Clinical Guidelines

Personalised Care

Taking personalised approaches is a key approach to provide best care. Enabling choice, shared decision making and self-management supports this approach.

Patient choice is designed to ensure that patients are aware of their options and can, where possible and appropriate, select providers and services that meet their individual needs.

Shared Decision Making ensures that individuals are supported to make decisions that are right for them. It is a collaborative process that involves a person and their healthcare professional working together to;

•understand the care, treatment and support options available and the risks, benefits and consequences of those options,  

•make a decision about a preferred course of action, based on evidence-based, good quality information and their personal preferences.

Supported self-management means increasing the knowledge, skills and confidence a person has in managing and understanding their own health and care.

In practise this means prompting people to ask questions such as:

•What are my options? 

•What are the possible benefits and risks of those options?

•How can we make a decision together that is right for me?

Information should be given in a health literate manner, using techniques such as ‘Chunk and check’ to break down information into smaller, more manageable chunks and using ‘Teach back’ as way to confirm that the information provided is being understood. This is more than saying 'do you understand?' and is a check of how well things have been explained and understood.

Further information about offering choice, shared decision making and supporting self care can be found here:

NICE: Shared decision making guidance

NHS England » Supported self-management

NHS England » Supported self-management

NHS England » Enabling people to make informed health decisions

Health literacy matters infographic 

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 formulary 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:

• Preferred Choices Formulary Joint Area Prescribing Committee

 

BNF Chapters & prescribing guidelines

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

BNF Chapter Appendices

• Appendix 5: Dressing Formulary and Wound Care Guidelines
• Appendix 5: Wound Formulary Quick Reference Guide
• Appendix 5: UTC Acute Wound Care Formulary
• Appendix 5: Compression Hosiery Formulary Guidelines
• Appendix 5: Malignant and Fungating Wound Pathway
• Appendix 5: Tranexamic Acid Use in the Treatment of Malignant Fungating Wounds
• Appendix 5: Wound Hygiene Pathway
• Appendix 5: Biofilm and Infection Decision Tool
• Appendix 5: Guidelines for the use of compression hosiery
• Appendix 5: Tetanus Prone Wounds Community Guidance

• Stoma appliances: Prescribing of Stoma Accessories

 

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

Resources for medicine queries

SPS/UKMi Drug Monitoring in Adults in Primary Care (See shared care agreements or local guidance where relevant)

SPS Medicines Supply Tool (require sign in)

 

• Think Kidneys Resources for Primary Care

• Medicines and Your Kidneys Patient Information Leaflet - follow the link to the Patient Information section 

• Renal Disease Calculations in SystmOne

Self care now has its own section under Clinical Guidelines

Items which should not be routinely prescribed across Derbyshire can be found here

 

Deprescribing now has its own section under Clinical Guidelines