Medicine Pathways, Guidelines And Position Statements Archives

Cardiovascular system (inc. DOACs)

Direct Oral Anticoagulants (DOACs)

The documents below have been agreed by the stakeholders working in North Central London and have been approved by the NCL Joint Formulary Committee (NCL JFC). They should be used to refer appropriate patients to his/her local anticoagulation clinic for initiation of anticoagulation.
Where appropriate, local anticoagulation clinics should add their own contact details on the relevant paperwork (i.e. referral proformas, notification and transfer of care forms)
Please note that these documents may be updated intermittently. Users are also reminded that the prescribing guidance is not definitive and that other sources such as the electronic medicines compendium (SPCs) should be used for the most recent drug information. This can be found at the following link: http://www.medicines.org.uk/emc/default.aspx

Other

Summary of Antiplatelet Options in Cardiovascular Disease
Sacubitril valsartan for heart failure position statement (NEL and NCL joint positioning)
Statin prescribing & lipid modification guideline
Stable angina prescribing guideline
Omega-3 Fatty Acids Position Statement

Respiratory system

Asthma adult inhaler choice

The following COPD guideline has been produced by the Camden, Haringey and Islington Responsible Respiratory Prescribing Group and applies to organisations that are constituent members. It has not been ratified by the NCL Joint Formulary Committee and does not apply to all organisations in NCL.

Stable COPD Treatment Guideline

Central nervous system

Chronic urticaria & angioedema prescribing guideline
High dose antihistamine prescribing guideline
Neuropathic pain prescribing guideline
Parkinsons disease prescribing guideline
Lidocaine 5% Patch Position Statement
Co-proxamol Tablets Position Statement
Clozapine management for patients admitted to acute hospitals guidance
Medical Cannabis Position Statement
Medical Cannabis Patient Information

Infections

Management and treatment of common infection in North Central London – Abbreviated
Management and treatment of common infections in North Central London – Full

Endocrine system

Endocrine system – Flash glucose monitoring

Use of Freestyle Libre in North Central London

Forms – for use by diabetes specialists

Blueteq forms for NCL patients (on-site access only)
Patient-prescriber agreement (complete after training session)

Information sheets – for patients and primary care

Training materials

Competencies

Out of region implementation advice

Different CCGs across London and Hertfordshire have implemented Libre differently; to identify which CCG is responsible for a given patient, enter the patient’s registered GP practice name or postcode into https://openprescribing.net/practice/

Region	Eligibility	Blueteq form	Hospital prescribing	Libre reimbursement for Trusts	Paperwork	Manual outcome data collection
North Central London (Camden, Barnet, Enfield, Haringey, Islington CCGs)	LPP/LDCN criteria	Yes (initiation [inc. existing self-funders] and continuation [6m])	New: First 6 months only Eligible self-funders: Nil	Yes	Patient-prescriber agreement	No - data collection built into NCL Blueteq form
North West London (Brent, Central [Westminster], Ealing, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow, West [London Borough of Kensington and Chelsea and Queen’s Park and Paddington])	LPP/LDCN criteria	Yes (initiation [inc. existing self-funders])	First 2 months only	No	Patient-prescriber agreement Request for short term prescribing Request for long-term prescribing	Yes
North East London (Newham, Tower Hamlets, Waltham Forest, Barking and Dagenham, Havering, Redbridge, City and Hackney)	N,TH,WF: LPP/LDCN criteria B&D,H,R: LPP/LDCN criteria C&H: LPP/LDCN criteria	WF only: In progress Others: No	First 2 months only	No	Patient-prescriber agreement Request for short term prescribing Request for long-term prescribing	Yes
South East London (Bexley, Bromley, Greenwich, Lambeth, Lewisham, Southwark CCGs)	LPP/LDCN criteria	No	New: First 6 months only Eligible self-funders: Nil	Yes	Patient-prescriber agreement Request for long-term prescribing SEL APC Position Statement SEL guidance and resources	Yes
South West London (Croydon, Kingston, Wandsworth, Richmond, Sutton, Merton)	LPP/LDCN criteria	No	First 2 months only	No	Patient-prescriber agreement Request for short term prescribing Request for long-term prescribing	Yes
Hertfordshire (Herts Valleys, East & North Herts CCGs)	Herts specific criteria	Yes (initiation and every 6 months)	All	Yes	Patient-prescriber agreement (adults) Patient-prescriber agreement (paeds)	Yes