Repeat Prescription Ordering Systems (RPOS)
Link to resources for practices and pharmacies to support implementation
Formulary
County Durham and Tees Valley Formulary
Clinical Guidelines
Gastro-intestinal system
- CD&TV Guidance for Prescribing & Monitoring Post Bariatric Surgery (64181 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (6905 downloads)
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (75222 downloads)
- DOAC Choice in NVAF - Patient Specific Factors to Consider - NENC CN Guide (54941 downloads)
- DVT Investigation Proforma & Patient Information Sheet (4507 downloads)
- DVT Pathway Information (4964 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (110159 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (71216 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (151355 downloads)
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (99762 downloads)
- SGLT2i for people with Heart Failure - Top Tips & Recommendations from NENC CN (76810 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (11165 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (67606 downloads)
- COPD Treatment - CD&TV APC Guide (108001 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (3350 downloads)
- Paediatric Asthma Inhaler Guide (78231 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (69981 downloads)
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (14974 downloads)
- Nefopam - CD&TV APC Position Statement (58426 downloads)
- Pain Pathway - County Durham Care Partnership (547 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (214421 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (44597 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (43084 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 (3350 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (79214 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (19469 downloads)
- Flash Glucose Monitoring - CD&TV APC Position Statement (31970 downloads)
- Guidelines for Self Monitoring of Blood Glucose (83699 downloads)
- SGLT2i for people with T2DM - Top Tips & Recommendations from NENC CN (160981 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (59488 downloads)
- Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service General Guidelines (114335 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (129501 downloads)
- Osteoporosis - Primary Care Management Guideline (3563 downloads)
- RMOC Liothyronine Guidance (2009 downloads)
Kidney disease
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (4970 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (5844 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (2911 downloads)
- Topical Testosterone for Low Libido in Menopause and Post-Menopause (60263 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (7015 downloads)
- CD&TV guidelines for the supply of gluten-free products (54878 downloads)
- CD&TV Vitamins & Minerals Guidance (24992 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (182784 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (70103 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (110020 downloads)
- Primary Care Management of Vitamin D Deficiency (70179 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (107834 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (77869 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (96213 downloads)
- Wound Management Dressing Formulary (7854 downloads)
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (84403 downloads)
- Psychotropic Medication Monitoring Guide - TEWV (7074 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 (5152 downloads)
- Aripiprazole LAI – Shared Care Guideline (2889 downloads)
- Atomoxetine – Shared Care Guidelines (2466 downloads)
- Azathioprine Shared Care Guideline (9846 downloads)
- Ciclosporin Shared Care Guideline (5677 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (93232 downloads)
- Dapsone [Dermatology] Shared Care Guideline (36290 downloads)
- Dexamfetamine – Shared Care Guidelines (2847 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (84661 downloads)
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (2771 downloads)
- Guanfacine – Shared Care Guidelines (2678 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (5739 downloads)
- Hydroxychloroquine Shared Care Guideline (6161 downloads)
- Leflunomide Shared Care Guideline (7065 downloads)
- Lisdexamfetamine – Shared Care Guidelines (2736 downloads)
- Lithium – Shared Care Guidelines (2677 downloads)
- Melatonin – Shared Care Guideline (3051 downloads)
- Mercaptopurine Shared Care Guideline (6013 downloads)
- Methotrexate Shared Care Guideline (18762 downloads)
- Methylphenidate – Shared Care Guidelines (2791 downloads)
- Modafinil Shared Care Guideline (5027 downloads)
- Mycophenolate Shared Care Guideline (6980 downloads)
- Paliperidone LAI – Shared Care Guidelines (2679 downloads)
- Penicillamine Shared Care Guideline (5019 downloads)
- Riluzole shared care agreement & guidelines (50607 downloads)
- Safe Transfer of Prescribing - TEWV (2653 downloads)
- Safe Transfer of Psychotropic Medication - TEWV (2669 downloads)
- Sulfasalazine Shared Care Guideline (9089 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (43705 downloads)
- Valproate – Shared Care Guidelines (6868 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (4946 downloads)
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (96213 downloads)
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (2556 downloads)
- CD&TV Stoma Accessories Guide (34677 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (78459 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (2554 downloads)
- NTAG Guidance (25368 downloads)
- Patient Decision Aids Resource (36242 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (113526 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (2728 downloads)
- Monitored Dosage Systems - County Durham Review Form (2195 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (2121 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (101045 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (2923 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (3174 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (3204 downloads)
- Self-Care OTC Guidance (26619 downloads)
Local decision making