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 (411 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (999 downloads)
Cardiovascular system
- CD&T APC Position Statement on Omega 3 Prescribing (195 downloads)
- County Durham and Darlington DVT Pathway Information (525 downloads)
- DVT Investigation Proforma October 2020 (518 downloads)
- Hypertension Guidelines (4151 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (46 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (1226 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1080 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (4247 downloads)
- CD&TV COPD Treatment Guide (24696 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (770 downloads)
- Paediatric Asthma Inhaler Guide (1246 downloads)
Central nervous system
Pain
- CD&TV APC Position Statement - Prescribing for Persistent Pain (504 downloads)
- CD&TV CCGs Position Statement on Nefopam (2123 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (523 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (144 downloads)
Mental Health & Neurology
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:
Guidelines
- ADHD prescribing algorithm (ADULTS)
- ADHD prescribing algorithm (CYPS)
- Anxiety Medication Pathway for Adults
- Bipolar Medication Pathway for Adults
- Dementia Care Pathway AChEI decision aid
- Depression Medication Pathway for Adults
- CYP Depression Pathway – guidance for pharmacological management
- Depression pathway handy hints when prescribing antidepressants
- Antipsychotics – Guidelines for the Management of QTc Prolongation with Antipsychotics
- BPSD – Summary of pharmacological treatment options
- Citalopram escitalopram – dose reduction ECG algorithm
- Clozapine and the role of therapeutic drug monitoring
- Clozapine on admission to an acute hospital – safety guidance
- Dosulepin guidance
- Hyperprolactinaemia – Drug induced hyperprolactinaemia (evaluation & referral pathway)
- Lithium + NSAIDs – SBARD
- Prescribing psychotropic medication in women of childbearing potential
- Promazine deprescribing guidance
- Trimipramine deprescribing guidance
- Valproate Pregnancy Prevention Programme – MSS13
GP Leaflets
Additional material not available from TEWV
- CD&TV APC Position Statement - Prescribing for Persistent Pain (504 downloads)
- CD&TV CCGs Position Statement on Nefopam (2123 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (523 downloads)
- Dosulepin Deprescribing Guidance (510 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (144 downloads)
- Trimipramine Deprescribing Guidance (542 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2492 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (770 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (4536 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (8051 downloads)
- Guidelines for Self Monitoring of Blood Glucose (4147 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (46 downloads)
- CD&TV APC Guidance for Hypogonadism Management in Primary Care (26 downloads)
- General Guidelines For The Use Of Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service (55 downloads)
- Guideline for the management of osteoporosis in primary care (817 downloads)
- RMOC Liothyronine Guidance (410 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2492 downloads)
- Catheter and Continence Care Formulary (787 downloads)
- Erectile Dysfunction Commissioning Policy (842 downloads)
- Erectile Dysfunction summary of changes (835 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (2194 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (534 downloads)
- Treatment Pathway for Overactive Bladder (1480 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2531 downloads)
- CD&TV guidelines for the supply of gluten-free products (1725 downloads)
- CD&TV Vitamins & Minerals Guidance (890 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (12420 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (2095 downloads)
- Primary Care Management of Vitamin D Deficiency (1487 downloads)
- The Management of Hypomagnesaemia in Primary Care (767 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (1212 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (2351 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2024 downloads)
- Wound Management Dressing Formulary (2896 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (998 downloads)
- Azathioprine Shared Care Guideline (3438 downloads)
- Ciclosporin Shared Care Guideline (1362 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (908 downloads)
- Dapsone [Dermatology] Shared Care Guideline (48 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (738 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1261 downloads)
- Hydroxychloroquine Shared Care Guideline (1537 downloads)
- Leflunomide Shared Care Guideline (1906 downloads)
- Melatonin Shared Care (1649 downloads)
- Mercaptopurine Shared Care Guideline (1489 downloads)
- Methotrexate Shared Care Guideline (8226 downloads)
- Modafinil Shared Care Guideline (1032 downloads)
- Penicillamine Shared Care Guideline (961 downloads)
- Riluzole shared care agreement & guidelines (2472 downloads)
- Sulfasalazine Shared Care Guideline (2819 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (994 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (708 downloads)
Available from the PHARMACY POLICIES AND PROCEDURES section of the Tees, Esk and Wear Valleys NHS Foundation Trust website:
- Safe transfer of prescribing guidance
- Formulary Prescribing Transfer – A Quick Reference Guide – CDD Tees and HR
- First Generation Antipsychotic FGA LAI – shared care guidelines
- Psychotropic Medication Monitoring Guide
- Aripiprazole LAI – shared care guidelines
- Atomoxetine – Shared care guidelines
- Dexamfetamine – shared care guidelines
- Guanfacine – shared care guidelines
- Lisdexamfetamine – shared care guidelines
- Lithium – Shared Care Guidelines
- Melatonin Shared Care Guideline
- Methylphenidate – Shared care guidelines
- Paliperidone LAI – shared care guidelines
- Valproate – shared care
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (435 downloads)
- CD&TV Stoma Accessories Guide (369 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (1139 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (418 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (1327 downloads)
- NTAG Guidance (1715 downloads)
- Patient Decision Aids Resource (1014 downloads)
Prescribing systems and processes
- Guidance on Seven Day Prescriptions and Monitored Dosage Systems (MDS) (255 downloads)
- Model Repeat Prescribing System (3537 downloads)
- Useful prescribing information - a guide for prescribers (3899 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (3114 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (594 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (725 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (669 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (2236 downloads)
Local decision making