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
- CD&TV Guidance for Prescribing & Monitoring Post Bariatric Surgery (3052 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (3528 downloads)
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (1838 downloads)
- Dapagliflozin in Heart Failure - CD&TV APC Prescribing Guidance (4278 downloads)
- DOAC Choice in NVAF - Patient Specific Factors to Consider - NENC CN Guide (1733 downloads)
- DVT Investigation Proforma & Patient Information Sheet (2540 downloads)
- DVT Pathway Information (2914 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (2928 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (1981 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (2963 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1986 downloads)
- SGLT2i for people with Heart Failure - Top Tips & Recommendations from NENC CN (1632 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (7844 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (31661 downloads)
- COPD Treatment - CD&TV APC Guide (50780 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1369 downloads)
- Paediatric Asthma Inhaler Guide (7358 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (2299 downloads)
Central nervous system
Pain
- Nefopam - CD&TV APC Position Statement (5600 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (5631 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (2332 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2718 downloads)
Mental Health
CD&TV APC-approved mental health prescribing resources are available via the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
Infections and antibiotics
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1369 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (10875 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (15180 downloads)
- Flash Glucose Monitoring - CD&TV APC Position Statement (1486 downloads)
- Guidelines for Self Monitoring of Blood Glucose (9112 downloads)
- SGLT2i for people with T2DM - Top Tips & Recommendations from NENC CN (2469 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2676 downloads)
- Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service General Guidelines (1975 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (3164 downloads)
- Osteoporosis - Primary Care Management Guideline (1555 downloads)
- RMOC Liothyronine Guidance (704 downloads)
Kidney disease
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (1715 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (3888 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (958 downloads)
- Topical Testosterone for Low Libido in Menopause and Post-Menopause (1673 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (4852 downloads)
- CD&TV guidelines for the supply of gluten-free products (5030 downloads)
- CD&TV Vitamins & Minerals Guidance (2945 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3764 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1951 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (2951 downloads)
- Primary Care Management of Vitamin D Deficiency (5584 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (6493 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (4007 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (6056 downloads)
- Wound Management Dressing Formulary (5888 downloads)
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (58695 downloads)
- Psychotropic Medication Monitoring Guide - TEWV (395 downloads)
Shared care
Any shared care guidelines (SCGs) listed below which have passed their review date will remain in use until an updated CDTV APC approved version is available, with only technical updates to address any emerging safety issues. The responsibility for developing and updating SCGs currently lies with the originating trusts, along with CDTV APC, but may be superseded by the adoption of national shared care templates.
In particular the review dates for the DMARD shared care guidelines were extended for a further six months in April 2022, as the national RMOC shared care guidelines are not yet available but expected very soon.
SCGs for medicines used in Mental Health – plus supporting policies and procedures – are also available from the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- Apomorphine Shared Care Guideline (1924 downloads)
- Aripiprazole LAI – Shared Care Guideline (253 downloads)
- Atomoxetine – Shared Care Guidelines (165 downloads)
- Azathioprine Shared Care Guideline (6631 downloads)
- Ciclosporin Shared Care Guideline (2526 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (3309 downloads)
- Dapsone [Dermatology] Shared Care Guideline (1582 downloads)
- Dexamfetamine – Shared Care Guidelines (193 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (3215 downloads)
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (198 downloads)
- Guanfacine – Shared Care Guidelines (227 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2408 downloads)
- Hydroxychloroquine Shared Care Guideline (2866 downloads)
- Leflunomide Shared Care Guideline (3707 downloads)
- Lisdexamfetamine – Shared Care Guidelines (190 downloads)
- Lithium – Shared Care Guidelines (228 downloads)
- Melatonin – Shared Care Guideline (366 downloads)
- Mercaptopurine Shared Care Guideline (2835 downloads)
- Methotrexate Shared Care Guideline (15059 downloads)
- Methylphenidate – Shared Care Guidelines (285 downloads)
- Modafinil Shared Care Guideline (1936 downloads)
- Mycophenolate Shared Care Guideline (3823 downloads)
- Paliperidone LAI – Shared Care Guidelines (159 downloads)
- Penicillamine Shared Care Guideline (1829 downloads)
- Riluzole shared care agreement & guidelines (5939 downloads)
- Safe Transfer of Prescribing - TEWV (164 downloads)
- Safe Transfer of Psychotropic Medication - TEWV (145 downloads)
- Sulfasalazine Shared Care Guideline (5557 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (3177 downloads)
- Valproate – Shared Care Guidelines (266 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (1671 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (748 downloads)
- CD&TV Stoma Accessories Guide (2302 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (10414 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (717 downloads)
- NTAG Guidance (4496 downloads)
- Patient Decision Aids Resource (3249 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (9742 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (391 downloads)
- Monitored Dosage Systems - County Durham Review Form (171 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (190 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (2833 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1030 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1281 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (1254 downloads)
- Self-Care OTC Guidance (1904 downloads)
Local decision making