Wirral Health Economy joined Pan Mersey APC in January 2018. 

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.

Applications for new medicines 

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.

Individual Funding Requests

Medicines within tariff are the responsibility of hospital trusts to fund. There are a number of drugs excluded from the tariff (PbR Excluded drugs) where Primary Care are charged separately.

For PbR excluded drugs outside NICE guidance and local guidelines, individual funding requests will be considered by the Individual Funding Request Team.

Please find the Pan Mersey Guidelines approved by Wirral Health Economy on the Pan Mersey Website


Please see Pan Mersey Formulary website for Antibiotic guidelines


Oral Anticoagulant (VKA and DOAC) Guidelines for Prescribing Monitoring and Management

Anticoagulant (Oral) - High INR Pathway

Self-testing of INR – Patient/Practice Agreement (for Adaptation by Individual Practice)

DOAC Prescribing Tip: Reminder of Bleeding Risk and Availability of Reversal Agents


Atrial fibrillation:

Apixaban Checklist

Dabigatran Checklist

Edoxaban Checklist

Rivaroxaban Checklist

Apixaban Leaflet 

Dabigatran Leaflet 

Edoxaban Leaflet 

Rivaroxaban Leaflet 



Apixaban Checklist (VTE and PE)

Dabigatran Checklist (VTE and PE)

Edoxaban Checklist (VTE and PE)

Rivaroxaban Checklist (VTE and PE)


COPD Clinician Rescue Pack Information

COPD Patient Rescue Pack Information

COPD Top Tips

Guidelines for Management of COPD


Diabetes - Blood Glucose Meters Guideline

Dressings (Wound Care)

Wirral Health & Community Care NHS Trust

Wound Care Formulary

Wound Care Supplies for Patients under the Care of Wirral Community Nurses

Wirral Wound Care Non-Formulary Exception Reporting Form


Nursing Homes

Nursing Home Wound Care Request Form


Guidelines for Managing Malnutrition in Adults in the Community

Wirral CCG Food First Patient Leaflet