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; 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


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



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

Apixaban – Pfizer: or phone 0800 7311736
Dabigatran – Boehringer Ingelheim: Order online or
phone 01344 742579
Rivaroxaban - Bayer: or phone 01635 563116

Edoxaban – Daiichi-Sankyo: or phone 08000285122


Apixaban checklist (VTE and PE)

Dabigatran checklist (VTE and PE)

Edoxaban checklist (VTE and PE)

Rivaroxaban checklist (VTE and PE)


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 Prescribing Guideline
COPD Prescribing Guideline Supplementary Information 
COPD Self Management Plan

Diabetes - Type 2 Diabetes Clinical Guideline  
Diabetes - Blood Glucose Monitoring at Home (Adults)  
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


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


Neuropathic pain



NSAIDs in Arthritis and Osteoarthritis in Adults  
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.