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
- Azathioprine Shared Care Guideline (2992 downloads)
- CD&TV Guidance for Prescribing & Monitoring Post Bariatric Surgery (35 downloads)
- Ciclosporin Shared Care Guideline (1191 downloads)
- Mercaptopurine Shared Care Guideline (1298 downloads)
- Methotrexate Shared Care Guideline (7206 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (840 downloads)
Cardiovascular system
- CD&T APC Position Statement on Omega 3 Prescribing (68 downloads)
- County Durham and Darlington DVT Pathway Information (188 downloads)
- DVT Investigation Proforma October 2020 (235 downloads)
- FATS7 Strategy for the Use of Cholesterol Lowering Drugs (2204 downloads)
- Hypertension Guidelines (3648 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (1014 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (864 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (995 downloads)
- CD&TV COPD Treatment Guide (20793 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (651 downloads)
- Paediatric Asthma Inhaler Guide (280 downloads)
Central nervous system
Pain
- CD&TV APC Position Statement - Prescribing for Persistent Pain (267 downloads)
- CD&TV CCGs Position Statement on Nefopam (1874 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (113 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 & Transfer of Prescribing
- Formulary and prescribing transfer – a quick reference guide County Durham & Darlington, Tees, and Hambleton & Richmondshire
- Aripiprazole LAI shared care
- Atomoxetine
- Dexamfetamine
- First Generation Antipsychotic LAI shared care
- Guanfacine shared care
- Lisdexamfetamine – shared care guidelines
- Lithium
- Methylphenidate
- Psychotropic medication monitoring guide
- Safe Transfer of Prescribing Guidance
- Paliperidone LAI shared care
Guidelines
- ADHD Prescribing Guidelines Children and Young People
- ADHD Prescribing Guidelines Adults
- Anxiety Medication Pathway Adults
- Bipolar Medication Pathway for Adults
- BPSD – Summary of pharmacological treatment options for Behavioural Psychological Symptoms of Dementia
- Clozapine and the role of therapeutic drug monitoring
- Dementia Care Pathway AChEI Decision Aid
- Depression pathway – handy hints when prescribing antidepressants
- Depression Medication Pathway for Adults
- Depression Pathway C&YP – guidance on pharmacological management
- Hyperprolactinaemia Management in Patients Receiving Antipsychotics
- Lithium NSAIDS SBARD
- Promazine deprescribing guidance
- Psychotropics in women of child bearing potential
GP Leaflets
- Citalopram escitalopram – dose reduction ECG algorithm
- Clozapine_Initiation_GP_Leaflet[1]
- GP_Information_Sheet_on_Clozapine_V4_FINAL
Additional material not available from TEWV
- Apomorphine Shared Care Guideline (827 downloads)
- CD&TV APC Position Statement - Prescribing for Persistent Pain (267 downloads)
- CD&TV CCGs Position Statement on Nefopam (1874 downloads)
- County Durham Tees Valley Primary Care Pain Management Guideline (113 downloads)
- Dosulepin Deprescribing Guidance (391 downloads)
- Melatonin Shared Care (1048 downloads)
- Modafinil Shared Care Guideline (906 downloads)
- Riluzole shared care agreement & guidelines (2196 downloads)
- Trimipramine Deprescribing Guidance (394 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (619 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2263 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (651 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (3437 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (6962 downloads)
- Guidelines for Self Monitoring of Blood Glucose (3524 downloads)
Other endocrine
- Gender Dysphoria - Masculinising Hormones - 2017 (796 downloads)
- Gender Dysphoria – Feminising Hormones – 2017 (870 downloads)
- Guideline for the management of osteoporosis in primary care (616 downloads)
- RMOC Liothyronine Guidance (324 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (778 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2263 downloads)
- Catheter and Continence Care Formulary (630 downloads)
- Erectile Dysfunction Commissioning Policy (711 downloads)
- Erectile Dysfunction summary of changes (680 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (1817 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (448 downloads)
- Treatment Pathway for Overactive Bladder (1224 downloads)
Malignant disease and immunosuppression
- Azathioprine Shared Care Guideline (2992 downloads)
- Ciclosporin Shared Care Guideline (1191 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1017 downloads)
- Leflunomide Shared Care Guideline (1646 downloads)
- Mercaptopurine Shared Care Guideline (1298 downloads)
- Methotrexate Shared Care Guideline (7206 downloads)
- Mycophenolate Shared Care Guideline (1786 downloads)
- Penicillamine Shared Care Guideline (814 downloads)
- Sulfasalazine Shared Care Guideline (2336 downloads)
Nutrition and blood
- Adult Vitamin D Deficiency - Quick Reference Guide (3336 downloads)
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (2247 downloads)
- CD&TV Vitamins & Minerals Guidance (439 downloads)
- Guidance for the Treatment of Vitamin D Insufficiency and Deficiency (4489 downloads)
- Guidance on Preventing Vitamin D Deficiency in At Risk Groups (1097 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (11804 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (1803 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1017 downloads)
- The Management of Hypomagnesaemia in Primary Care (615 downloads)
Musculoskeletal and joint diseases
- Ciclosporin Shared Care Guideline (1191 downloads)
- Leflunomide Shared Care Guideline (1646 downloads)
- Methotrexate Shared Care Guideline (7206 downloads)
- Mycophenolate Shared Care Guideline (1786 downloads)
- Penicillamine Shared Care Guideline (814 downloads)
- Sulfasalazine Shared Care Guideline (2336 downloads)
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (979 downloads)
- Guidance for GPs on the use of Ingenol Mebutate (Picato) for Acetinic Keratosis (1020 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (2059 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (1678 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease - Appendix for County Durham and Darlington (708 downloads)
- Wound Management Dressing Formulary (2534 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (827 downloads)
- Azathioprine Shared Care Guideline (2992 downloads)
- Ciclosporin Shared Care Guideline (1191 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1017 downloads)
- Hydroxychloroquine Shared Care Guideline (1132 downloads)
- Leflunomide Shared Care Guideline (1646 downloads)
- Melatonin Shared Care (1048 downloads)
- Mercaptopurine Shared Care Guideline (1298 downloads)
- Methotrexate Shared Care Guideline (7206 downloads)
- Modafinil Shared Care Guideline (906 downloads)
- Mycophenolate Shared Care Guideline (1786 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (651 downloads)
- Penicillamine Shared Care Guideline (814 downloads)
- Riluzole shared care agreement & guidelines (2196 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (778 downloads)
- Sulfasalazine Shared Care Guideline (2336 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (840 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (619 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (340 downloads)
- CD&TV Stoma Accessories Guide (234 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (327 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (328 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (1105 downloads)
- NTAG Guidance (1579 downloads)
- Patient Decision Aids Resource (838 downloads)
Prescribing systems and processes
- Guidance on Seven Day Prescriptions and Monitored Dosage Systems (MDS) (49 downloads)
- Model Repeat Prescribing System (3217 downloads)
- Useful prescribing information - a guide for prescribers (3497 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (2847 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (443 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (508 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (482 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (1870 downloads)
Local decision making