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 Introduction


Welcome to the Isle of Wight Joint Formulary

The new design formulary has been developed to provide both primary and secondary care clinicians and prescribers of all levels access to an approved list of medications. There is extra information provided where helpful, all items are linked to the BNF/BNFc and many have hyperlinks to associated websites and guidance.

The main aim of this formulary is

  • To promote safe, effective treatment of the highest quality whilst ensuring cost effective prescribing and optimal outcomes.

 Other aims are to:

  • Allow any prescriber to easily identify preferred choices within the trust and in primary care
  • To ensure the pharmacy team at St Mary’s is able to stock the pharmacy appropriately and minimise waste both on the wards and in pharmacy
  • To assist GP’s and other community based prescribers with a comprehensive guide to their prescribing responsibilities and those of the specialist.
  • Manage the introduction of new NICE TA’s and guidelines and ensure current ones are being followed.

The formulary has been built and designed with the collaboration of the CCG Medicines Optimisation Team (MOT) and IOW NHS Trust Pharmacy Team. The appropriate options have been used to update the GP system A-Z medication list – SystmOne formulary, and options provided through OptimizeRx. (For more information about the systems please see the IOW CCG website- MOT pages)

Mutually agreed processes for the request of new items and the coding use throughout the formulary has been agreed between both organisations. New drug requests will be weighed against existing available treatments along with cost, safety and efficacy. The impact on primary and secondary care resources will also be evaluated.

Committees:

Committee Name

Role

Sector

Frequency of meeting

IMOC – Island Medicines Optimisation Committee

Multidisciplinary committee to discuss larger issues and those affecting both primary and secondary care.

Primary and secondary care

2 monthly

DAC – Drug Advisory Committee

Review of changes in prescribing for the trust. Medications not affecting primary are to be discussed here. To feedback minutes from IMOC and disseminate decisions. Decisions made by DAC will be fed into IMOC

Secondary Care

Monthly

(1st Friday of the month)

PCPC – Primary Care Prescribing Committee

Review of changes in prescribing for the trust. Medications not affecting secondary are to be discussed here. To feedback minutes from IMOC and disseminate decisions. Decisions made by DAC will be fed into IMOC

Primary Care

Monthly

(3rd Tuesday of the month)

New requests will be submitted to the IMOC. They will be classified as to which area the request may impact. If it impacts both parties, then a decision will be made by the IMOC. If it affects solely primary or secondary care the IMOC will pass the decision to the DAC or PCPC for discussion and decision.

Although the formulary is predominately directed at adults, this does not exclude paediatric prescribing. Most if not all monographs are linked to the BNF and BNFc for extra information.

We hope you find this a useful programme and we are constantly maintaining it. Please feel free to feedback to use any constructive comments you may have.

Isle of Wight Joint Formulary Team


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