Medicines management

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Expert medicines management pharmacists work to reduce medicine-related harm. We help GPs to maintain or improve the quality of medicine use and also reduce avoidable expenditure.

Additionally, the CCG's medicine management team contributes to maintaining the shared North West London integrated formulary and red list of drugs.

North West London integrated formulary

The North West London medicine management team co-ordinates the running of the North West London integrated formulary on behalf of the eight CCGs in the area (Brent, Central London, Ealing, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow and West London). The formulary applies to new drugs panel meetings and maintaining the list of medicines being prescribed for adult patients.

The medicines list covers:

  • prescriptions written in primary care
  • prescriptions or recommendations by hospital doctors of outpatients or patients leaving hospital after an admission

In these situations, prescribers are asked to take the medicine list fully into account when deciding how to treat patients.

The integrated formulary documents (for healthcare professionals) can be found here. 

Drugs excluded from national tariff

NW London CCGs have a list of commissioned medicines excluded from the national tarrif. 

 

Initiation of medicine 

These are the current tick box forms in use across North West London for initial authorisation of payment for high cost drugs, recommended by NICE. These should be completed by the Acute Trust wishing to obtain funding for a patient registered with a NWL Clinical Commissioning Group. Forms are available to download from the Hounslow CCG website. 

 

Local agreements

NW London CCGs have agreed to commission some high cost drugs outside NICE guidelines. 

Rheumatoid arthritis – use of biologic outside of NICE guidance
Psoriatic arthritis – use of adalimumab, etanercept, golimumab or infliximab

 

Continuation forms

These are the current continuation forms in use across North West London for re-authorisation of payment for high cost drugs. These should be completed by the Acute Trust wishing to obtain further funding for a patient registered with a NW London Clinical Commissioning Group. Forms can be found here.

 

Individual funding requests

For medicines and/or indications that are not routinely commissioned, these require an individual funding request. Forms can be found here.