Shared Care Guidelines

Shared Care Guidelines are local policies to enable GPs to pick up the prescribing and monitoring of medicines/treatments in primary care in agreement with the initiating specialist. If you receive a request to prescribe in the absence of a shared care guideline which you feel is inappropriate please complete an inappropriate request form.

DMARD Monitoring Quick Reference Guide

 ADHD resources

 Derbyshire Healthcare resource - National supply shortage of ADHD medication

 ADHD Medications - shortages briefing (update for clinicians January 2024)

 ADHD Medications - shortages briefing (December 2023)

 Interim Guanfacine down titration advice (October 2023)

 DDICB Adult ADHD assessment guidance (requires intranet access)

 JUCD ADHD adult assessment guidance


 Specialist Pharmacy Service (SPS) resources for ADHD medicines shortage:

 Continuing management of the ADHD medicines shortage

  • Supporting system response to the ADHD medicine shortage
  • Considerations when prescribing guanfacine
  • Considerations when prescribing modified-release methylphenidate
  • Prescribing available medicines to treat ADHD

 

 NHSE Shared Care Protocols for Adult ADHD services

Drug

Indications

Last Updated Date

Review Date

ADHD in children

Oct 2023

Sept 2026

Alcohol abstinence

Dec 2022

Nov 2025

Treatment of severe heart rhythm disorder when other treatments cannot be used

Aug 2023

July 2026

Parkinson's Disease

Aug 2021

July 2025

Immunomodulating drugs

Sept 2023

Aug 2026

For use in adult respiratory infections

Aug 2022

July 2025

Substance Misuse

Dec 2021

Nov 2024

Immunomodulating drugs

Aug 2023

July 2026

Advanced hormone-dependant prostate cancer

May 2022

Apr 2025

Osteoporotic fractures in men and post-menopausal women

June 2022

May 2025

Maintenance of alcohol abstinence

Dec 2022

Nov 2025

For the maintenance of sinus rhythm after successful cardioversion

Aug 2023

July 2026

Somatostatin analogues

Jan 2021

Dec 2024

Immunomodulating drugs

Sept 2023

Aug 2026

Hypothyroidism

Nov 2022

Oct 2025

Mania, hypomania & bipolar disorder

June 2023

May 2026

Immunomodulating drugs

Sept 2023

Aug 2026

Substance Misuse

Dec 2021

Nov 2024

Immunomodulating drugs

June 2023

May 2026

Immunomodulating drugs (Non transplant indications)

Apr 2023

Mar 2026

Substance opioid misuse

Dec 2021

Nov 2024

Substance alcohol misuse

Dec 2022

Nov 2025

Immunomodulating drugs

June 2023

May 2026

Motor Neurone Disease

June 2023

May 2026

Synthetic Human Growth Hormone

Aug 2021

July 2024

Immunomodulating drugs

Oct 2023

Sept 2026

Children with epilepsy

Jan 2021

Dec 2024

Derby and Derbyshire ICB

Derby and Derbyshire ICB

Please click the button to navigate to our app

Redirect to app