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 (583 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation - Durham Bowel Dysfunction Service Guide (1059 downloads)
Cardiovascular system
- Dapagliflozin in Heart Failure - CD&TV APC Prescribing Guidance (166 downloads)
- DVT Investigation Proforma & Patient Information Sheet (622 downloads)
- DVT Pathway Information (667 downloads)
- Northern England Evaluation and Lipid Intensification guideline [NEELI] (222 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (233 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (1122 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (4305 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (5716 downloads)
- CD&TV COPD Treatment Guide (26679 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (794 downloads)
- Paediatric Asthma Inhaler Guide (1852 downloads)
Central nervous system
Pain
- CD&TV APC Position Statement - Prescribing for Persistent Pain (590 downloads)
- CD&TV CCGs Position Statement on Nefopam (2176 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (700 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (192 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)
- 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 (590 downloads)
- CD&TV CCGs Position Statement on Nefopam (2176 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (700 downloads)
- Tapentadol Dose Reduction Guidance for Primary Care (192 downloads)
Infections and antibiotics
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (794 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (4909 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (8403 downloads)
- Guidelines for Self Monitoring of Blood Glucose (4353 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (241 downloads)
- CD&TV APC Guidance for Hypogonadism Management in Primary Care (75 downloads)
- General Guidelines For The Use Of Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service (120 downloads)
- Guideline for the management of osteoporosis in primary care (897 downloads)
- RMOC Liothyronine Guidance (430 downloads)
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (868 downloads)
- Erectile Dysfunction Commissioning Policy (876 downloads)
- Erectile Dysfunction summary of changes (865 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (2297 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (568 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2618 downloads)
- CD&TV guidelines for the supply of gluten-free products (1860 downloads)
- CD&TV Vitamins & Minerals Guidance (994 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (12583 downloads)
- Primary Care Management of Vitamin D Deficiency (1873 downloads)
- The Management of Hypomagnesaemia in Primary Care (788 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (1302 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (2432 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2095 downloads)
- Wound Management Dressing Formulary (3015 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (1035 downloads)
- Azathioprine Shared Care Guideline (3556 downloads)
- Ciclosporin Shared Care Guideline (1411 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (941 downloads)
- Dapsone [Dermatology] Shared Care Guideline (99 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (784 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1327 downloads)
- Hydroxychloroquine Shared Care Guideline (1633 downloads)
- Leflunomide Shared Care Guideline (1973 downloads)
- Melatonin Shared Care (1790 downloads)
- Mercaptopurine Shared Care Guideline (1552 downloads)
- Methotrexate Shared Care Guideline (8523 downloads)
- Modafinil Shared Care Guideline (1077 downloads)
- Penicillamine Shared Care Guideline (1001 downloads)
- Riluzole shared care agreement & guidelines (2546 downloads)
- Sulfasalazine Shared Care Guideline (3012 downloads)
- Tolcapone for the treatment of Parkinson's disease (Neurology) - CD&TV SCG (1043 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (794 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 (460 downloads)
- CD&TV Stoma Accessories Guide (410 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (1523 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (439 downloads)
- NTAG Guidance (1758 downloads)
- Patient Decision Aids Resource (1059 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (3605 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (32 downloads)
- Monitored Dosage Systems - County Durham Review Form (22 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (35 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (320 downloads)
- Useful prescribing information - a guide for prescribers (3991 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (3186 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (630 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (785 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (719 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (2324 downloads)
Local decision making