Repeat Prescription Ordering Systems (RPOS)
Link to resources for practices and pharmacies to support implementation
Formulary
County Durham and Darlington Formulary
Clinical Guidelines
Gastro-intestinal system
- Algorithm for the Management of Chronic Constipation (548 downloads)
- Azathioprine Shared Care Guideline (1970 downloads)
- Ciclosporin Shared Care Guideline (729 downloads)
- Mercaptopurine Shared Care Guideline (783 downloads)
- Methotrexate Shared Care Guideline (3749 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (405 downloads)
Cardiovascular system
- County Durham and Darlington DVT Pathway Information (1475 downloads)
- DVT Investigation Proforma – Enoxaparin (810 downloads)
- DVT Investigation Proforma – Rivaroxaban (1554 downloads)
- FATS7 Strategy for the Use of Cholesterol Lowering Drugs (1570 downloads)
- Hypertension Guidelines (2490 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (538 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (416 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (10823 downloads)
- CD&D COPD Guideline (13449 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (318 downloads)
- Paediatric Asthma Inhaler Guide (726 downloads)
Central nervous system
The following APC-approved mental health prescribing resources are available via the PHARMACY POLICIES AND PROCEDURES section of the Tees, Esk and Wear Valleys NHS Foundation Trust website:
Shared Care & Transfer of Prescribing
- Atomoxetine
- Formulary and prescribing transfer – a quick reference guide County Durham & Darlington, Tees, and Hambleton & Richmondshire
- Lisdexamfetamine – shared care guidelines
- Lithium
- Melatonin in children and adults
- Methylphenidate
- Psychotropic medication monitoring guide
- Safe Transfer of Prescribing Guidance
- Guanfacine shared care
- Paliperidone LAI shared care
- Aripiprazole LAI shared care
Guidelines
- ADHD Prescribing Guidelines Children and Young People
- ADHD Prescribing Guidelines Adults
- Anxiety Medication Pathway Adults
- BPSD – Summary of pharmacological treatment options for Behavioural Psychological Symptoms of Dementia
- Clozapine and the role of therapeutic drug monitoring
- Dementia Care Pathway AChEI Decision Aid
- Depression pathway – handy hints when prescribing antidepressants
- Depression Medication Pathway for Adults
- Depression Pathway C&YP – guidance on pharmacological management
- Hyperprolactinaemia Management in Patients Receiving Antipsychotics
- Lithium NSAIDS SBARD
- Promazine deprescribing guidance
- Psychotropics in women of child bearing potential
GP Leaflets
- Citalopram and Escitalopram Maximum Dose Reductions
- Clozapine – aide memoire for GPs
- Clozapine – important information about potentially fatal side effects
Additional material not available from TEWV
- Apomorphine Shared Care Guideline (503 downloads)
- Dosulepin Deprescribing Guidance (115 downloads)
- Key Messages for Pain Management Scenarios (329 downloads)
- Melatonin Shared Care (117 downloads)
- Modafinil Shared Care Guideline (547 downloads)
- Opioid Prescribing for Persistent (Non-Cancer) Pain in Adults (649 downloads)
- Pharmacological Treatment of Neuropathic Pain (513 downloads)
- Psychotropic Medication and Driving - New Legislation: Information Sheet for Prescribers (304 downloads)
- Quetiapine XL - TEWV guidance (504 downloads)
- Riluzole shared care agreement & guidelines (1397 downloads)
- SBARD in relation to prescribing medicines for Attention Deficit Hyperactivity Disorder (199 downloads)
- Trimipramine Deprescribing Guidance (115 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (182 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (1797 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (318 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (1149 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (4969 downloads)
- Guidelines for Self Monitoring of Blood Glucose (2306 downloads)
Other endocrine
- Gender Dysphoria - Masculinising Hormones - 2017 (401 downloads)
- Gender Dysphoria – Feminising Hormones – 2017 (530 downloads)
- Guideline for the management of osteoporosis in primary care (143 downloads)
- RMOC Liothyronine Guidance (46 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (476 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (1797 downloads)
- Catheter and Continence Care Formulary (244 downloads)
- Erectile Dysfunction Commissioning Policy (388 downloads)
- Erectile Dysfunction summary of changes (361 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (1172 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (145 downloads)
- Treatment Pathway for Overactive Bladder (705 downloads)
Malignant disease and immunosuppression
- Azathioprine Shared Care Guideline (1970 downloads)
- Ciclosporin Shared Care Guideline (729 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (619 downloads)
- Leflunomide Shared Care Guideline (1035 downloads)
- Mercaptopurine Shared Care Guideline (783 downloads)
- Methotrexate Shared Care Guideline (3749 downloads)
- Mycophenolate Shared Care Guideline (1167 downloads)
- Penicillamine Shared Care Guideline (488 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (367 downloads)
- Sulfasalazine Shared Care Guideline (1476 downloads)
Nutrition and blood
- Adult Vitamin D Deficiency - Quick Reference Guide (1942 downloads)
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (1592 downloads)
- Guidance for the Treatment of Vitamin D Insufficiency and Deficiency (3430 downloads)
- Guidance on Preventing Vitamin D Deficiency in At Risk Groups (680 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (10489 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (1318 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (619 downloads)
- The Management of Hypomagnesaemia in Primary Care (316 downloads)
Musculoskeletal and joint diseases
- Ciclosporin Shared Care Guideline (729 downloads)
- Leflunomide Shared Care Guideline (1035 downloads)
- Methotrexate Shared Care Guideline (3749 downloads)
- Mycophenolate Shared Care Guideline (1167 downloads)
- Penicillamine Shared Care Guideline (488 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (367 downloads)
- Sulfasalazine Shared Care Guideline (1476 downloads)
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (466 downloads)
- Guidance for GPs on the use of Ingenol Mebutate (Picato) for Acetinic Keratosis (360 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (1506 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (1110 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease - Appendix for County Durham and Darlington (456 downloads)
- Wound Management Dressing Formulary (1787 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (503 downloads)
- Azathioprine Shared Care Guideline (1970 downloads)
- Ciclosporin Shared Care Guideline (729 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (619 downloads)
- Hydroxychloroquine Shared Care Guideline (497 downloads)
- Leflunomide Shared Care Guideline (1035 downloads)
- Melatonin Shared Care (117 downloads)
- Mercaptopurine Shared Care Guideline (783 downloads)
- Methotrexate Shared Care Guideline (3749 downloads)
- Methotrexate Shared Care Request Letter (409 downloads)
- Modafinil Shared Care Guideline (547 downloads)
- Mycophenolate Shared Care Guideline (1167 downloads)
- Penicillamine Shared Care Guideline (488 downloads)
- Riluzole shared care agreement & guidelines (1397 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (476 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (367 downloads)
- Sulfasalazine Shared Care Guideline (1476 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (182 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (76 downloads)
- CD&D APC Do Not Prescribe List (1882 downloads)
- CD&D APC Grey List (1222 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (73 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (787 downloads)
- NTAG Guidance (1216 downloads)
- Patient Decision Aids Resource (549 downloads)
- Useful prescribing information - a guide for prescribers (2608 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (2268 downloads)
- Repeat Prescription Ordering Systems in County Durham and Tees Valley CCGs (137 downloads)
- Useful prescribing information - a guide for prescribers (2608 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (2114 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (64 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (57 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (58 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (718 downloads)
Local decision making