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Renal Function Calculation and Drug Dosing/Monitoring

Renal function calculation and drug dosing/monitoring Version 1 November 2024 Review date: November 2026 Renal function calculation and drug dosing/monitoring Local consensus is that: • Creatinine clearance (CrCl) must be used for calculating rena...
Oral Nutritional Supplements (ONS) in Adults - Care Home Request Form

C are Home ONS Form - CONFIDENTIAL: Monthly Request for Oral Nutritional Supplement (ONS) Prescription *Must be ACBS indicated and clinically justified for GP to prescribe (refer to local ONS guidelines) To: From Care Home (Referrer & Signature):...
5. APC Bulletin September 2023

Nottinghamshire Area Prescribing Committee September 2023 Bulletin Contents  New Formulary submissions  Changes we have made to our formulary  New and Updated APC Guidelines  Feature of the month  Links to our APC webinar and podcast ~ Biosim...
Dermatophyte Infection of the Scalp

SKIN AND SOFT TISSUE INFECTIONS Dermatophyte Infection of the Scalp Fungal infection of the scalp is also known as 'tinea capitis' or 'scalp ringworm', and it describes infection of scalp hair follicles and the surrounding skin caused by dermatoph...
Self-care - Heartburn

Self-care Information Heartburn & Indigestion Tips on how you can self manage heartburn & indigestion in adults “Supporting you to look after you” Key advice: • Avoid food and drink that triggers your symptoms (usually spicy, fatty or acidic foods...
Self-care - Sprains and strains

Self-care Information Sprains & Strains Tips on how you can self-manage sprains & strains. “Supporting you to look after you.’’ Key Points: • Follow PRICE therapy for the first 2-3 days (Protection, Rest, Ice, Compression, Elevate). • Take paracet...
Lyme Disease

SKIN AND SOFT TISSUE INFECTIONS Lyme Disease (CKS April 22) Lyme disease is an infection caused by a group of bacteria (Borrelia species) transmitted to humans following a bite from an infected tick. It occurs worldwide, with higher prevalence in...
Oral Nutritional Supplements (ONS) in Adults - Quick Reference

Quick Reference Guide: Oral Nutritional Supplements (ONS) Please first complete a MUST score and give Food First advice. Prescribe only if patient at Higher Risk (MUST 2+) where Over the Counter supplements have been unsuccessful. If patient meets...
Oral Nutritional Supplements (ONS) in Adults - Food First Leaflet

3-2-1: Simple steps to follow when your appetite is poor and you are losing weight. Malnutrition makes it harder for the body to 3 2 1 fight infection and heal itself. It reduces your energy levels, muscle strength and mobility. Most people need t...
Dermatophyte Nail Infection

SKIN AND SOFT TISSUE INFECTIONS Dermatophyte nail infection (onychomycosis) If clinically infected: Start empirical treatment. Nail infections are best treated systemically. Nail specimens are only indicated and will only be accepted for processin...
Oral Nutritional Supplements (ONS) in Adults - Full Guideline

Full Guideline: Oral Nutritional Supplements (ONS) Quick Read Summary Quick Prescribing Guide to ONS on Notts APC Website Contents Page 2 Executive Summary 3 Introduction, Aims, Scope and Development 4 Indications for ONS prescribing 5 When to ref...
Diabetes - Type 2 Treatment Algorithm

Type 2 Diabetes Treatment Guideline V5.12 Last reviewed: Nov 2022 Review date: May 2026 Nottinghamshire Health Community Treatment Guideline for the Management of Type 2 Diabetes (T2D) in Adults These guidelines are intended to support prescribing...
Giardiasis

G ASTRO-INTESTINAL TRACT INFECTIONS Giardiasis Giardiasis is a parasitic infection often associated with recent foreign travel, particularly from South Asia. It is acquired via the faecal-oral route; by contact with faeces of infected animals, aft...
Cow’s Milk Protein Allergy Focused Clinical History Form for Healthcare Professionals

Allergy Focused Clinical History Form for Healthcare Professionals Family history of allergy Feeding History Mother Father Sibling ☐ ☐ ☐ ☐ Asthma ☐ Exclusively breastfed (until……….…………….…) ☐ ☐ ☐ ☐ Eczema ☐ Mixed feeding (from ……………………….………) ☐ ☐ ☐...
Tuberculosis

L OWER RESPIRATORY TRACT INFECTIONS Tuberculosis (TB)  The incidence of tuberculosis (TB) in the UK has risen over the last decade.  Patients may present with constitutional (fevers, night sweats, weight loss) or localizing (cough, sputum, haemo...
A guide to personalising glucose management in older type 2 diabetic patients living with frailty

A guide to personalising Glucose management in older type 2 diabetic patients living with frailty Frailty categories for this Guidance (formal and pragmatic) Very Mild/Mild Frailty - Clinical Frailty Score (CFS) 4 or 5: Independent for most activi...
Guanfacine restarting guidance

G uideline for restarting Guanfacine following a period of no treatment- ADHD Children and Adults Represcribing Guidance for Guanfacine Prolonged Release (Intuniv) Patient on no medication or Patient currently on Clonidine medication other than Cl...
deprescribing flow chart t2 diabetes

Decision Tree to be used alongside: A guide to personalising Glucose management in older type 2 diabetic patients living with frailty’. Type II DM and living No with frailty? (CFS 4+) Pre-frail: Management as per standard diabetes approach. Yes Re...
2. APC Formulary Minutes April 2025

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 24 April 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply...
Nausea and Vomiting in Pregnancy

P RIMARY CARE MANAGEMENT OF NAUSEA AND VOMITING IN EARLY PREGNANCY Introduction Nausea and vomiting affects up to 80% of pregnant women and is one of the most common indications for hospital admission in the first trimester of pregnancy. For many...
Anticoagulants in AF

Anticoagulants in AF V1.3 Last reviewed: Review date: May 2025 May 2028 Atrial Fibrillation (Non-valvular): prescriber decision support on anticoagulation Contents Assessing patients for anticoagulation in AF Page 2 Patient factors and anticoagula...
Primary Care Guidance - PERT Shortage

Introduction to Pancreatic Enzyme Replacement Therapy (PERT) Guidance for Primary Care Healthcare Professionals C ontents Introduction to Pancreatic Enzyme Replacement Therapy (PERT) 2 Guidance for GPs and Community Pharmacies Terminology Stateme...
Enoxaparin Info Sheet

Enoxaparin Information Sheet V4.2 January 2025. Review January 2027 Enoxaparin sodium for long term anticoagulation in patients unsuitable for oral anticoagulants **Prescribe by brand name** ® ® ® (Arovi , Inhixa , Clexane ) Traffic light classifi...
3. May 2023 APC Update

Area Prescribing Committee / Interface Update May 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions Selenium – AMBER 2 • Indication – For the treatment of deficiencies in...
Omeprazole Liquid for Children - Review Algorithm

Omeprazole liquid in children-information sheet V1.2 Last reviewed: November 2025 Review date: November 2026 Algorithm for the review of children and young people taking Omeprazole liquid long term Why is the medication prescribed? Does the patien...
1. APC Bulletin February 2021

Nottinghamshire Area Prescribing Committee February 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net COVID – 19 We have added a dedicated section to the APC website for use during the COVID pandemic. You...
1. APC Bulletin January 2020

Nottinghamshire Area Prescribing Committee January 2020 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net New drug submissions— January 2020 APC Decisions Medicine Traffic light Indication Other Information st...
Hidradenitis Suppurativa

SKIN AND SOFT TISSUE INFECTIONS Hidradenitis Suppurativa Hidradenitis suppurativa (HS) or acne inversa, is a painful chronic inflammatory disease of the apocrine gland, characterised by persistent or recurrent boil-like nodules, scarring, and absc...
Self-care - Back pain

Self-care Information Back Pain Tips on how you can self manage back pain. “Supporting you to look after you” • Back pain, particularly lower back pain, is very common. • It usually improves within a few weeks but can sometimes last longer or keep...
2. April 2025 APC update

Area Prescribing Committee / Interface Update. February 2025 - March 2025 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net April 2025 Contents • Guidelines: • Heart Failure guidelin...
Cutaneous Candidiasis

S KIN AND SOFT TISSUE INFECTIONS Cutaneous Candidiasis (CKS Candida - Skin) Manifestations of cutaneous candidiasis covered in this guideline include intertrigo (skin fold infections), napkin dermatitis (incontinence pad/nappy/diaper rash), and ex...
1. March 2022 APC Update

APC and Interface Update March / April 2022 Please direct queries to your CCG medicines optimisation pharmacist or nnccg.nottsapc@nhs.net New Submissions ® Trurapi ▼(insulin aspart biosimilar) – AMBER 2 ® • Biosimilar to Novorapid , offers signif...
A guide to personalising glucose management in older type 2 diabetic patients living with frailty

A guide to personalising Glucose management in older type 2 diabetic patients living with frailty To be used alongside the decision tree flow chart Frailty categories for this Guidance (formal and pragmatic) Very Mild/Mild Frailty - Clinical Frail...
ADHD children and young people - Lisdexamfetamine Shared Care Protocol

Children and Young People ADHD - Lisdexamfetamine Shared Care Protocol V1.1 Last reviewed: January 2024 Review date: January 2027 Lisdexamfetamine for patients within children and young people services Adapted from local adult ADHD shared care pro...
ADHD children and young people - Atomoxetine Shared Care Protocol

C hildren and Young People ADHD - Atomoxetine Shared Care Protocol V1.1 Last reviewed: January 2024 Review date: January 2027 Atomoxetine for patients within children and young people services Adapted from local adult ADHD shared care protocol whi...
ADHD adult - Dexamfetamine Shared Care Protocol

N ational shared care protocol adult for local use: Dexamfetamine for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and...
Direct Oral Anticoagulants for DVT and PE - Prescribing Information

The use of Direct Oral Anticoagulants (DOACs) for treatment of DVT or PE, or prevention against recurrent DVT or PE (in adults) There are four DOACs available for the treatment of DVT or PE, and prevention of recurrent DVT or PE, these are: • Riva...
ADHD children and young people - Dexamfetamine Shared Care Protocol

Children and Young People ADHD - Dexamfetamine Shared Care Protocol V1.0 Last reviewed: January 2024 Review date: January 2027 Dexamfetamine for patients within children and young people services Adapted from local adult ADHD shared care protocol...
Dermatological Conditions - Hydroxychloroquine Shared Care Protocol

Dermatological Conditions – Hydroxychloroquine Shared Care Protocol V1.0 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Dermatological Conditions: Hydroxychloroquine for patients within adult...
5. November 2022 APC Update

Area Prescribing Committee Update: October/ November 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net APC submission process How to request a new medicine • Requests for new medicines to...
Eradication of Helicobacter Pylori

Eradication of Helicobacter pylori V2.5 Last reviewed: November 2024 Review date: May 2026 GASTROINTESTINAL TRACT INFECTIONS Eradication of Helicobacter pylori Indications: The gastric bacterium H. pylori is widely present in the population but ca...
Rheumatological Conditions - DMARDs Summary of Monitoring

See individual Shared Care Protocols for more information. Summary of Monitoring Requirements for Medicines used in Nottinghamshire APC Rheumatology Shared Care Protocols (Note – monitoring requirements are NOT indicative of transfer of care times...
3. APC Bulletin July 2025

Area Prescribing Committee Bulletin July 2025 1 - Link to APC website 2 - Link to APC Joint Formulary Contents • New Formulary Submissions and Re-submissions • New and updated Guidelines, Shared Care Protocols and Information sheets • Horizon scan...
Clonidine for Tic Disorders in Children and Young People

C lonidine for Tic Disorders in Children and Young People Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Indications Tic Disorders including: • Chronic Motor Tic Disorder • Chronic Vocal Tic Disorder • Transi...
UTI in Pregnancy

A symptomatic Bacteriuria (ASB) and Urinary Tract Infections (UTI) in pregnancy Asymptomatic bacteriuria (ASB) in pregnancy: • ASB is the isolation of the same organism in a mid-stream urine on two separate occasions, with a colony count of >10,00...
Self-care - Cough

Self-care Information Coughs Treating a cough - Tips for adults and children “Supporting you to look after you and your family” • Rest as much as you can. • Drink plenty of fluids. • Have a steamy shower. • Most coughs will clear up on their own w...
Self-care - Haemorrhoids

Self-care Information Haemorrhoids (Piles) Tips on how you can manage haemorrhoid symptoms “Supporting you to look after you’’ Key Points: • Symptoms include bright red blood after you poo, an itchy bottom and lumps and pain around your bottom. •...
Self-care - Infant colic

Self-care Information Infant Colic Tips on how you can manage colic in babies. “Supporting you to look after you and your baby’’ Key Points: • Colic eventually improves on its own. • It’s a common problem that usually gets better by around 3 to 4...
ADHD adult - Lisdexamfetamine Shared Care Protocol

N ational shared care protocol adapted for local use: Lisdexamfetamine for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines...
4. APC Bulletin July 2023

Nottinghamshire Area Prescribing Committee July 2023 Bulletin Our APC website is being refreshed! Please be patient with us while we transfer all our content onto the new site. Once live, any shortcuts should still direct you to the correct websit...
1. APC Bulletin March 2022

Nottinghamshire Area Prescribing Committee March 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions: • Treating peanut allergy in children and young people. ® Palforzia Not yet • As per NIC...
1. February 2025 APC update

Area Prescribing Committee / Interface Update. November 2024 - January 2025 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net February 2025 Contents • Guidelines: • Osteoporosis • Ov...
Overactive Bladder Clinical Guidance

O veractive Bladder in Adults - Clinical Guideline Overactive Bladder (OAB) is urgency with or without urge incontinence, usually with frequency and nocturia. Urge Urinary Incontinence is involuntary leakage of urine associated with urgency. Mixed...
6. APC Guideline Meeting Minutes November 2023

These minutes are in draft form until ratified by the committee at the next th meeting on 18 January 2024. Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes th APC Meeting 16 November 2023: The meeting took place as a web confe...
Antipsychotics - Clozapine Information Sheet

Clozapine Information Sheet V5.0 Last reviewed: September 2024 Review date: September 2027 Clozapine Red Information Sheet for Primary Care 1 Please consult the manufacturers Summary of Product Characteristics (SPC) for further information Clozapi...
ADHD children and young people - Methylphenidate Shared Care Protocol

Children and Young People ADHD - Methylphenidate Shared Care Protocol V1.2 Last reviewed: January 2024 Review date: January 2027 Methylphenidate in children and young people services Adapted from local adult ADHD shared care protocol which is base...
Buccal Midazolam Guideline for Patients under Paediatric Care

Buccal Midazolam in paediatrics V2.0 Last reviewed: May 2023 Review date: May 2026 Nottinghamshire Health Community Guideline for the use of Buccal Midazolam (5mg/ml and 10mg/ml) in patients under paediatric care Introduction Buccal midazolam is a...
ADHD adult - Atomoxetine Shared Care Protocol

N ational shared care protocol adopted for local use: Atomoxetine for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and...
Narcolepsy-Dexamfetamine Information Sheet

Dexamfetamine for Narcolepsy Info Sheet V2.1 Last reviewed: July 2023 Review date: December 2026 Dexamfetamine Traffic light classification - AMBER 2 Information sheet for Primary Care Prescribers Licensed Indications Narcolepsy Therapeutic Summar...
2. APC Guideline Meeting Minutes March 2019

N ottinghamshire Area Prescribing Committee st Minutes of the meeting held on Thursday 21 March 2019 at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legall...
2. APC Bulletin April 2021

Nottinghamshire Area Prescribing Committee April 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net COVID – 19 We have added a dedicated section to the APC website for use during the COVID pandemic. You wi...
3. APC Bulletin June 2021

Nottinghamshire Area Prescribing Committee June 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions Bempedoic Primary hypercholes- As per NICE TA 694 acid with AMBER 2 terolaemia or mixed ez...
5. APC Bulletin October 2021

Nottinghamshire Area Prescribing Committee October 2021 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions AMBER 2 Recommended as an option for treating Inclisiran primary hypercholesterolaemia...
6. APC Bulletin November 2020

Nottinghamshire Area Prescribing Committee November 2020 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk Wishing our readers a safe and happy Christmas New Submissions November 2020 Methylphenidate To become Narcolepsy To be amend...
1. APC Guideline Meeting Minutes January 2020

N ottinghamshire Area Prescribing Committee rd Minutes of the meeting held on Thursday 23 January 2020 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom o...
Overarching Pain Guidelines - Management of Chronic Pain in Adults

Management of Chronic Pain in Patients above 16 years of age - The Overarching Pain Guideline for Primary Care Clinicians V 1.2 Last reviewed: September 2022 Review date: May 2026 Management of Chronic Pain in Patients above 16 years of age - The...
B. Principles of Treatment

A ntimicrobial Prescribing Guidelines for Primary Care The electronic versions of this full guideline and its appendices can be accessed at: https://www.nottsapc.nhs.uk/guidelines-formularies/antimicrobial-guidelines/ Principles of Treatment 1. Th...
PIL - Neuroinflammatory conditions - azathioprine

A ZATHIOPRINE Information sheet for patients with autoimmune neurological disorders Why am I being prescribed azathioprine? Azathioprine reduces the activity of the immune system and is therefore effective in conditions in which the body’s immunit...
Self-care - Constipation

Self-care Information Constipation Tips on how you can self manage constipation in adults. “Supporting you to look after you” Key advice: • Try to eat foods that are higher in fibre, such as fruit and vegetables. • Try to drink plenty of water. •...
antipsychotics in dementia

Antipsychotic medication use and deprescribing in people living with dementia: A guide for Primary and Community Care Both typical and atypical antipsychotics worsen cognitive function, increase risk of stroke (3x) and death (2x) as well as signif...
Antipsychotic medication use and deprescribing in people living with dementia

Antipsychotic medication use and deprescribing in people living with dementia: A guide for Primary and Community Care Both typical and atypical antipsychotics worsen cognitive function, increase risk of stroke (3x) and death (2x) as well as signif...
2. March 2024 APC Update

Area Prescribing Committee / Interface Update March 2024 Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions ® Drospirenone (Slynd ) – AMBER 3 Indication: 2nd line Progestogen On...
Management of Irritable Bowel Syndrome (IBS) in Primary Care

M anagement of Irritable Bowel Syndrome (IBS) in Primary Care Consider IBS if any the following symptoms persist for at least 6 months: • A - abdominal pain or discomfort • B - bloating (although not specific to IBS) • C - change in bowel habit. R...
Rheumatological Conditions - Hydroxychloroquine Shared Care Protocol

Rheumatological Conditions – Hydroxychloroquine Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Hydroxychloroquine for patients within...
Narcolepsy- Methylphenidate Information sheet

M ethylphenidate for Narcolepsy Information Sheet V2.1 Last reviewed: July 2023 Review date: December 2026 Methylphenidate Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Indications Narcolepsy (unlicensed but...
ADHD adult- Methylphenidate Shared Care Protocol

National shared care protocol adapted for local use: Methylphenidate within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and Healthcare...
Antipsychotics Prescribing Guideline

Antipsychotics Traffic light classification - Amber 2 Prescribing Guideline for Primary Care Prescribers Scope This prescribing guideline is for the use of antipsychotic medication (excluding clozapine) in the context of mental illness. Contents 1...
Rheumatological Conditions - Leflunomide Shared Care Protocol

Rheumatological Condition: Leflunomide Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Leflunomide for patients within adult services V...
Dronedarone Shared Care Protocol

National shared care protocol adapted for local use: Dronedarone for patients in adult services As well these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF) or the Medicines and Healthca...
1. APC Guideline Meeting Minutes Jan 2024

N ottinghamshire Area Prescribing Committee Guidelines Meeting Minutes th APC Meeting 18 January 2024: The meeting took place as a web conference using Microsoft Teams All attendees should be aware that public authorities are legally required to c...
1. APC Guideline Meeting Minutes February 2021

N ottinghamshire Area Prescribing Committee Meeting minutes th APC meeting 25 February 2021, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are l...
2. APC Guideline Meeting Minutes March 2018

N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 15 March at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally req...
6. APC Guideline Meeting Minutes November 2018

N ottinghamshire Area Prescribing Committee th DRAFT Minutes of the meeting held on Thursday 15 November at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are le...
Dementia - Managing Behaviour and Psychological Problems

M anaging Behavioural and Psychological symptoms in People with Diagnosed or suspected Dementia in Primary Care Guidelines for use in people with dementia in Nottingham and Nottinghamshire Ratified by: Trust Medicines Optimisation Group March 2025...
Testosterone in Children and Adolescents Born Biologically As Male For Constitutional Delay In Growth and Puberty (CDGP) and Hypogonadism Prescribing Information Sheet

® ® Testosterone (Sustanon 250 injection and Tostran 2% gel) Therapy for Hypogonadism and Constitutional Delay in Growth and Puberty in male children and adolescent information sheet V2.0 Last reviewed: January 2023 Review date: January 2026 A ® ®...
Infant Feeds - Premature Infants

Infant feeds: premature infants Last reviewed: January 2024 Review date: January 2027 Version 2.1 Prescribing Post Discharge Formulas for infants born at <34 weeks gestation and Supplements to Premature Infants born at <36 weeks gestation Contents...
Dementia - Galantamine Information Sheet

Accessibility checked Galantamine Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Galantamine is indicated for the symptomatic treatment of mild to moderately severe dementia in Alzheimer’s...
Dementia - Rivastigmine Information Sheet

Rivastigmine Prescribing Information sheet Produced: Jan 2024 Review date: Jan 2027 V1 Rivastigmine Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Rivastigmine is indicated for the sympto...
Lamotrigine Bipolar Disorder

Lamotrigine – Use in Bipolar Disorder V4.0 Last reviewed: November 2023 Review date: November 2026 Lamotrigine Use in Bipolar Disorder Information Sheet for GPs AMBER 2 Lamotrigine has been licensed for the treatment of epilepsy for many years. In...
1. APC Guideline Meeting Minutes January 2019

N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 17 January 2019 at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are lega...
2. APC Bulletin May 2022

Nottinghamshire Area Prescribing Committee May 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions: • For Treating Chronic Heart Failure with Reduced Ejection Fraction. • As per NICE TA773....
5. APC Guideline Meeting Minutes September 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 16 November 2023. Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes st APC Meeting 21 September 2023: The meeting took place as a web con...
5. APC Guideline Meeting Minutes November 2022

T hese minutes are in draft form until ratified by the committee at the next meeting on th 19 January2023. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 17 November 2022: the meeting took place as a web conference using...
3. APC Formulary Minutes June 2024

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes 20 June 2024: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply with the F...
2. JFG meeting minutes April 2022

N ottinghamshire Joint Formulary Group Meeting Minutes st Thursday 21 April 2022, 2-5 pm Online Microsoft Teams meeting, due to COVID-19 Present: Laura Catt (LC), Prescribing Interface Advisor, NHS Nottingham and Nottinghamshire CCG (Chair) Asifa...
1. January 2024 APC Update

Area Prescribing Committee / Interface Update January 2024 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions Spironolactone for Acne – AMBER 3 Indication: treatment of persiste...
Continuous Glucose Monitoring Devices - device selection principals

I mplementing a Continuous Glucose Monitoring (CGM) Formulary for Nottingham and Nottinghamshire 1. Background Studies (see appendix for details of some of the studies) have shown that CGM technology reduces HbA1c, hypoglycaemia admissions, DKA ad...
Drospirenone Prescribing Information Sheet

Drospirenone Prescribing Information sheet Produced: March 2024 Review date: March V1 2027 Drospirenone Traffic light classification- Amber 3 Information sheet for Primary Care Prescribers Licensed Indication Contraception Therapeutic summary Dros...
Asthma in Children 5 to 11 years old

Asthma or Suspected Asthma in Children 5-11 years First Line Treatment Summary Check: self-management plan, symptoms, exacerbations, inhaler technique, adherence, how many inhalers used (too few/many), vaccines offered, smoking & pollution. Counse...
Lithium Prescribing Guideline

N ottinghamshire Area Prescribing Committee Lithium Prescribing Guideline for Mental Health Indications Amber 2 Contents Page Quick reference Algorithm for Prescribing and Monitoring Lithium across 2 secondary and primary care Licensed indications...
Influenza

U PPER RESPIRATORY TRACT INFECTIONS Influenza A and B Annual vaccination is strongly recommended for all those at risk of influenza. This guideline focuses on the treatment and post-exposure prophylaxis (PEP) of non-severe influenza in the communi...
Desmopressin (Noqdirna) Prescribing Information Sheet

® Desmopressin (Noqdirna ) Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications ® Desmopressin (Noqdirna ) is indicated for symptomatic treatment of nocturia due to idiopathic nocturnal polyuri...
2. APC Guideline Meeting Minutes May 2022

N ottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 19 May 2022: due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legall...
Valproate Medicines for Patients of Childbearing Potential - Shared Care Protocol

Valproate medicines for patients of child-bearing potential – shared care protocol V2.0 Last reviewed: January 2026 Review date: January 2029 National shared care protocol adapted for local use: Valproate medicines for patients of child-bearing po...
5. APC Formulary Minutes December 2024

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 12 December 2024: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comp...
1. APC Formulary Minutes February 2025

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 27 February 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comp...
2. APC Guideline Meeting Minutes March 2024

N ottinghamshire Area Prescribing Committee Guideline Meeting Minutes 21st March 2024 The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply with the F...
1. JFG meeting minutes February 2022

D RAFT Nottinghamshire Joint Formulary Group Meeting Minutes th Thursday 10 February 2022, 2-5 pm Online Microsoft Teams meeting due to COVID-19 Present: Tanya Behrendt (TB), Senior Medicines Optimisation Pharmacist NHS Nottingham & Nottinghamshir...
Primary Care Alcohol Use Guideline

Nottinghamshire Primary Care Alcohol Use Guidelines Contents Introduction .......................................................................................... 2 Talking about alcohol .............................................................
Heart Failure Guideline

N ottinghamshire Heart Failure Guideline Primary Care Referral and Management Considerations The purpose of these guidelines is to provide guidance for Primary and Secondary Care on the diagnosis, management, and referral of patients with or suspe...
Testosterone for Hypogonadism & Constitutional Delay in Growth and Puberty (CDGP) in Children & Adolescents Born Biologically As Male Shared Care Protocol

Testosterone therapy for Hypogonadism and Constitutional Delay in Growth and Puberty in children and adolescents – Shared Care Protocol Agreement V2.0 Last reviewed: January 2023 Review date: January 2026 NOTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE...
4. APC Guideline Meeting Minutes July 2019

N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 18 July 2019 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom of I...
Parkinson's Disease - Pramipexole Information Sheet

Pramipexole Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions • Nausea is a common early side effect but usually responds to domperidone (10mg tds, or lowest effective dose – see MHRA advi...
Lactose Intolerance - Patient Information Leaflet (secondary intolerance)

T emporary lactose intolerance Patient information leaflet This advice leaflet has been produced to support families of children who are thought to be suffering from temporary lactose intolerance resulting from a recent gut illness (gastroenteriti...
Dementia - Donepezil Information Sheet

Donepezil Prescribing Information sheet Produced: Jan 2024 Review date: Jan 2027 V2 Donepezil Traffic light classification - Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Donepezil is indicated for the symptomatic tre...
Vortioxetine Information Sheet

V ortioxetine Traffic light classification- Amber 3 Information sheet for Primary Care Prescribers 1 Licensed Indications  Vortioxetine is licensed for the treatment of more severe depression in adults  Vortioxetine is recommended in patients ≥...
Cellulitis

Cellulitis V2.3 Last reviewed: 22/05/2023 Review date: March 2026 SKIN AND SOFT TISSUE INFECTIONS Cellulitis (Cellulitis – acute, CKS Jan 23) Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue. The infected area is ch...
Scabies

SKIN AND SOFT TISSUE INFECTIONS Scabies Scabies is an intensely itchy skin infestation caused by the human parasite Sarcoptes scabiei. Classical scabies (typical scabies) involves infestation with a low number of mites (about 5–15 per host). Crust...
Fludrocortisone for Orthostatic Hypotension

FLUDROCORTISONE for Orthostatic Hypotension Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions • Fludrocortisone should only be considered when non-pharmacological strategies have failed to...
British Geriatric Society - Pragmatic prescribing to reduce harm for older people with moderate to severe frailty

Pragmatic prescribing to reduce harm for older people with moderate to severe frailty Clinica Moderate frailty (CFS 6) Severe frailty (CFS 7-9) l Fra Individual needs help with some aspects of personal care (e.g. Individual needs help will all per...
Rheumatological Conditions - Sulfasalazine Shared Care Protocol

Rheumatological Condition: Sulfasalazine Shared care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Sulfasalazine for patients within adult servic...
Amiodarone Shared Care Protocol

National shared care protocol adapted for local use: Amiodarone for patients within adult services As well as these protocols, please ensure that summaries of product characteristics (SPCs), British National Formulary (BNF) or the Medicines and He...
6. APC Guideline Meeting Minutes November 2020

N ottinghamshire Area Prescribing Committee th APC meeting 19 November 2020, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required...
2. APC Formulary Minutes April 2024

th These minutes are in draft form until ratified by the committee at the next meeting on 20 June 2024. Nottinghamshire Area Prescribing Committee Formulary Meeting th Minutes Thursday 18 April 2024 The meeting took place as a web conference using...
Blood Pressure and Heart Rate Monitoring in Children

B lood Pressure and Heart Rate Monitoring in Children Last reviewed: July 2023 Review date: July 2026 V2 Blood Pressure and Heart Rate Monitoring in Children Information Sheet for Primary Care Prescribers I. Blood Pressure Manual blood pressure me...
1. Formulary Minutes February 2026

Nottinghamshire Area Prescribing Committee Joint Formulary & Guideline Meeting Minutes th Thursday 26 February 2026: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legall...
Support Tools for Adults - Non-pharmacological Approaches to ADHD

N eSS have developed a set of support resources for people with ADHD. These fall into the following categories: • Links to other resources and services (signposting) • Information about symptoms and advice or strategies • Handouts • Worksheets and...
3. May 2024 APC Update

Area Prescribing Committee / Interface Update May 2024 Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Contents • New submissions – Cytisine • Antimicrobial guidelines • Acute Exacerbation o...
5. September 2023 APC Update

Area Prescribing Committee / Interface Update September 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Antimicrobial Guidelines Meningitis (update) • Information has been updated on ho...
4. September 2022 APC Update

Area Prescribing Committee / Interface Update September 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Fenofibrate and bezafibrate MR – AMBER 2 o Indication: primary...
Testosterone Information Sheet

Testosterone for Adult Male Hypogonadism Last reviewed: July 2023 Review date: July 2026 V3 Testosterone replacement therapy for adult male hypogonadism Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Relevant...
Hyperlipidaemia Management - Statin Intolerance Pathway

Statin Intolerance Pathway This resource relates to NICE guidance: Person at high CVD risk reports potential intolerance to recommended high intensity statin treatment CG181, CG71, TA385, TA393/394, TA694, TA733, QS100 Consider other potential sid...
Midodrine Monitoring Guidance

M IDODRINE Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Key points/interactions  Midodrine should only be considered when non-pharmacological strategies with or without volume expanding medicines such as fl...
Sleeping Well with Autism and ADHD

S leeping well with Autism and ADHD A short guide to improving sleep with added techniques adapted for those with neurodevelopmental conditions. Contents How much sleep do I need? .................................................... 2 Recommended...
Emollient Formulary

Nottinghamshire Emollient Formulary V5.1 The prescribing of emollients should be reserved for the management of diagnosed dermatological conditions such as eczema or psoriasis, as per NHSE guidance. SELF-CARE: Patients with mild dry skin, who do n...
Neuroinflammatory Conditions - Azathioprine Shared Care Protocol

Neuroinflammatory Conditions – Azathioprine Shared Care Protocol V1.1 Last reviewed: May 2024 Review date: May 2027 National shared care protocol adapted for local use: Management of neuroinflammatory diseases in adults with the steroid sparing ag...
1. APC Formulary Minutes February 2024

th These minutes are in draft form until ratified by the committee at the next meeting on 18 April 2024. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th 29 February 2024: The meeting took place as a web conference using Mic...
3. APC Guideline Meeting Minutes May 2024

t h Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes Thursday 16 May 2024: The meeting took place as a Hybrid Meeting in the Boardroom, Sir John Robinson House, Arnold, Nottingham. All attendees should be aware that public auth...
2. APC Formulary Minutes April 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 15 June 2023 Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 20 April 2023: The meeting took place as a web conference us...
14. Nottinghamshire Area Prescribing Committee Annual Report 2023-24

N ottinghamshire Area Prescribing Committee Annual Report 2023-24 *The Nottinghamshire APC is a partnership committee with clinical representation from; - Nottingham University Hospitals NHS Trust - Sherwood Forest Hospitals Foundation Trust - Not...
Warfarin Prescribing Information

Warfarin for anticoagulation Information sheet for Primary Care Prescribers Therapeutic Summary Warfarin is an anticoagulant that has a narrow therapeutic index and regular titration of the dose against the anticoagulant effect in the blood, as as...
Transgender - Masculinising Hormones Information Sheet

A dult Transgender – Masculinising Hormones Information Sheet V1.0 Last reviewed: July 2022 Review date: September 2026 Masculinising Hormone Treatment for Adults Part of the collaborative care protocol for prescribing hormone treatment for transg...
4. APC Guideline Meeting Minutes August 2021

N ottinghamshire Area Prescribing Committee Meeting minutes st APC meeting 21 August 2021, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are leg...
5. APC Guideline Meeting Minutes September 2020

N ottinghamshire Area Prescribing Committee th APC meeting 17 September 2020, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required...
6. APC Guideline Meeting Minutes November 2019

N ottinghamshire Area Prescribing Committee st Minutes of the meeting held on Thursday 21 November 2019 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom...
6. APC Formulary Minutes December 2023

th These minutes are in draft form until ratified by the committee at the next meeting on 28 February 2024. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC Meeting 14 December 2023: Room GF02, Home Brewery Building, Sir...
4. APC Formulary Minutes August 2025

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 28 August 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply...
5. APC Formulary Minutes December 2025

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 18 December 2025: The meeting took place as a hybrid meeting, in the Boardroom, Sir John Robinson House, Sir John Robinson Way, Arnold, Nottingham, NG5 6DA and as a w...
5. APC Guideline Meeting Minutes September 2025

th Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes Thursday 18 September 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to co...
1. JFG meeting minutes May 2021

N ottinghamshire Joint Formulary Group Meeting Minutes th Thursday 20 May 2021, 2-5 pm On line Microsoft Teams meeting due to COVID-19 Present: Tanya Behrendt (TB), Senior Medicines Optimisation Pharmacist NHS Nottingham and Nottinghamshire CCG (C...
Relugolix-estradiol-norethisterone (Ryeqo®) and linzagolix (Yselty®) Prescribing information sheet

® Relugolix-estradiol-norethisterone (Ryeqo ) ® and linzagolix (Yselty ) Information sheet for Primary Care Prescribers Traffic light classification - Amber 2 Key Points  Relugolix-estradiol-norethisterone and linzagolix may be prescribed locally...
HRT Formulary Choices Summary

HRT Prescribing: Quick reference guide and FAQs. These guidelines aim to provide concise guidance on the management of those experiencing menopausal symptoms. More comprehensive guidance is available from the NUH website. Figure 1: Summary of syst...
Rheumatological Conditions - Ciclosporin Shared Care Protocol

Rheumatological Conditions – Ciclosporin Shared Care Protocol V1.0 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Ciclosporin (oral) for patients within adult services (non- transplant ind...
Antidepressants in Primary Care - Prescribing, Stopping & Swapping

P RIMARY CARE GUIDE TO A NTIDEPRESSANTS P RESCRIBING , S TOPPING & S WAPPING Contents Page Summary of NICE guidance (NG222) 2 Talking therapies and sleep hygiene 2 Initiating antidepressant treatment 2-3 Monitoring antidepressant treatment 3-4 Con...
Osteoporosis Guideline

Osteoporosis and fracture prevention guideline for Primary Care in Nottinghamshire This guideline is based on the recommendations from NICE, NOGG, SIGN, Dutch and Canadian national guidelines, and the local expert opinion. Contents Page number Pri...
Transgender - Feminising Hormones Information Sheet

A dult Transgender – Feminising Hormones Information Sheet V1.0 Last reviewed: July 2022 Review date: September 2026 Feminising Hormone Treatment for Adults Part of the collaborative care protocol for prescribing hormone treatment for transgender...
Auto-Immune Hepatitis - Azathioprine Shared Care Protocol

Auto-Immune Hepatitis in Adults – Azathioprine Shared Care Protocol V1.1 Last reviewed: 21/09/2023 Review date: September 2026 National shared care protocol adapted for local use: Auto-immune Hepatitis in Adults – Azathioprine Version 1 The conten...
Rheumatological Conditions - Azathioprine Shared Care Protocol

Rheumatological Conditions – Azathioprine Shared Care Protocol V1.2 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Azathioprine for patients within adult servic...
Inflammatory Bowel Disease - Azathioprine Shared Care Protocol

Inflammatory Bowel Disease – Azathioprine Shared Care Protocol V1.1 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Azathioprine for patients within adult services...
Inflammatory Bowel Disease - Mercaptopurine Shared Care Protocol

Inflammatory Bowel Disease – Mercaptopurine Shared Care Protocol V1.1 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Mercaptopurine for patients within adult servi...
Inflammatory Bowel Disease - Azathioprine for Children >12 years

Shared care protocol: Azathioprine for the Management of Inflammatory Bowel Disease in Children and Young People over 12 years old As well these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary...
Growth Hormone Shared Care Protocol

Shared care protocol Management of Growth Failure in Children and Young People with GROWTH HORMONE (Somatropin) As well these protocols, please ensure that summaries of product characteristics (SPCs), British national formulary (BNF)/ BNFc or the...
Dermatological Conditions - Azathioprine Shared Care Protocol

Dermatological Conditions – Azathioprine Shared Care Protocol V1.1 Last reviewed: 21/03/2024 Review date: March 2027 National shared care protocol adapted for local use: Dermatological Conditions: Azathioprine for patients within adult services (n...
6. APC Guideline Meeting Minutes December 2021

N ottinghamshire Area Prescribing Committee Meeting minutes th APC meeting 16 December 2021, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are l...
4. APC Formulary Minutes October 2024

th Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes Thursday 17 October 2024: The meeting was held as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to comply...
Cows Milk Allergy Guidelines

Cow’s Milk Protein Allergy (CMPA) in Infants: Healthcare Professional Guidance This guidance is intended to assist healthcare professionals in the choice of therapeutic options for patient- centred care. Clinical judgement should be exercised on t...
13. Nottinghamshire Area Prescribing Committee Annual Report 2022-23

Nottinghamshire Area Prescribing Committee Annual Report 2022-23 APC annual report 202223 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...
11. Nottinghamshire Area Prescribing Committee Annual Report 2020-21

Nottinghamshire Area Prescribing Committee Annual Report 2020-21 APC annual report 202021 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...
12. Nottinghamshire Area Prescribing Committee Annual Report 2021-22

Nottinghamshire Area Prescribing Committee Annual Report 2021-22 APC annual report 202122 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...
Neuropathic Pain Guideline

M anagement of Neuropathic Pain for Adults in Primary Care SCOPE This prescribing guideline is to assist primary care prescribers in treating patients with neuropathic pain BEFORE referral to specialist services. CONTENTS NEUROPATHIC PAIN TREATMEN...
Hybrid Closed Loop - Educational Resources

Educational Resources on Hybrid Closed Loop for HCP's and PWD Prepared by: Laura Stokes-Beresford, Senior Commissioning Manager for Diabetes Reviewed by: Dr Rahul Mohan, GP - West Bridgford Medical Centre, GPwSI Diabetes Date updated: April 2025 T...
Adult Headache Pathway

ADULT HEADACHE PATHWAY RED FLAGS - headache that is new or unexpected Patient presents with headache • Do you have a headache all the time or does it • Thunderclap headache (intense headache of “explosive” onset come & go? (Tension Type Headache o...
Heart Failure - Palliative Care Guidance

P alliative Care in End Stage Heart Failure Pocketbook Contents Contacts Page 2 Prognosis Page 4 Diuretic Therapy Page 6 Breathlessness Page 8 Pain Page 9 Nausea and Vomiting Page 9 Constipation Page 10 Psychological Issues Page 11 Fluid Retention...
Palliative Care Pocketbook

Palliative Care Pocketbook 5 Contents Pain Guidelines page Nausea and Vomiting page Inoperable Bowel Obstruction page Constipation page Breathlessness page Agitation and Delirium page Respiratory Secretions page Anticipatory Prescribing page Palli...
Guidelines for management of Chronic Kidney Disease (CKD) for adults

Guidelines for the Management of Chronic Kidney Disease (CKD) for Adults V1.3 Approved: November 2024 Review date: November 2027 Guidelines for the Management of Chronic Kidney Disease (CKD) for Adults Contents Page CKD definition 2 Who to test 2...
APC Terms of Reference

NOTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE TERMS OF REFERENCE Purpose of the Committee  To accept delegated responsibility from the Integrated Care Board (ICB) and to represent the NHS and local health and care community in managing the entry of...
Prescribing Policy

P rescribing Policy between Nottinghamshire Commissioning Organisations and local providers of NHS Services Document Purpose To detail the specific contractual issues associated with prescribing across the interface between commissioning and provi...
5. Nottinghamshire Area Prescribing Committee Annual Report 2014-15

Nottinghamshire Area Prescribing Committee (Incorporating the Nottinghamshire Joint Formulary Group) Annual Report 2014-15 CONTENTS PAGE Page Executive Summary 3 ………………………………………………………………………………………………….. Committee Membership, Purpose and Duties 4 …...
Rheumatological Conditions - Methotrexate Shared Care Protocol

Rheumatological Conditions: Methotrexate Shared Care Protocol V1.1 Last reviewed: 16/11/2023 Review date: November 2026 National shared care protocol adapted for local use: Rheumatological Conditions: Oral Methotrexate for patients in adult servic...
Inflammatory Bowel Disease - Methotrexate Shared Care Protocol

Inflammatory Bowel Disease: Methotrexate SCP V1.0 Last reviewed: 19/09/2024 Review date: Sept 2027 National shared care protocol adapted for local use: Inflammatory Bowel Disease: Oral Methotrexate for patients in adult services (excluding cancer...
Melatonin Use in Sleep Problems in Children

GUIDELINE ON THE MANAGEMENT OF SLEEPING DIFFICULTIES IN CHILDHOOD Incorporating GUIDANCE ON THE USE OF MELATONIN FOR SLEEPING DIFFICULTIES IN CHILDREN/YOUNG PEOPLE WITH NEURODISABLING AND NEURODEVELOPMENTAL CONDITIONS Written by Dr Amy Taylor, Con...
Framework for Managing Medicines across the Nottinghamshire Health Community

Framework for Managing Medicines across the Nottinghamshire Integrated Care System Document Purpose To define the process which will apply within the Nottinghamshire Health Community for clarifying the clinical and prescribing responsibilities for...
3. Nottinghamshire Area Prescribing Committee Annual Report 2012-13

Nottinghamshire Area Prescribing Committee Annual Report 2012/13 T able of Contents Page Executive summary 3 Year in numbers 4 Purpose & Membership of the committee 5 Map of Nottinghamshire APC member 6 organisations Key achievements 7 Financial...
Nottingham & Nottinghamshire Continence Appliance Formulary

Nottingham & Nottinghamshire Continence Appliance Formulary Contents – click on a section to take you straight there Guidance on use of products within The Continence Formulary for Primary Care ......................... 1 Catheters & Accessories ....
4. APC Bulletin September 2022

Nottinghamshire Area Prescribing Committee September 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnicb-nn.nottsapc@nhs.net New submissions: • For use in line with NICE TA 805. Icosapent Ethyl • Secondary prevention in pat...
4. APC formulary minutes August 2022

t h These minutes are in draft form until ratified by the committee at the next meeting on 13 Oct 2022. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC meeting 18 August 2022: the meeting took place as a web conference...