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Blackburn with Darwen Primary Care Trust - About Us
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East Lancashire Joint Medicines Formulary & Traffic Light Database

The Joint Medicines Formulary is applicable to ALL prescribers in both primary and secondary care across the East Lancashire Health Economy

CLICK HERE TO ENTER THE INDEX AND SEARCH THE FORMULARY


This joint formulary has been designed to make it both useful and effective.   The main features are:


  • it is a constantly evolving and dynamic document providing guidance on appropriate and cost-effective prescribing
  • it contains some prescribing notes with key messages on best practice
  • it aims to ensure that patients have continuity of medicines across the interface between primary care and secondary care
  • it aims to help prescribers choose the most appropriate medicines whilst ensuring value for money in the use of NHS resources

Key to symbols used throughout the Joint Medicines Formulary

GREEN - Medicines which may be freely prescribed by all prescribers within local or national recommendations.

AMBER - Medicines which should only be initiated/recommended by specialists but which may then be passed to primary care prescribers for prescribing

AMBER WITH SHARED CARE - These are still AMBER medicines which should only be initiated in secondary care, but which may be passed to primary care prescribers for prescribing provided the terms of a locally agreed shared care protocol (where available) are met.

RED - Medicines which should only be used within the secondary care setting. Primary care prescribers should  not be asked to prescribe.

BLACK - These are medicines that have been reviewed and have been deemed less suitable for prescribing, and are therefore not recommended in primary or secondary care. This may be due to the lack of good clinical evidence, or due to the availability of more suitable alternatives.

GREY UNDER REVIEW - This is a holding position as these drugs are currently under review  by the East Lancashire Medicines Management Board pending a traffic light designation. It is recommended that GREY UNDER REVIEW medicines, are not prescribed. Click here.

GREY - These drugs have not been formally assessed by the East Lancashire Medicines Management Board . It is recommended that GREY medicines, i.e. those not included in the formulary, are not prescribed.

 

COST COMPARISONS

An attempt has been made to provide relative cost comparisons for some preparations in this joint formulary.  Average doses

have been estimated and the costs are compared relative to other preparations of the same therapeutic group.


A £ symbol has been used to give relative costs within each Joint formulary sub-section.


          £                 - the cheapest preparation in that group.

          ££               - up to double the cheapest.

          £££             - up to 3 times more expensive

          ££££            - up to 4 times more expensive

          £££££          - up to 5 times more expensive

          ££££££        - more than 5 times more expensive

East Lancashire Traffic Light Specification
East Lancashire Traffic Light Specification - [33 KB] Provides detailed information and definitions for the Traffic Light Scheme, which is integral to the Joint Medicines Formulary in East Lancashire.
BWD CCG template letter for red light drugs
BWD CCG template letter for red light drugs - [234 KB] Template letter for referring red light drug prescribing back to the specialist in secondary care.
ELPCT CCG template letter for red light drugs
ELPCT CCG template letter for red light drugs - [90 KB] Template letter for referring red light drug prescribing back to the specialist in secondary care.

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.

Email: Interface@bwd.nhs.uk

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