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:
Prescribing medicines in renal impairment (MHRA October 2019)
BNF Chapters & prescribing guidelines
In this section you will find the full formulary and prescribing guidelines relevant to the BNF Chapters.
End of Life Pathway - Derbyshire Alliance for End of Life Care
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
Medicines Optimisation Reviews to Reduce Inappropriate Polypharmacy and Promote Safe 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
MIMS drug shortages tracker
SPS/UKMi Drug Monitoring in Adults in Primary Care (See shared care agreements or local guidance where relevant)
Self care / Items which should not be routinely prescribed across Derbyshire now has its own section under Clinical Guidelines