​​​​​​​​​​​​​​​Shared Care Prescribing Guidelines and Transfer of Care Agreements

 

Below are appendices of the South West London Interface Prescribing Policy containing the Principles of Shared Care and the current shared care prescribing guidelines and transfer of care agreement in use across SWL.

Key

AbbreviationOrganisation
CCCG​Croydon Clinical Commissioning Group
​KCCGKingston Clinical Commissioning Group​
​RCCGRichmond Clinical Commissioning Group​
​SCCGSutton Clinical Commissioning Group​
​MCCGMerton Clinical Commissioning Group​
​WCCGWandsworth Clinical Commissioning Group​
​ESHEpsom and St Helier University Hospitals NHS Trust​
​KHTKingston Hospital NHS Foundation Trust​
​CHSCroydon Health Services NHS Trust​
​RMHThe Royal Marsden NHS Foundation Trust​
​SGHSt. George's University Hospitals NHS Foundation Trust
​SWLSG MHT​South West London and St George's Mental Health NHS Trust
​SLAMSouth London and Maudsley NHS Foundation Trust​
​HRCHHounslow and Richmond Community Healthcare NHS Trust​
​YHYour Healthcare CIC 

 

  
  
  
CCGs party to the agreement
  
Trusts party to the agreement
  
  
  
  
  
  
  
AntiepilepticsvariousEpilepsyCCCGCHSAntiepilepticsEpilepsy and other seizure disorders18/11/2018The guideline can be used as information by any SWL CCG to support prescribing of anti-epileptics in primary careTransfer of careCHS/CCCG
Apixaban, Dabigatran, Edoxaban, RivaroxabanEliquis, Pradaxa, Lixiana, XareltoPrevention of stroke and systemic embolism in AFCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHDOACs for stroke preventionThromboembolism31/07/2018Transfer of careSL Cardiac Pharmacist
Apixaban, Dabigatran, Edoxaban, RivaroxabanEliquis, Pradaxa, Lixiana, XareltoVTECCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHDOACs VTEThromboembolism31/07/2018Transfer of CareSL Cardiac Pharmacist
AtomoxetineStratteraADHD (Adults)CCCG, RCCG, SCCG, MCCG, WCCGSLAMAtomoxetine Adults - SLAMAttention deficit hyperactivity disorder - CNS stimulants)21/06/2014CNS Stimulants (SLAM only, outside of SWL)Shared careSLAM
Azathioprine, 6-Mercaptopurine, Methotrexate (oral/sc), Sulfasalazine, MesalazineVariousInflammatory Bowel Disease in AdultsCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHAzathioprine, 6-Mercaptopurine, Methotrexate (oral/sc), Sulfasalazine, MesalazineDrugs affecting the immune response and Aminosalicylates01/09/2020Shared careCSU
Azathioprine, Hydroxychloroquine, Leflunomide, Methotrexate (oral/sc), SulfasalazineVariousAutoimmune Rheumatic Disease in AdultsCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHAzathioprine, Hydroxychloroquine, Leflunomide, Methotrexate (oral/sc), SulfasalazineDrugs affecting the immune response01/09/2020Shared careCSU
ColesevelamCholestagelBile malabsorption in cancer patientsCCCG, RCCG, SCCG, MCCG, WCCG, KCCGRMHColesevelam - CancerHyperlipidaemia - Bile acid sequestrants01/04/2022Transfer of careRMH/CSU
ColesevelamCholestagelBile malabsorption in NON-cancer patientsRCCG, SCCG, MCCG, WCCG, KCCGESH, SGH, KHTColesevelam - NON-CancerHyperlipidaemia - Bile acid sequestrants01/04/2022Transfer of careESH/CSU
Donepezil Rivastigmine Galantamine MemantineAricept Exelon Reminyl EbixaAlzheimer’s disease and Parkinson’s disease dementia, Lewy Body dementia (rivastigmine)KCCG, RCCG, SCCG, MCCG, WCCGSGH, SWLSG MHTAnti Dementia Meds Drugs for dementia31/12/2021CHS replaced SCPG with 'Integrated Medication Guidelines for use of Donepezil, Rivastigmine, Galantamine and Memantine in AD'Shared care and Transfer of careSWL StG MH Trust
HydroxycarbamideHydrea, SiklosChronic Myeloid Leukaemia, Polycythaemia Rubra Vera, Essential Thrombocythaemia, Sickle Cell Disorder (Adults)CCCGCHSHydroxycarbamide - CroydonCytotoxic responsive malignancy - Other cytotoxic drugs01/06/2012Shared careCCCG
Ibrandronic acidBondronatPrevention of fractures in metastastic breast cancercancerCCCG, RCCG, SCCG, MCCG, WCCG, KCCGRMH, SGHIbandronic AcidDisorders of bone metabolism - Bisphosponates31/03/2020Shared careCSU
Leuprorelin TriptorelinProstap Decapeptyl SR, Gonapeptyl DepotPrecocious pubertyCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, RMH, SGH, KHT, CHSLeuprorelin TriptorelinGonadotrophin responsive conditions - Gonadotrophin-releasing hormone analogues31/05/2020Shared careCSU
LithiumCamcolit Liskonum PriadelAffective disordersKCCG, RCCG, SCCG, MCCGSWLSG MHTLithiumBipolar disorder and mania - Lithium salts31/03/2022Shared careSWL StG MH Trust
LMWH - Dalteparin Enoxaparin  TinzaparinFragmin Clexane InnohepExtended treatment of venous thromboembolism in patients with solid tumoursCCCG, SCCG, MCCG, WCCGCHS, RMHLMWH Low Molecular Weight Heparins24/11/2019Transfer of careRMH/CSU
Melatonin (modified release)Circadin MRPersistent sleep disorders in school age children with neurodevelopmental disabilitiesKCCG, RCCG, SCCG, MCCG, WCCGSWLSG MHTMelatonin - except CroydonInsomnia CNS Suppressants31/03/2022Shared careSWL StG MH Trust
Melatonin (modified release)Circadin MRPersistent sleep disorders in school age children with neurodevelopmental disabilitiesCCCGCHSMelatonin - CroydonInsomnia - CNS suppressants30/07/2015Shared careCCCG
Methotrexate Various Psoriasis in AdultsCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHMethotrexate Oral and SubcutaneousDrugs affecting the immune response01/09/2020Shared careCSU
Methylphenidate Lisdexamfetamine Dexamfetamine Atomoxetine (> 18 years -adults)Ritalin, Equasym XL, Medikinet XL, Concerta XLADHD (Adults)CCCG, RCCG, SCCG, MCCG, WCCGSLAMMethylphenidate Adults - SLAMAttention deficit hyperactivity disorder - CNS stimulants01/06/2014CNS Stimulants (SLAM only, outside of SWL)Shared careSLAM
Methylphenidate Lisdexamfetamine Dexamfetamine Atomoxetine (>18 years)Ritalin, Equasym XL, Medikinet XL, Concerta XL, Elvanse, StratteraADHD (Adults)RCCG, KCCG, SCCG, MCCG, WCCGSWLSG MHT, YHADHD AdultsAttention deficit hyperactivity disorder - CNS stimulants)31/01/2022Shared careSWL StG MH Trust
Methylphenidate Lisdexamfetamine Dexamfetamine Guanfacine Atomoxetine (6-18 year; NOT adults)Ritalin, Equasym XL, Medikinet XL, Concerta XL, Elvanse, Intuniv, StratteraADHD (Children)KCCG, RCCG, SCCG, MCCG, WCCGSWLSG MHTADHD ChildrenAttention deficit hyperactivity disorder - CNS stimulants31/12/2021CCCG – methylphenidate only with SLAM (not included as SLAM is outside SWL) - update by CCCG/SLAMShared careSWL StG MH Trust
Methylphenidate Lisdexamfetamine Dexamfetamine Guanfacine Atomoxetine (6-18 year; NOT adults)Ritalin, Equasym XL, Medikinet XL, Concerta XL, Elvanse, Intuniv, StratteraADHD (Children)CCCGSLAMADHD ChildrenAttention deficit hyperactivity disorder CNS stimulants31/12/2021SLAM/CCCG
ModafinilProvigilNarcolepsyKCCGKHTModafinil - KingstonNarcoplepsy - CNS stimulants14/01/2015Shared careKCCG
Modafinil ProvigilNarcolepsyCCCGCHSModafinil - CroydonNarcolepsy - CNS stimulants06/07/2014Shared careCCCG
RifaximinTargaxanChronic Hepatic Encephalopathy in Adults CCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, CHS, SGHRifaximinAntimycobacterials30/12/2021Shared careSGH
RiluzoleRilutek, GenericTreatment of patients with the amyotrophic lateral sclerosis (ALS) form of Motor Neurone Disease (MND)CCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, SGH, CHSRiluzoleDystonias and other involuntary movements - Neuroprotective agents31/03/2020Shared careCSU
RivaroxabanXareltoAcute Coronary SyndromeCCCG, RCCG, SCCG, MCCG, WCCG, KCCGESH, CHS, RMH, SGH, KHTRivaroxaban ACSThromboembolism31/07/2018Transfer of careSL Cardiac Pharmacist
Somatropin (children only)Omnitrope, GenotropinGrowth failureCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, RMH, SGHSomatropinGrowth hormone disorders - Human growth hormones30/09/2021Shared careCSU
Valsartan with SacubitrilEntrestoSymptomatic chronic heart failureCCCG, KCCG, RCCG, SCCG, MCCG, WCCGESH, KHT, CHS, SGHValsartan with Sacubitril31/07/2018Transfer of careSL Cardiac Pharmacist