Clinical Guidelines

Prescribing guidelines and recommendations are approved and ratified by the Joint Area Prescribing Committee.

Members include primary and secondary care clinicians, representatives from commissioner and provider organisations and other stakeholders, working together to develop a consistent health community approach to medicines management.

This committee has a wide remit around formular management and clinical guidelines, but also considers the implementation of NICE guidance and manages the introduction of medicines and some prescribable medical devices across a health economy.

The Derbyshire JAPC have developed an abridged version of the most commonly prescribed formulary medicines in primary care:

BNF Chapters & prescribing guidelines

In this section you will find the full formulary and prescribing guidelines relevant to the BNF Chapters.

BNF Chapter Appendices

End of Life Pathway - Derbyshire Alliance for End of Life Care

Syringe Driver Policy (SDCCG) - Review date Jan 2020

CKD detailing aid


Deprescribing: A practical guide
Improving Medicines & Polypharmacy Appropriateness Clinical Tool (IMPACT) - PrescQipp
Medication and falls prevention in the older person
Polypharmacy guidance - Further resources to support deprescribing

Resources for medicine queries

Over the counter, Opiate based medication and Benzodiazepine position statement - Derbyshire Recovery Partnership
Resources to support answering medicines-related questions in primary care - NHS Specialist Pharmacy Service
UKMi Drug Monitoring in Adults in Primary Care (See shared care agreements or local guidance where relevant)
MIMS drug shortages tracker

Self care / Items which should not be routinely prescribed across Derbyshire now has its own section under Clinical Guidelines 

Derby and Derbyshire CCG

Derby and Derbyshire CCG