The Traffic Light Classification offers guidance on the prescribing of drugs initiated in secondary care (hospital). It is important for patient care that there is a clear understanding of where clinical and prescribing responsibility rests between specialists and primary care prescribers. Specialists are those clinicians working within secondary care at consultant or specialist registrar grade, or GPs with a specialist interest (GPwSI) working in primary care prescribing only within their speciality. These guidelines reinforce the basic premise that: ‘When clinical and / or prescribing responsibility for a patient is transferred from hospital to a primary care prescriber, the primary care prescriber should have full confidence to prescribe the necessary medicines. Therefore, it is essential that a transfer of care involving medicines that a primary care prescriber would not normally be familiar with should not take place without the ‘sharing of information with the individual primary care prescriber and their mutual agreement to the transfer of care’. These are not rigid guidelines. In all cases, specialists and primary care prescribers should discuss the appropriate management of individual patients personally. On occasions specialists and primary care prescribers may agree to work outside of this guidance.
From 1st January 2019 all new patient prescribing across North Cumbria will follow the North of Tyne, Gateshead and North Cumbria formulary, this can be found at the following link:
All current patient prescribing across North Cumbria will continue to follow the current RAG list shown below until the full transition process is complete by early 2019.