Clinical Scoring Systems
Alcohol
Alcohol screening tool (health and wellbeing)
CAGE questionnaire (alcohol assesment)
Fast Alcohol Screening Tool (FAST)
MAST questionnaire (alcohol assesment)
Severity of Alcohol Dependence Questionnaire (SADQ)
The WHO Alcohol Use Disorders Identification Test (AUDIT) (Self-Report Version)
Anorexia
SCOFF questionnaire (anorexic attitudes)
Antenatal
Antenatal clerking record
Antenatal examination chart
Apgar score
Bishop's score (Assessment of ease of induction of labour)
Biophysical profile scoring
Calder score (Assesment of ease of induction of labour)
Induction of labour assesment form
Maternity call record
Cancer
Eastern Cooperative Oncology Group (ECOG) score (Assessment of health)
Gleason score in prostate cancer
Karnofsky Performance-Status Scores
Lansky score -child cancer patients wellbeing
Manchester score - patient prognosis in small cell lung carcinoma
Cardiac Surgery
Parsonnet Score (assessment of risk of undergoing cardiac surgery)
Cardiovascular Risk
ASSIGN Cardiovascular Risk score
Blood Pressure Monitoring Chart - patient self directed
Cardiovascular disease assessment charts- British Hypertension Society
Cardiovascular Risk Assessment calculator
CHADS Score -a clinical rule for estimating the risk of stroke in patients with non rheumatic AF
Ethrisk cardiovascular risk calculator
Indiana cardiovascular risk calculator
TIA risk predictor (ABCD2 score)
Stroke Minimum Data Set
Timi risk score (online)
Care Needs
Barthel's Index Assessment of Activities of Daily Living
Disabilities, Ageing and Independant Living score (Assesment of care needs)
Frenchay Activities Score
Modified Rankin Scale -Assesment of care needs
Nottingham Extended Activities Of Daily Living Score
Nutrition assessment (MUST steps 1-4)
Rivermead Mobility Index
Cognition
Delirium Observation Screening (DOS) Scale
GP assesment of cognition (to be completed with patient -online form)
Mini mental test score (/10)
Mini mental test score (/30)
NEECHAM Confusion Scale
Short IQCODE -Informant questionnaire on cognitive decline in the elderly
The Confusion Assessment Method (CAM)
Young mania rating scale
Depression & Anxiety
Beck Anxiety Inventory
Beck Depression Inventory
Depression & Anxiety Strss Scale (DASS) (online form)
Geriatric Depression scale
Liebowitz social anxiety scale (online form)
NHS Depression assessment tool
PHQ 9 Depression questionnaire
Yale-Brown Obsessive Compulsive scale (online form)
Zung anxiety test
Zung depression test (online self test)
Gastro-Intestinal
Alvarado score -a clinical scoring system used in the diagnosis of appendicitis
Child-Pugh score -assesment of cirrhosis
CIOMS/RUCAM scale -predicts whether liver damage due to certain medication
Crohn's Disease Activity Index
Glasgow-Blatchford bleeding score (GBS) online
Rockall score -scoring system to identify patients at risk of adverse outcome following GI bleed
Health & Wellbeing
Epworth Sleepiness Scale
General Health Questionnaire (GHQ 28)
Health and wellbeing screening tool
New patient clinical questionnaire
Heart Failure
Heart failure scoring system (standardised)
Joints
Beighton scoring for joint hypermobility
Disease Activity Score (DAS) in rheumatoid arthritis
GALS Musculo-skeletal Assessment form 1
GALS Musculo-skeletal Assessment form 2
Medication
Prednisolone Reducing Dose Chart -to give to patient
Neurological
Unified Parkinson's Disease rating scale
Hand strength -hand strength testing
Migraine Disability Assessment Score (MIDAS)
Stroke Minimum Data Set
Osteoprosis
Osteoporosis questionnaire
Paediatric
Child assessment, 8 weeks to 15 months
Infant congenital conditions
Lansky score -child cancer patients wellbeing
Pain
McGill pain questionnaire
Respiratory
Asthma- The Revised Jones Asthma Morbidity Index
BODE Index- Dyspnoea score
CURB-65 -clinical prediction of prognosis in pneumonia
Epworth Sleepiness Scale -assessment of snoring and OSA
Geneva score -determines the pre-test probability of pulmonary embolism (PE)
MRC Dyspnoea Scale
NYHA Dyspnoea Scale
PEFR diary
Pneumonia severity index -PSI or PORT Score is a clinical rule of pneumonia patient outcome
Pulmonary Embolism Probability score
Skin
Psoriasis Area Severity Index
SCORAD ("SCORing Atopic Dermatitis") to the severity (i.e. extent, intensity) of atopic dermatitis
Waterlow pressure sore prevention score
Wound assessment
Urinary
Continence trigger questions
International Prostate Symptoms Score
Venous
Geneva score -used in determining the pre-test probability of pulmonary embolism (PE)
Intravenous cannulation
Maddox scale -criteria for judging phlebitis
Wells score (DVT probability)
X-rays
Ottawa Criteria -assessment of need for X-rays following twisting ankle injuries
Do we have forms missing?
Alcohol
Alcohol screening tool (health and wellbeing)
CAGE questionnaire (alcohol assesment)
Fast Alcohol Screening Tool (FAST)
MAST questionnaire (alcohol assesment)
Severity of Alcohol Dependence Questionnaire (SADQ)
The WHO Alcohol Use Disorders Identification Test (AUDIT) (Self-Report Version)
Anorexia
SCOFF questionnaire (anorexic attitudes)
Antenatal
Antenatal clerking record
Antenatal examination chart
Apgar score
Bishop's score (Assessment of ease of induction of labour)
Biophysical profile scoring
Calder score (Assesment of ease of induction of labour)
Induction of labour assesment form
Maternity call record
Cancer
Eastern Cooperative Oncology Group (ECOG) score (Assessment of health)
Gleason score in prostate cancer
Karnofsky Performance-Status Scores
Lansky score -child cancer patients wellbeing
Manchester score - patient prognosis in small cell lung carcinoma
Cardiac Surgery
Parsonnet Score (assessment of risk of undergoing cardiac surgery)
Cardiovascular Risk
ASSIGN Cardiovascular Risk score
Blood Pressure Monitoring Chart - patient self directed
Cardiovascular disease assessment charts- British Hypertension Society
Cardiovascular Risk Assessment calculator
CHADS Score -a clinical rule for estimating the risk of stroke in patients with non rheumatic AF
Ethrisk cardiovascular risk calculator
Indiana cardiovascular risk calculator
TIA risk predictor (ABCD2 score)
Stroke Minimum Data Set
Timi risk score (online)
Tygerberg Score
-allows clinician to decide whether pericarditis is due to tuberculosis or
not.
Q-risk cardiovascular risk calculator
Q-risk cardiovascular risk calculator
Care Needs
Barthel's Index Assessment of Activities of Daily Living
Disabilities, Ageing and Independant Living score (Assesment of care needs)
Frenchay Activities Score
Modified Rankin Scale -Assesment of care needs
Nottingham Extended Activities Of Daily Living Score
Nutrition assessment (MUST steps 1-4)
Rivermead Mobility Index
Cognition
Delirium Observation Screening (DOS) Scale
GP assesment of cognition (to be completed with patient -online form)
Mini mental test score (/10)
Mini mental test score (/30)
NEECHAM Confusion Scale
Short IQCODE -Informant questionnaire on cognitive decline in the elderly
The Confusion Assessment Method (CAM)
Young mania rating scale
Depression & Anxiety
Beck Anxiety Inventory
Beck Depression Inventory
Depression & Anxiety Strss Scale (DASS) (online form)
Geriatric Depression scale
Liebowitz social anxiety scale (online form)
NHS Depression assessment tool
PHQ 9 Depression questionnaire
Yale-Brown Obsessive Compulsive scale (online form)
Zung anxiety test
Zung depression test (online self test)
Gastro-Intestinal
Alvarado score -a clinical scoring system used in the diagnosis of appendicitis
Child-Pugh score -assesment of cirrhosis
CIOMS/RUCAM scale -predicts whether liver damage due to certain medication
Crohn's Disease Activity Index
Glasgow-Blatchford bleeding score (GBS) online
Rockall score -scoring system to identify patients at risk of adverse outcome following GI bleed
Health & Wellbeing
Epworth Sleepiness Scale
General Health Questionnaire (GHQ 28)
Health and wellbeing screening tool
New patient clinical questionnaire
Heart Failure
Heart failure scoring system (standardised)
Joints
Beighton scoring for joint hypermobility
Disease Activity Score (DAS) in rheumatoid arthritis
GALS Musculo-skeletal Assessment form 1
GALS Musculo-skeletal Assessment form 2
Medication
Prednisolone Reducing Dose Chart -to give to patient
Neurological
Unified Parkinson's Disease rating scale
Hand strength -hand strength testing
Migraine Disability Assessment Score (MIDAS)
Stroke Minimum Data Set
Osteoprosis
Osteoporosis questionnaire
Paediatric
Child assessment, 8 weeks to 15 months
Infant congenital conditions
Lansky score -child cancer patients wellbeing
Pain
McGill pain questionnaire
Respiratory
Asthma- The Revised Jones Asthma Morbidity Index
BODE Index- Dyspnoea score
CURB-65 -clinical prediction of prognosis in pneumonia
Epworth Sleepiness Scale -assessment of snoring and OSA
Geneva score -determines the pre-test probability of pulmonary embolism (PE)
MRC Dyspnoea Scale
NYHA Dyspnoea Scale
PEFR diary
Pneumonia severity index -PSI or PORT Score is a clinical rule of pneumonia patient outcome
Pulmonary Embolism Probability score
Skin
Psoriasis Area Severity Index
SCORAD ("SCORing Atopic Dermatitis") to the severity (i.e. extent, intensity) of atopic dermatitis
Waterlow pressure sore prevention score
Wound assessment
Urinary
Continence trigger questions
International Prostate Symptoms Score
Venous
Geneva score -used in determining the pre-test probability of pulmonary embolism (PE)
Intravenous cannulation
Maddox scale -criteria for judging phlebitis
Wells score (DVT probability)
X-rays
Ottawa Criteria -assessment of need for X-rays following twisting ankle injuries
If so let us know and send
your form(s) or http link to team@primarycareforms.com