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. 

For Cheshire & Wirral Partnership NHS Foundation Trust guidelines and policies relating to Mental Health, please visit:

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.



Anticoagulant (Oral) - High INR Pathway (under review)

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


Patient Alert Card

Apixaban Patient Alert Card


Atrial fibrillation:

Apixaban Leaflet (under review)

Dabigatran Leaflet (under review)

Edoxaban Leaflet (under review)

Rivaroxaban Leaflet (under review)


COPD Clinician Rescue Pack Information (under review)

COPD Patient Rescue Pack Information (under review)

COPD Top Tips (under review)

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 Place Non-Formulary Dressings Request Form


Nursing Homes

Nursing Home Wound Care Request Form


Guidelines for Managing Malnutrition in Adults in the Community

Wirral Food First Patient Leaflet