Lipid Service

 

The NHS England National Lipid Management Pathway (Version 7) provides a comprehensive, evidence-based framework for lipid management across primary and secondary care and is aligned with NICE guidelines.

This national pathway has been summarised and adapted for local use. Each component of lipid management is presented on a separate page. When reviewing any patient with raised cholesterol, please consider the criteria below to guide appropriate assessment and management.

 

• Consider familial hypercholesterolaemia and refer to the Familial Hypercholesterolaemia guideline if ANY of the following apply:
  • Total Cholesterol if (TC) > 7.5
     
  • LDL-C >4.9
     
  • non-HDL-C >5.9,
     
  • A personal and/or family history of confirmed coronary heart disease (CHD) <60 years

 

• Follow hypertriglyceridemia pathway if:
  •  Triglycerides ≥4.5

 

• Measure Lipoprotein (a) [Lp(a)] and follow Lp(a) guideline if ANY of the following apply:

  • A personal and/or family history of confirmed CHD <60 years

  • Significant history of CVD (recurrent/ multiple events)

  • Known family history of significantly raised Lp(a) or Familial Hypercholesterolaemia

 

Page Review Information

Review date:           16 February 2026
Next review date:    16 February 2028
Clinical editors:        Dr Jack Munro Berry – RMS GP
Contributors:            Dr Rachel Cooper – Consultant Clinical Biochemist