Guidelines

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; 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.

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.

Guideline
Please find the Pan Mersey Guidelines approved by Wirral Health Economy on the Pan Mersey Website
Antibiotics Please see Pan Mersey Formulary website for Antibiotic guidelines
Anticoagulation: Oral Anticoagulant (VKA and DOAC) Guidelines for Prescribing Monitoring and Management Anticoagulant (Oral) - High INR Pathway (Guideline expiry extended until further notice during the COVID Pandemic) Self-testing of INR – Patient/Practice Agreement (for Adaptation by Individual Practice) (Guideline expiry extended until further notice during the COVID Pandemic) Atrial fibrillation: The Pan Mersey APC recommends in the absence of a specific clinical reason to select a particular DOAC, that the least costly DOAC is the first line DOAC for patients with non-valvular AF. Currently this is edoxaban. Apixaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic) Dabigatran Checklist (Guideline expiry extended until further notice during the COVID Pandemic) Edoxaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic) Rivaroxaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic) Apixaban Leaflet Dabigatran Leaflet Edoxaban Leaflet Rivaroxaban Leaflet 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) (Guideline expiry extended until further notice during the COVID Pandemic) Dabigatran Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic) Edoxaban Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic) Rivaroxaban Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic)
COPD COPD Clinician Rescue Pack Information COPD Patient Rescue Pack Information COPD Top Tips
Diabetes Diabetes - Blood Glucose Meters Guideline Insulin Comparison and Identification Guide Flash Glucose Monitor (FreeStyle Libre) Summary Statement Template Primary Care Information Template Initiation Information to Primary Care Template Continuation Information to Primary Care Template Patient Contract
Insulin: Reducing Errors in Prescribing and Administration
Nutrition Guidelines for Managing Malnutrition in Adults in the Community Wirral CCG Food First Patient Leaflet Food First Diet Sheet Treatment of Vitamin D Deficiency in Adults (Guideline expiry extended until further notice during the COVID Pandemic)
Stoma Prescribing Guidelines for Stoma Appliances and Accessories
Thickeners for Dysphagia GP Fact Sheet
Wound Care Prescribing Tips Silver Dressings Wound Care Formulary Wound Care Supplies for Patients under the Care of Wirral Community Nurses Wirral Wound Care Non-Formulary Exception Reporting Form

Guideline

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

Antibiotics

Please see Pan Mersey Formulary website for Antibiotic guidelines

Anticoagulation:

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

Anticoagulant (Oral) - High INR Pathway (Guideline expiry extended until further notice during the COVID Pandemic)

Self-testing of INR – Patient/Practice Agreement (for Adaptation by Individual Practice) (Guideline expiry extended until further notice during the COVID Pandemic)

Atrial fibrillation:

The Pan Mersey APC recommends in the absence of a specific clinical reason to select a particular DOAC, that the least costly DOAC is the first line DOAC for patients with non-valvular AF. Currently this is edoxaban.

Apixaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic)

Dabigatran Checklist (Guideline expiry extended until further notice during the COVID Pandemic)

Edoxaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic)

Rivaroxaban Checklist (Guideline expiry extended until further notice during the COVID Pandemic)

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) (Guideline expiry extended until further notice during the COVID Pandemic)

Dabigatran Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic)

Edoxaban Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic)

Rivaroxaban Checklist (VTE and PE) (Guideline expiry extended until further notice during the COVID Pandemic)

COPD

COPD Clinician Rescue Pack Information

COPD Patient Rescue Pack Information

COPD Top Tips

Diabetes

Diabetes - Blood Glucose Meters Guideline