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 (1063 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (1193 downloads)
Cardiovascular system
- Dapagliflozin in Heart Failure - CD&TV APC Prescribing Guidance (782 downloads)
- DVT Investigation Proforma & Patient Information Sheet (803 downloads)
- DVT Pathway Information (1005 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (694 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (310 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (711 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1199 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (4547 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (8622 downloads)
- CD&TV COPD Treatment Guide (29035 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (849 downloads)
- Paediatric Asthma Inhaler Guide (3350 downloads)
Central nervous system
Pain
- CD&TV APC Position Statement - Prescribing for Persistent Pain (715 downloads)
- CD&TV CCGs Position Statement on Nefopam (2318 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (986 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (269 downloads)
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:
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)
- 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 (715 downloads)
- CD&TV CCGs Position Statement on Nefopam (2318 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (986 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (269 downloads)
Infections and antibiotics
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (849 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (5648 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (9177 downloads)
- Guidelines for Self Monitoring of Blood Glucose (4762 downloads)
- SGLT2i for people with T2DM - Top Tips & Recommendations from NECN (575 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (769 downloads)
- CD&TV APC Guidance for Hypogonadism Management in Primary Care (162 downloads)
- General Guidelines For The Use Of Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service (209 downloads)
- Guideline for the management of osteoporosis in primary care (1027 downloads)
- RMOC Liothyronine Guidance (456 downloads)
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (1064 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (2505 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (595 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2799 downloads)
- CD&TV guidelines for the supply of gluten-free products (2144 downloads)
- CD&TV Vitamins & Minerals Guidance (1289 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (101 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (63 downloads)
- Primary Care Management of Vitamin D Deficiency (3143 downloads)
- The Management of Hypomagnesaemia in Primary Care (830 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (2750 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1486 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2179 downloads)
- Wound Management Dressing Formulary (3300 downloads)
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.
- Apomorphine Shared Care Guideline (1106 downloads)
- Azathioprine Shared Care Guideline (3812 downloads)
- Ciclosporin Shared Care Guideline (1471 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (991 downloads)
- Dapsone [Dermatology] Shared Care Guideline (196 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (872 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1433 downloads)
- Hydroxychloroquine Shared Care Guideline (1865 downloads)
- Leflunomide Shared Care Guideline (2125 downloads)
- Melatonin Shared Care (2131 downloads)
- Mercaptopurine Shared Care Guideline (1634 downloads)
- Methotrexate Shared Care Guideline (9214 downloads)
- Modafinil Shared Care Guideline (1151 downloads)
- Mycophenolate Shared Care Guideline (2161 downloads)
- Penicillamine Shared Care Guideline (1047 downloads)
- Riluzole shared care agreement & guidelines (2629 downloads)
- Sulfasalazine Shared Care Guideline (3292 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (1105 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (932 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
- 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 (492 downloads)
- CD&TV Stoma Accessories Guide (485 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (2424 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (468 downloads)
- NTAG Guidance (1816 downloads)
- Patient Decision Aids Resource (1144 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (3737 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (263 downloads)
- Monitored Dosage Systems - County Durham Review Form (82 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (104 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (436 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (707 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (899 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (849 downloads)
- Self-Care OTC Guidance (14 downloads)
Local decision making