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Medicines Management

Homepage » About us » Key Policies & Documents » Medicines Management

The Cumbria Area Prescribing Committee is a body comprising representatives from:

  • NHS Cumbria Clinical Commissioning Group
  • Cumbria Partnership NHS Foundation Trust
  • North Cumbria University Hospitals NHS Trust
  • University Hospitals of Morecambe Bay NHS Trust

We seek to maximise the use of resources to give high quality, evidence-based, cost-effective prescribing advice.

This page is intended for the use of healthcare professionals. Members of the public are free to use this area of the website, but if you have a particular enquiry about the use of medicines, please contact NHS Direct (0845 4647 or www.nhsdirect.nhs.uk|) or talk to your community pharmacist or general practitioner.

Lothian Formulary

The Cumbria Area Prescribing Committee have adopted the Lothian Joint Formulary|. NHS Cumbria CCG along with the other trusts in Cumbria (Cumbria Partnership NHS Foundation Trust, North Cumbria University Hospitals NHS Trust and University Hospitals of Morecambe Bay NHS Trust) follow this formulary.The formulary is not comprehenive in as much as it doesn't include every condition and treatment, but it covers the more common conditions that are likely to be encountered in general practice.

In addition, it has not been agreed at present to adopt the Children's formulary.

There are a few circumstances where recommendations in the Lothian Joint Formulary are different to those published by NICE. NICE recommendations take precidence over LJF recommendations in England. Thre is a list of variations here|.

Traffic Light Classification

The Traffic Light Classification offers guidance on the prescribing of drugs initiated in secondary care (hospital).

It is important for patient care that there is a clear understanding of where clinical and prescribing responsibility rests between specialists and primary care prescribers.  Specialists are those clinicians working within secondary care at consultant or specialist registrar grade, or GPs with a specialist interest (GPwSI) working in primary care prescribing only within their speciality.

These guidelines reinforce the basic premise that: 'When clinical and / or prescribing responsibility for a patient is transferred from hospital to a primary care prescriber, the primary care prescriber should have full confidence to prescribe the necessary medicines. Therefore, it is essential that a transfer of care involving medicines that a primary care prescriber would not normally be familiar with should not take place without the 'sharing of information with the individual primary care prescriber and their mutual agreement to the transfer of care'.

These are not rigid guidelines. In all cases, specialists and primary care prescribers should discuss the appropriate management of individual patients personally. On occasions specialists and primary care prescribers may agree to work outside of this guidance.

The latest version may be accessed here.|


NICE Technology Appraisals

This Excel spreadsheet| indicates the date of uptake of the NICE Technology Appraisals. The CCG is obliged to implement guidance within 90 days of publication (May 2015).

Prescription Pad

Prescription Pad, the newsletter of the Area Prescribing Committee, is available here.| (April 2015)

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