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 (252 downloads)
- Mercaptopurine Shared Care Guideline (1432 downloads)
- Methotrexate Shared Care Guideline (7906 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (977 downloads)
Cardiovascular system
- CD&T APC Position Statement on Omega 3 Prescribing (170 downloads)
- County Durham and Darlington DVT Pathway Information (416 downloads)
- DVT Investigation Proforma October 2020 (429 downloads)
- FATS7 Strategy for the Use of Cholesterol Lowering Drugs (2470 downloads)
- Hypertension Guidelines (4023 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (1174 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1025 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (3056 downloads)
- CD&TV COPD Treatment Guide (23158 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (759 downloads)
- Paediatric Asthma Inhaler Guide (848 downloads)
Central nervous system
Pain
- CD&TV APC Position Statement - Prescribing for Persistent Pain (434 downloads)
- CD&TV CCGs Position Statement on Nefopam (2061 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (404 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (116 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:
Shared Care
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- 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
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 (434 downloads)
- CD&TV CCGs Position Statement on Nefopam (2061 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (404 downloads)
- Dosulepin Deprescribing Guidance (495 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (116 downloads)
- Trimipramine Deprescribing Guidance (510 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2445 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (759 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (4173 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (7652 downloads)
- Guidelines for Self Monitoring of Blood Glucose (3952 downloads)
Other endocrine
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (878 downloads)
- Gender Dysphoria - Masculinising Hormones - 2017 (955 downloads)
- Gender Dysphoria – Feminising Hormones – 2017 (1014 downloads)
- Guideline for the management of osteoporosis in primary care (767 downloads)
- RMOC Liothyronine Guidance (400 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2445 downloads)
- Catheter and Continence Care Formulary (752 downloads)
- Erectile Dysfunction Commissioning Policy (813 downloads)
- Erectile Dysfunction summary of changes (799 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (2095 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (519 downloads)
- Treatment Pathway for Overactive Bladder (1391 downloads)
Malignant disease and immunosuppression
- Mercaptopurine Shared Care Guideline (1432 downloads)
- Methotrexate Shared Care Guideline (7906 downloads)
- Mycophenolate Shared Care Guideline (1998 downloads)
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2450 downloads)
- CD&TV Vitamins & Minerals Guidance (763 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (12226 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (2023 downloads)
- Primary Care Management of Vitamin D Deficiency (972 downloads)
- The Management of Hypomagnesaemia in Primary Care (740 downloads)
Musculoskeletal and joint diseases
- Methotrexate Shared Care Guideline (7906 downloads)
- Mycophenolate Shared Care Guideline (1998 downloads)
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (1158 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (2302 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (1972 downloads)
- Wound Management Dressing Formulary (2779 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (955 downloads)
- Azathioprine Shared Care Guideline (3283 downloads)
- Ciclosporin Shared Care Guideline (1324 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (878 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1196 downloads)
- Hydroxychloroquine Shared Care Guideline (1394 downloads)
- Leflunomide Shared Care Guideline (1822 downloads)
- Melatonin Shared Care (1466 downloads)
- Mercaptopurine Shared Care Guideline (1432 downloads)
- Methotrexate Shared Care Guideline (7906 downloads)
- Modafinil Shared Care Guideline (998 downloads)
- Mycophenolate Shared Care Guideline (1998 downloads)
- Penicillamine Shared Care Guideline (927 downloads)
- Riluzole shared care agreement & guidelines (2396 downloads)
- Sulfasalazine Shared Care Guideline (2650 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (644 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (419 downloads)
- CD&TV Stoma Accessories Guide (340 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (876 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (403 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (1272 downloads)
- NTAG Guidance (1689 downloads)
- Patient Decision Aids Resource (985 downloads)
Prescribing systems and processes
- Guidance on Seven Day Prescriptions and Monitored Dosage Systems (MDS) (183 downloads)
- Model Repeat Prescribing System (3469 downloads)
- Useful prescribing information - a guide for prescribers (3802 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (3052 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (556 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (665 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (619 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (2115 downloads)
Local decision making