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Blackburn with Darwen Primary Care Trust - About Us

Joint Continence & Catheter Care Formulary - Introduction

The Continence & Catheter Care Formulary is available for all practitioners prescribing and/or obtaining urinary catheters and continence care medical devices for general (non-specialised) use for adults throughout East Lancashire CCG, NHS East Lancashire Community Health Services, Blackburn with Darwen CCG and East Lancashire Hospitals Trust.


The formulary has been devised by a panel of practitioners from across East Lancashire who have specialist knowledge and expertise in urology and continence care. It aims to provide a clinically effective, appropriate and cost effective choice of products to manage a range of urology and continence care needs and will be evaluated and updated annually to reflect innovations in practice and new, evaluated products.


Notes for use

  • Each practitioner is responsible for ensuring access to and usage of the most recent version of the formulary which can be found on the Medicines Management Board website at
  • The formulary should be used in conjunction with current Policies and Procedures related to urology and continence care and not in isolation and should not replace should clinical judgement. Specialists with specific urology or continence care knowledge in each organisation should be referred to for advice if necessary prior to selection of devices.
  • Local Policies and Procedures for male and female urethral and supra-pubic catheterisation should be adhered to and appropriate training by practitioners must be undertaken and maintained as appropriate.
  • Catheter Maintenance solutions should only be used where clinically indicated and supported by local policy/procedural guidance.
  • Sheaths, appliances and other devices should only be selected by practitioners who can demonstrate competency in measurement, fitting and use of these products.
  • Specialist products listed should only be used following discussion with/assessment by urology/uro-gynaecology practitioners in the acute trust or with/assessment by continence nurse specialists in primary care.
  • It is expected that the vast majority of urology/continence products will be selected from this formulary. Should a product be required which is not listed, the rationale for this should be documented in the patients' records. It is recommended that the 'Suggestions' form should be used to aid in updating the formulary. Consideration will be given to new additions to the formulary, based on a range of criteria, annually. New products may be evaluated by the Urology Formulary Group and/or the North West Collaborative Commercial Agency. Monitoring of adherence to the formulary will be undertaken routinely and annual review of prescribing trends will occur within the East Lancashire Health Economy by the Continence and Catheter Care Formulary Review Group.


Instructions for Use

  • The formulary document contains guidelines for product selection to aid selection for certain circumstances. These guidelines should be used alongside relevant policies/procedures,
  • Once a product is selected prescribers should only order a quantity that is clinically required - guidance is provided in the algorithms.
  • To aid the ordering of formulary items on prescription from GP practices a Joint Continence and Catheter Care Prescription Order Form has been developed and can be downloaded from the section below.


All material in this section is aimed at health professionals, but is information currently held within the public domain.   Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or contact NHS Direct on 0845 46 47.

Richard Lee, East Lancashire Health Economy New Drugs Pharmacist.


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