Guidelines

The guidelines in the table below have been approved via the local decision making committees and where relevant NICE and other national guidance has been taken into account.

Map of Medicine

Map of Medicine offers evidence-based patient care journeys, providing clinicians with guidelines, references and clinical information. 

There are a number of ‘localised’ pathways which have been approved for use across the Wirral local health community. These contain local procedural and administrative information, including referral forms. Register here

Specials guidance

The costs to the NHS varies widely and in recent years the volume and costs has risen steeply. To ensure NHS resources are maximised please follow the local guidelines.

Specials are special-order unlicensed medicines made to meet the needs of an individual patient. Unlicensed medicines may be prescribed in clinical situations where it is judged that, on the basis of available evidence, unlicensed use is in the best interest of the patient. 

Wirral Specials – step by step guide (under review)  
Wirral Specials – full guidance (under review) 

Clinical Guidelines

For Cheshire & Wirral Partnership NHS Foundation Trust guidelines and policies relating to mental health, please visit; http://www.cwp.nhs.uk/resources/policies/ and scroll down the page to policies. Under category please select ‘Medicines Management’ and press search to show the list of the current CWP medicines management policies.

Guideline Comment

Anticoagulation:

Anticoagulant (oral) - high INR pathway

Anticoagulant (oral) guidelines

Anticoagulation – DOACs information sheet

Antiplatelets & anticoagulants in stroke -  quick reference guide

Self-testing of INR – Patient/Practice Agreement (for adaptation by individual practice)

Atrial fibrillation:

Anticoagulation for Stroke Prevention in AF

Apixaban Checklist

Dabigatran Checklist

Rivaroxaban Checklist

Edoxaban Checklist

Patient Information Leaflets

Apixaban
Dabigatran

Rivaroxaban
Edoxaban

For other Patient Information Leaflets and Patient Alert Cards, please contact the individual manufacturers:

Apixaban – Pfizer: medical.information@bms.com or phone 0800 7311736
Dabigatran – Boehringer Ingelheim: Order online or
phone 01344 742579
Rivaroxaban - Bayer: Xmarketing@bayer.com or phone 01635 563116

Edoxaban – Daiichi-Sankyo: medinfo@daiichi-sankyo.co.uk or phone 08000285122

VTE/PE

Apixaban checklist (VTE and PE)

Dabigatran checklist (VTE and PE)

Edoxaban checklist (VTE and PE)

Rivaroxaban checklist (VTE and PE)

LMWH

Enoxaparin Guidelines

Primary care guideline

 

Adapted from the Wirral Oral Anticoagulation Guidelines for primary care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asthma treatment

 

C Difficile Information Sheet

 
Care of the Dying - non-renal  
Care of the Dying - severe renal failure  
Contraceptive guideline  

COPD

COPD Prescribing Guideline
COPD Prescribing Guideline Supplementary Information 
COPD Self Management Plan

 
Diabetes - Type 2 Diabetes Clinical Guideline  
Diabetes - Blood Glucose Monitoring at Home (Adults)  
Dyspepsia  
Erectile dysfunction  
Headache Pathway (adults) - Primary Care Guidance  
High strength insulin risk minimisation strategy  
Hypertension (primary uncomplicated) in adults  
Infant Formula for Cow’s Milk Protein Allergy And Lactose Intolerance  Prescribing guidelines
Insulin degludec  Secondary care algorithm

Laxatives

Chronic Idiopathic Constipation (Adults)

Laxatives Adults Clinical Guidline

Patient Information Leaflets

Constipation in Adults
Constipation in Children

 
Levodopa prescribing  

Lipid lowering

 

Liothyronine containing products guideline

 

Mental Health

Dosulepin

Neuropathic pain

 

 

NSAIDs in Arthritis and Osteoarthritis in Adults  
Orphenadrine  
Osteoporosis Management Guidelines  

Overactive Bladder Guideline in Adults in Primary and Secondary Care

 

Palliative Care Symptom Control Guidelines

 
Parkinson's disease  
Parkinson’s disease – Initial medical / surgical management checklist Secondary care only 
Rifaximin Prescribing Pathway  
Thickeners for Dysphagia GP Fact Sheet  
Vitamin D (adults)  
Wirral Sacubutril Valsartan (Entresto) Patient Information Leaflet  

Please Note: Documents which are past their review date will only remain on the website if they are still clinically relevant. Some secondary care policies are also included here, where relevant to primary care and where there are links within in formulary chapters.