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Clinical Guidelines, Policies and Resources
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Information, Guidance Documents, Policies and Position Statements
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- Lipid Management for Primary and Secondary Prevention of CVD
- Medicines Safety Alert Process V2
- Prescribing Information for dapaglifozin for treating chronic heart failure with reduced ejection fraction
- Prescribing Information for Patiromer for Treatment of Chronic Hyperkalaemia in Adults
- Prescribing Information for sacubitril valsartan for treating symptomatic chronic heart failure with reduced ejection fraction
- Prescribing Information for sodium zirconium cyclosilicate (Lokelma) for treating hyperkalaemia in adults
- STW Safeguarding details for Community Pharmacy
- STW ICS treatment of overactive bladder symptoms and urgency urinary incontinence in women in Primary Care
- Medicines and Pharmacy Strategy 2023 Final
- 20230621 Commercial Sponsorship and Joint Working with the Pharmaceutical Industry Policy V2 (002)
- Drugs used on Primary Care for the treatment of erectile dysfunction (ED)
- Safety pen needles and safety lancet devices - Commissioning Statement-NHS STW V4
- Individual Funding Request Policy (IFR)
- Individual Funding Request application form
- Funding for Experimental and Unproven Treatments
- On-going access to treatment following a trial of treatment which has not been sanctioned by NHS STW
- On-going access to treatment following the completion of a trial explicitly funded by NHS STW
- On-going access to treatment following the completion of industry sponsored clinical trials or funding.
- On-going access to treatment following the completion of non-commercially funded clinical trials
- Ethical framework for priority setting and resource allocation allocation
- 20232809 NHSSTW Management of Patient Group Directions (PGDs) policy v1.0 final
- NHS Shropshire Telford & Wrekin Liothyronine Policy V2
- NHS Shropshire Telford & Wrekin Primary Care Rebates December 2024
- STW Gluten Free Statement
- Botulinum Toxin Policy
- Non-Medical Prescribing Policy - Oct 2027
- Bath and Shower preparations in Primary Care Policy V2
Structured Medication Reviews
Immunisation and Vaccination
Patient Group Directions (PGDs)
End of Life (including JIC)
Palliative Care Just in Case (JIC) Service Guidance
End of Life Drug Administration Forms
- 20230829 JIC GP Information letter V2
- 20230829 Morphine Syringe Pump
- 20230829 Morphine PRN
- 20230829 Oxycodone Syringe Pump
- 20230829 Oxycodone PRN
- 20230829 Syringe Pump Blank form
- 20230829 PRN Blank form
Symptom Control Sheets for End of Life
Just In Case (JIC) Medication Pack
Prescribing
Electronic Repeat Dispensing (eRD) was introduced in July 2009 as a non-compulsory method of dispensing prescriptions electronically.
From April 2019, as stated in the GP contract, eRD became a contractual obligation for all patients where it is clinically appropriate and the patient consents.
- eRD means patients who regularly get the same medication and don’t need to contact their GP practice every time they need a repeat prescription. This provides greater efficiency for practices and patients whilst enabling the pharmacy to manage the patient’s clinical care.
- Once a patient has been identified as suitable for eRD, the prescriber will review and synchronise all of their current medication. The prescriber will create a batch of prescriptions for a set length of time which is then digitally signed using their smartcard pin.
- All issues within the batch are sent immediately to the Spine. All prescriptions are linked by the same barcode, but they are all separate issues. The duration between each issue is set in the clinical system and is dispensed at those intervals by the nominated pharmacy.
- Good communication between all parties is essential.
Please see below for a number of resources, which will enable practices to take advantage of the benefits eRD may offer.
Useful resources
NHS Digital:
- NHS England
- Wessex Handbook (this is where you will find a video on how to set eRD up on EMIS)
- NHSBSA links
- The Centre for Postgraduate Pharmacy Education (CPPE) also produces an Open Learning Pack on Repeat Dispensing
Oral Nutrition Supplements (ONS)
- Prescribing Guidelines and Formulary
- Think Food recipe booklet Sept 2023
- Primary Care ONS formulary swaps compendium - STW ICS March 2024
Over the Counter (OTC) Medicines/Drugs of Limited Clinical Value (DOLCV)
- Guidance for prescribing OTC medicines for children attending nurseries and schools
- Guidance for the Treatment of Vitamin D Deficiency and Insufficiency
- 20220826 NHS STW Dry eye Guidance Primary Care
- Guidance on Folic Acid Dosing
- Please click here for items which should not routinely be prescribed in Primary Care.
Diabetes
- 20211208 GLP-1 Pathway V4.0
- 20211208 Supporting information GLP-1 analogues V2.0
- STWCCG and TRUST Guide for Meter Prescribing in Primary Care ADULTS Feb 2022
- CGM for Children and Young People aged under 18 years with Type 1 and Type 2 diabetes
- CGM for Adults with insulin-treated diabetes (including pregnancy)
- Continuous Subcutaneous Insulin Infusion (CSII) without CGM in adults and children with Type 1 Diabetes
- Insulin degludec for Type 1 and restricted use in Type 2 diabetes
Care Settings
- Position Statement Homely Remedies and Self Care March 2025
- Alteration of a Medicine Formulation in a Care Setting
- Aspirin use for Heart Emergencies in Care Settings V2.0
- Care staff authorised to apply first dressings-homely dressings
- Homely dressings audit template
- 20221021 Influenza Outbreak Care Homes NHS STW
- Guidance Non-prescribed Medicines in Community Settings V3.1
- Medication Incident Reporting Guidance V4
- Oral Nutritional Supplement ONS Request and Monitoring Form V2
- Person Centered Medication Profile – Completion Notes
- 7 Day Prescribing Statement
- Reducing Waste Medicines Good Practice Guidance V9
- Referral Pathway NHS STW ICB - Care Homes December 2023 - V01
- Reporting incidents using Insight (for care setting staff) - STW (Jan 2025)
- Think Food recipe booklet Sept 2023
- 20221222 Think Food Approach in Care Homes A practical guide for the treatment of malnutrition V3
- Covert Administration of Medicines Checklist (Care Settings)
Influenza
Antimicrobials
