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
- Algorithm for the Management of Chronic Constipation (721 downloads)
- Azathioprine Shared Care Guideline (2424 downloads)
- Ciclosporin Shared Care Guideline (907 downloads)
- Mercaptopurine Shared Care Guideline (989 downloads)
- Methotrexate Shared Care Guideline (4768 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (562 downloads)
Cardiovascular system
- County Durham and Darlington DVT Pathway Information (1656 downloads)
- DVT Investigation Proforma – Enoxaparin (911 downloads)
- DVT Investigation Proforma – Rivaroxaban (1663 downloads)
- FATS7 Strategy for the Use of Cholesterol Lowering Drugs (1817 downloads)
- Hypertension Guidelines (3073 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (758 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (622 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (13435 downloads)
- CD&D COPD Guideline (16535 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (431 downloads)
- Paediatric Asthma Inhaler Guide – This document has been removed as it is currently under review.
Central nervous system
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
- Atomoxetine
- Formulary and prescribing transfer – a quick reference guide County Durham & Darlington, Tees, and Hambleton & Richmondshire
- Lisdexamfetamine – shared care guidelines
- Lithium
- Methylphenidate
- Psychotropic medication monitoring guide
- Safe Transfer of Prescribing Guidance
- Guanfacine shared care
- Paliperidone LAI shared care
- Aripiprazole LAI shared care
Guidelines
- ADHD Prescribing Guidelines Children and Young People
- ADHD Prescribing Guidelines Adults
- Anxiety Medication Pathway 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 and Escitalopram Maximum Dose Reductions
- Clozapine – aide memoire for GPs
- Clozapine – important information about potentially fatal side effects
Additional material not available from TEWV
- Apomorphine Shared Care Guideline (630 downloads)
- CD&TV APC Position Statement - Prescribing for Persistent Pain (24 downloads)
- CD&TV CCGs Position Statement on Nefopam (1521 downloads)
- Dosulepin Deprescribing Guidance (246 downloads)
- Key Messages for Pain Management Scenarios (465 downloads)
- Melatonin Shared Care (463 downloads)
- Modafinil Shared Care Guideline (674 downloads)
- Opioid Prescribing for Persistent (Non-Cancer) Pain in Adults (978 downloads)
- Pharmacological Treatment of Neuropathic Pain (825 downloads)
- Psychotropic Medication and Driving - New Legislation: Information Sheet for Prescribers (401 downloads)
- Quetiapine XL - TEWV guidance (637 downloads)
- Riluzole shared care agreement & guidelines (1739 downloads)
- SBARD in relation to prescribing medicines for Attention Deficit Hyperactivity Disorder (286 downloads)
- Trimipramine Deprescribing Guidance (217 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (400 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2012 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (431 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (2331 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (5657 downloads)
- Guidelines for Self Monitoring of Blood Glucose (2560 downloads)
Other endocrine
- Gender Dysphoria - Masculinising Hormones - 2017 (570 downloads)
- Gender Dysphoria – Feminising Hormones – 2017 (646 downloads)
- Guideline for the management of osteoporosis in primary care (366 downloads)
- RMOC Liothyronine Guidance (178 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (587 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (2012 downloads)
- Catheter and Continence Care Formulary (408 downloads)
- Erectile Dysfunction Commissioning Policy (519 downloads)
- Erectile Dysfunction summary of changes (486 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (1444 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (260 downloads)
- Treatment Pathway for Overactive Bladder (911 downloads)
Malignant disease and immunosuppression
- Azathioprine Shared Care Guideline (2424 downloads)
- Ciclosporin Shared Care Guideline (907 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (767 downloads)
- Leflunomide Shared Care Guideline (1313 downloads)
- Mercaptopurine Shared Care Guideline (989 downloads)
- Methotrexate Shared Care Guideline (4768 downloads)
- Mycophenolate Shared Care Guideline (1425 downloads)
- Penicillamine Shared Care Guideline (625 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (476 downloads)
- Sulfasalazine Shared Care Guideline (1853 downloads)
Nutrition and blood
- Adult Vitamin D Deficiency - Quick Reference Guide (2626 downloads)
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (1876 downloads)
- CD&TV Vitamins & Minerals Guidance (3 downloads)
- Guidance for the Treatment of Vitamin D Insufficiency and Deficiency (3836 downloads)
- Guidance on Preventing Vitamin D Deficiency in At Risk Groups (859 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (11211 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (1530 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (767 downloads)
- The Management of Hypomagnesaemia in Primary Care (427 downloads)
Musculoskeletal and joint diseases
- Ciclosporin Shared Care Guideline (907 downloads)
- Leflunomide Shared Care Guideline (1313 downloads)
- Methotrexate Shared Care Guideline (4768 downloads)
- Mycophenolate Shared Care Guideline (1425 downloads)
- Penicillamine Shared Care Guideline (625 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (476 downloads)
- Sulfasalazine Shared Care Guideline (1853 downloads)
Eye
Ear, nose and throat
Skin
- Emollient Prescribing within County Durham & Darlington (727 downloads)
- Guidance for GPs on the use of Ingenol Mebutate (Picato) for Acetinic Keratosis (462 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (1762 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (1321 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease - Appendix for County Durham and Darlington (553 downloads)
- Wound Management Dressing Formulary (2166 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (630 downloads)
- Azathioprine Shared Care Guideline (2424 downloads)
- Ciclosporin Shared Care Guideline (907 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (767 downloads)
- Hydroxychloroquine Shared Care Guideline (763 downloads)
- Leflunomide Shared Care Guideline (1313 downloads)
- Melatonin Shared Care (463 downloads)
- Mercaptopurine Shared Care Guideline (989 downloads)
- Methotrexate Shared Care Guideline (4768 downloads)
- Methotrexate Shared Care Request Letter (585 downloads)
- Modafinil Shared Care Guideline (674 downloads)
- Mycophenolate Shared Care Guideline (1425 downloads)
- Penicillamine Shared Care Guideline (625 downloads)
- Riluzole shared care agreement & guidelines (1739 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (587 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (476 downloads)
- Sulfasalazine Shared Care Guideline (1853 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (400 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (176 downloads)
- CD&D APC Do Not Prescribe List (2138 downloads)
- CD&D APC Grey List (1465 downloads)
- CD&TV Stoma Accessories Guide (56 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (162 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (908 downloads)
- NTAG Guidance (1407 downloads)
- Patient Decision Aids Resource (656 downloads)
Prescribing systems and processes
- Guidance on Seven Day Prescriptions and Monitored Dosage Systems (MDS) (595 downloads)
- Model Repeat Prescribing System (2749 downloads)
- Useful prescribing information - a guide for prescribers (2967 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (2415 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (196 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (224 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (218 downloads)
- Self-Care and Medicines Available Over The Counter (OTC) (1337 downloads)
Local decision making