Bolton Primary Care Trust

Prescribing policies                   

1. Supplements in CFS/ME               
2. Glucosamine in osteoarthritis
3. Homeopathy
4. Vitamins, supplements and minerals
5. NICE interventional procedure guidance
6. Management of high cost drugs in MS
7. Rituximab for the management of SLE in adult patients
8. Adalimumab and Infliximab for the treatment of Crohn's Disease
9. Cost effective use of Proton Pump Inhibitors (PPIs)
10.  Cost effective use of Renin-Angiotensin drugs (ACE/ARBs)
11.  Cost effective use of Low Cost Lipid Modification
12.  NICE 'do not do' Recommendation Reminders
13.  Gluten-free foods available on NHS prescriptions
14.  Rituximab for the treatment of vasculitis incl. Wegener's Granulomatosis
15.  Outpatient prescribing policy

• Doc ref            MMCOMM01
• MMCOMM02
• MMCOMM03
• MMCOMM04
• MMCOMM05
• MMCOMM06
• MMCOMM07
• MMCOMM08
• MMCOMM09
• MMCOMM10

        MMCOMM11

• MMCOMM12
• MMCOMM13
• MMCOMM14
• MMCOMM15

Prescribing Commissioning Guidance  

1. Overseas treatment   
2. Prescribing following a private consultation 
3.                                                                                       

Shared Care Protocols (SCP)                         

1. Atypical antipsychotics (details of Biochemical Monitoring Enhanced Service can be found here)
2. Wound Management
3. Prescribing of lithium      
4. Azathioprine and 6-mercaptopurine for chronic inflammatory bowel disease           
5.                                                                                        

Factsheets                       

1. Lithium monitoring                                              

2. LMWH monitoring (dalteparin)

3. Stop smoking treatments  - patient decision aid

4. Factsheet - Medicines Review

5. Specials in care homes

6. Loading doses - why is this important?

7. Biochemical monitoring scheme - frequently asked questions

8. Monitor Dose Systems and 7 day prescriptions

9. Travel vaccinations - Guidelines for charging for vaccines for travel purposes

10. When to issue a steroid treatment card

11. Paracetamol dosing in children

• Doc ref 
• MMFACT01         
• MMFACT02        
• MMFACT03
• MMFACT04

        MMFACT05

•  
• MMFACT06
• MMFACT07

        MMFACT08

        MMFACT09

        MMFACT10

        MMFACT11

NPSA Alerts                    

1. Safer Lithium Therapy 

      Alert                                                                    

      Implementation guidance

      Shared Care Protocol

       SCP

       Appendix 2

       Management of patients with renal impairment                   

       Factsheet

2. Safer use of insulin

      Alert 

      Training

3. Preventing fatalities - medication loading

     Alert

     Factsheet

4.

• Doc ref
•  
• MMGUID01               
•  
• MMSCP03
• MMSCP03

        MMFACT01

       MMFACT06

Antibiotics 

Antibiotic guidelines - December 2008                              

Bolton Antibiotic leaflet

• Doc ref                      

Cardiovascular disease

Algorithm for use of lipid therapy post myocardial infarction (STEMI, NSTEMI and unstable angina)

Continence (bladder and bowel health services)

Urinary incontinence treatment guidelines

Bowel health documentation and guidelines

Dermatology

Diabetes

Diabetes identification protocol and questionnaire

Glucose tolerance testing protocol

Glucose tolerance testing leaflet

Microalbuminuria protocol

Gastrointestinal

Mental Health

Alcohol misuse

Drug misuse

Clozapine - information for GPs for patients prescribed Clozapine

Generalisied Anxiety Disorder (inc. pregabalin)  

Memantine             

Lithium implementation guidance

Palliative Care

Palliative care pain and symptom control guidelines

Liverpool Care Pathway (LCP) for the Dying Patient

• Prescribing prompt 1
• Prescribing prompt 2

Respiratory

Rheumatology

Specials

Miscellaneous

Osteoporosis risk assessment

Repeat Prescribing Protocol

Vaccinations and immunisations