectomy

The guideline provides recommendations on: presentation and diagnosis in primary care; pain relief for adults and children; antibiotics for acute and recurrent sore throat; surgery for recurrent tonsillitis; referral criteria for tonsillectomy; postoperative pain and prevention of postoperative nausea and vomiting; and provision of information.

About us

Management of invasive meningococcal disease in children and young people

Bronchiolitis in children

SIGN 114 Non-pharmaceutical management of depression

Module 3 - Using Research to Develop Guidelines

Join a development group

Fetal Alcohol Spectrum Disorder (FASD)

This guideline is for parents, carers and families of children and young people up to the age of 18 who are affected by fetal alcohol spectrum disorder (FASD).

Management of chronic heart failure

This guideline provides evidence-based recommendations and best practice guidance on the management of patients with chronic heart failure.

Acute coronary syndrome

This guideline provides recommendations for the management of patients with ACS within the first 12 hours and up to hospital discharge.

Cardiac rehabilitation

This guideline provides evidence-based recommendations and best practice guidance on the management of patients referred for cardiac rehabilitation.

Management of suspected bacterial lower urinary tract infection in adult women

Prevention and remission of type 2 diabetes

This booklet explains the recommendations in a guideline produced by the Scottish Intercollegiate Guidelines Network (SIGN), about preventing and delaying progression to type 2 diabetes.

Privacy policy

COVID-19 elective surgery guidance

Notification of superseding of SIGN/CMO Clinical Cell position statement on protecting patients scheduled for elective surgery during the COVID-19 pandemic.

COVID-19 Guidance developed in partnership

Shared decision making (NICE guideline NG197)

What are guidelines

Involving patients and the public

Cardiac arrhythmias in coronary heart disease

This guideline provides evidence-based recommendations for the management of cardiac arrest and the arrhythmias associated with ACS, chronic CHD and cardiac surgery.

Management of lung cancer

The guideline covers all aspects of the management of patients with small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC), reflecting the most recent evidence on diagnostic and staging investigations, surgery, radiotherapy and systemic anticancer therapy.

Management of diabetes

These guidelines provide recommendations based on current evidence for best practice in the management of diabetes.

Prevention and management of venous thromboembolism in COVID-19

A rapid national clinical guideline on the prevention and management of venous thromboembolism in patients with COVID-19.

Accessibility

Apps

Pharmacological management of glycaemic control in people with type 2 diabetes

These guidelines provide recommendations based on current evidence for best practice in the management of diabetes.

Acute Coronary Syndrome

The guideline is about patients who are assessed and treated for acute coronary syndrome (heart attack or unstable angina).

Chronic heart failure

This guideline is about patients who are assessed and treated for chronic heart failure.

Diabetes

This guideline is for management of diabetes

Management of stable angina

This booklet is for you if you have stable angina.

Managing chronic pain

This booklet explains the recommendations in a clinical guideline, produced by SIGN, about: how you can get your pain assessed, and ways of helping to manage your pain.

Using our guidelines

Prevention and management of venous thromboembolism in COVID-19

This summary is for people who have had COVID-19 managed either in the community or in hospital.

SIGN Public Partner Recruitment

Joining a group

Consultation and Peer Review

SIGN 100 Training

Module 2 - Guideline Development Groups

Module 5 - Consultation and Peer Review

Module 7 - Putting Recommendations into Practice and Updating Guidelines

Care of deteriorating patients - withdrawn

These consensus recommendations are based on expert opinion for best practice in the management of deteriorating adult patients and underpin a national approach to care of adult deteriorating patients.

Management of patients with stroke: Identification and management of dysphagia

This guideline provides recommendations based on current evidence for best practice in the identification and management of dysphagia after stroke.

Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning

This guideline provides recommendations based on current evidence for best practice in the management of stroke rehabilitation in the first 12 months after stroke.

British guideline on the management of asthma: Evidence tables

SIGN 50: a guideline developer's handbook

The principal aim of this manual is to provide a reference tool that may be used by individual members of guideline development groups as they work through the development process.

Diagnosis and management of colorectal cancer

This guideline covers diagnosis and treatment of colorectal cancer.

SIGN Council

Contact us

Long-acting buprenorphine

Long-acting injectable buprenorphine has been available in Scotland since 2019 for weekly or monthly administration as OST within a framework of medical, social and psychological support in patients for whom methadone is not suitable and for whom the use of buprenorphine is considered appropriate.

Dementia

This booklet is for people who have been diagnosed with dementia, may be going through assessment, are family friends, carers or care partners.

Cutaneous melanoma

Management of stable angina

This guideline provides evidence-based recommendations and best practice guidance on the management of patients with stable angina.

Brain injury rehabilitation in adults

This guideline provides recommendations on post-acute assessment for adults over 16 years of age with brain injuries and interventions for cognitive, communicative, emotional, behavioural and physical rehabilitation.

Propose a topic

Care of deteriorating patients

This summary is for patients who are receiving care in hospital or a setting where they are being assessed before being admitted to hospital.

The SIGN discharge document

The aim of this document is to present a template for a single discharge document that can be used as both the immediate discharge document (in its core format) for every patient on the day of discharge, and as the final discharge summary/letter (in its extended format) for more complex cases.

Glaucoma referral and safe discharge

This guideline provides evidence based recommendations and best-practice guidance on the primary-care assessment and referral of patients with suspected glaucoma, of any subtype, from the community into secondary eye-care services and the safe discharge of patients from secondary eye-care services back into the community.

Managing suspected lower urinary tract infection (UTI) in adult women

The guideline is about diagnosing and managing suspected lower urinary tract infection (UTI) in adult women.

Risk estimation and the prevention of cardiovascular disease

This guideline deals with the management of cardiovascular risk, both primary prevention, defined as the potential for intervention prior to the disease presenting through a specified event (any incident linked to critical disruption of blood flow that may cause damage to the heart, brain or peripheral tissues), and secondary prevention, defined as the potential for intervention after an event has occurred.

Management of epithelial ovarian cancer

This guideline provides recommendations based on current evidence for best practice in screening and the role of prophylactic salpingo-oophorectomy; diagnosis; surgical management; chemotherapy; follow up; management of malignant bowel obstruction in relapsed disease and the provision of information to patients.

Managing the long-term effects of COVID-19

Management of diabetes in pregnancy

This booklet explains the recommendations in a guideline produced by the Scottish Intercollegiate Guidelines Network about managing diabetes during pregnancy.

Cardiac rehab

This guideline is about cardiac rehabilitation.

Optimising glycaemic control in people with type 1 diabetes

The decision support toolkit covers optimising glycaemic control in people with type 1 diabetes and specifically, the related social and environmental factors, aspects of structured education, psychological and behavioural interventions, use of diabetes technologies and glucose metrics.

Management of diabetes in pregnancy

The guideline covers preconception care, antenatal care, diagnosis and management of gestational diabetes and detecting glucose intolerance after pregnancy.