Durham and Darlington Guidelines

Repeat Prescription Ordering Systems (RPOS)

Link to resources for practices and pharmacies to support implementation


County Durham and Darlington Formulary

Clinical Guidelines

Gastro-intestinal system

Cardiovascular system

Respiratory system

Central nervous system


Mental Health & Neurology

The following APC-approved mental health prescribing resources are available via the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website:


GP Leaflets

Additional material not available from TEWV

Infections and antibiotics   


Other endocrine

Obstetrics, gynaecology and urinary tract

Malignant disease and immunosuppression

Nutrition and blood

Musculoskeletal and joint diseases


Ear, nose and throat


Immunological products and vaccines

Drug monitoring

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for developing and updating SCGs currently lies with the originating trusts, along with CDTV APC, but may be superseded by the adoption of national shared care templates.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.

Available from the PHARMACY POLICIES AND PROCEDURES section of the Tees, Esk and Wear Valleys NHS Foundation Trust website:


Other guidance

Prescribing systems and processes

Self-care and over-the-counter medicines

Local decision making