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
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (40245 downloads)
- DOAC Choice in NVAF - Patient Specific Factors to Consider - NENC CN Guide (35760 downloads)
- DVT Investigation Proforma & Patient Information Sheet (3847 downloads)
- DVT Pathway Information (4219 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (82116 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (38181 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (71251 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (3375 downloads)
- SGLT2i for people with Heart Failure - Top Tips & Recommendations from NENC CN (43525 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (9934 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (56334 downloads)
- COPD Treatment - CD&TV APC Guide (83236 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (2642 downloads)
- Paediatric Asthma Inhaler Guide (66041 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (50459 downloads)
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (111 downloads)
- Nefopam - CD&TV APC Position Statement (32294 downloads)
- Pain Pathway - County Durham Care Partnership (49 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (147059 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (27232 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (26091 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 (2642 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (50121 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (17790 downloads)
- Flash Glucose Monitoring - CD&TV APC Position Statement (21260 downloads)
- Guidelines for Self Monitoring of Blood Glucose (46335 downloads)
- SGLT2i for people with T2DM - Top Tips & Recommendations from NENC CN (74659 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (37029 downloads)
- Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service General Guidelines (45967 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (107056 downloads)
- Osteoporosis - Primary Care Management Guideline (2930 downloads)
- RMOC Liothyronine Guidance (1469 downloads)
Kidney disease
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (3743 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (5134 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (2277 downloads)
- Topical Testosterone for Low Libido in Menopause and Post-Menopause (35669 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (6294 downloads)
- CD&TV guidelines for the supply of gluten-free products (35079 downloads)
- CD&TV Vitamins & Minerals Guidance (20445 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (124740 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (45968 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (58974 downloads)
- Primary Care Management of Vitamin D Deficiency (42585 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (57231 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (48815 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (50775 downloads)
- Wound Management Dressing Formulary (7232 downloads)
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (75053 downloads)
- Psychotropic Medication Monitoring Guide - TEWV (4563 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 (4151 downloads)
- Aripiprazole LAI – Shared Care Guideline (1783 downloads)
- Atomoxetine – Shared Care Guidelines (1609 downloads)
- Azathioprine Shared Care Guideline (8892 downloads)
- Ciclosporin Shared Care Guideline (4677 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (47820 downloads)
- Dapsone [Dermatology] Shared Care Guideline (21486 downloads)
- Dexamfetamine – Shared Care Guidelines (1731 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (47719 downloads)
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (1757 downloads)
- Guanfacine – Shared Care Guidelines (1756 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (4725 downloads)
- Hydroxychloroquine Shared Care Guideline (5134 downloads)
- Leflunomide Shared Care Guideline (6027 downloads)
- Lisdexamfetamine – Shared Care Guidelines (1676 downloads)
- Lithium – Shared Care Guidelines (1747 downloads)
- Melatonin – Shared Care Guideline (2011 downloads)
- Mercaptopurine Shared Care Guideline (5020 downloads)
- Methotrexate Shared Care Guideline (17703 downloads)
- Methylphenidate – Shared Care Guidelines (1806 downloads)
- Modafinil Shared Care Guideline (4182 downloads)
- Mycophenolate Shared Care Guideline (6056 downloads)
- Paliperidone LAI – Shared Care Guidelines (1647 downloads)
- Penicillamine Shared Care Guideline (3992 downloads)
- Riluzole shared care agreement & guidelines (30958 downloads)
- Safe Transfer of Prescribing - TEWV (1649 downloads)
- Safe Transfer of Psychotropic Medication - TEWV (1615 downloads)
- Sulfasalazine Shared Care Guideline (8026 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (26485 downloads)
- Valproate – Shared Care Guidelines (4436 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (3515 downloads)
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (50775 downloads)
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1935 downloads)
- CD&TV Stoma Accessories Guide (26550 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (55618 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (1982 downloads)
- NTAG Guidance (19528 downloads)
- Patient Decision Aids Resource (24072 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (97755 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (1773 downloads)
- Monitored Dosage Systems - County Durham Review Form (1521 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (1481 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (49179 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (2331 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (2486 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (2572 downloads)
- Self-Care OTC Guidance (19275 downloads)
Local decision making