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 (1295 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (1251 downloads)
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (22 downloads)
- Dapagliflozin in Heart Failure - CD&TV APC Prescribing Guidance (910 downloads)
- DVT Investigation Proforma & Patient Information Sheet (886 downloads)
- DVT Pathway Information (1139 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (937 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (334 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (1037 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1256 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (4727 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (9950 downloads)
- CD&TV COPD Treatment Guide (30006 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (881 downloads)
- Paediatric Asthma Inhaler Guide (3825 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (80 downloads)
Central nervous system
Pain
- Nefopam - CD&TV APC Position Statement (2450 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (783 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1131 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (297 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 (881 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (6005 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (9392 downloads)
- Flash Glucose Monitoring - CD&TV APC Position Statement (66 downloads)
- Guidelines for Self Monitoring of Blood Glucose (4906 downloads)
- SGLT2i for people with T2DM - Top Tips & Recommendations from NECN (689 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (961 downloads)
- General Guidelines For The Use Of Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service (264 downloads)
- Guideline for the management of osteoporosis in primary care (1086 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (203 downloads)
- RMOC Liothyronine Guidance (477 downloads)
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (1169 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (2618 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (615 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2903 downloads)
- CD&TV guidelines for the supply of gluten-free products (2272 downloads)
- CD&TV Vitamins & Minerals Guidance (1448 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (448 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (208 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (863 downloads)
- Primary Care Management of Vitamin D Deficiency (3693 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (2903 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1586 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2242 downloads)
- Wound Management Dressing Formulary (3452 downloads)
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (33210 downloads)
- Psychotropic Medication Monitoring Guide - TEWV (79 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 (1140 downloads)
- Aripiprazole LAI – Shared Care Guideline (92 downloads)
- Atomoxetine – Shared Care Guidelines (47 downloads)
- Azathioprine Shared Care Guideline (3953 downloads)
- Ciclosporin Shared Care Guideline (1505 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1019 downloads)
- Dapsone [Dermatology] Shared Care Guideline (243 downloads)
- Dexamfetamine – Shared Care Guidelines (51 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (899 downloads)
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (69 downloads)
- Guanfacine – Shared Care Guidelines (89 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1485 downloads)
- Hydroxychloroquine Shared Care Guideline (1961 downloads)
- Leflunomide Shared Care Guideline (2204 downloads)
- Lisdexamfetamine – Shared Care Guidelines (55 downloads)
- Lithium – Shared Care Guidelines (68 downloads)
- Melatonin – Shared Care Guideline (98 downloads)
- Mercaptopurine Shared Care Guideline (1685 downloads)
- Methotrexate Shared Care Guideline (9525 downloads)
- Methylphenidate – Shared Care Guidelines (124 downloads)
- Modafinil Shared Care Guideline (1175 downloads)
- Mycophenolate Shared Care Guideline (2228 downloads)
- Paliperidone LAI – Shared Care Guidelines (32 downloads)
- Penicillamine Shared Care Guideline (1070 downloads)
- Riluzole shared care agreement & guidelines (2666 downloads)
- Safe Transfer of Prescribing - TEWV (39 downloads)
- Safe Transfer of Psychotropic Medication - TEWV (32 downloads)
- Sulfasalazine Shared Care Guideline (3442 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (1129 downloads)
- Valproate – Shared Care Guidelines (51 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (1050 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (507 downloads)
- CD&TV Stoma Accessories Guide (536 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (2901 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (484 downloads)
- NTAG Guidance (1846 downloads)
- Patient Decision Aids Resource (1171 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (3786 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (312 downloads)
- Monitored Dosage Systems - County Durham Review Form (107 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (130 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (498 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (760 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (970 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (917 downloads)
- Self-Care OTC Guidance (166 downloads)
Local decision making