Local Pathways and Guidelines

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  1. Our Mission
    1. Our Ambitions
    2. Our Challenges
    3. Our Outcomes Framework
    4. Our Plans
    5. Our Priorities
    6. Our Strategic Commissioning Plan
  2. About Us
    1. Our People
    2. Our Partnership
    3. Joint Health & Wellbeing Board and Integrated Care Partnership
    4. NHS Cambridgeshire & Peterborough
    5. Safeguarding
    6. How we meet our duties
    7. Jargon buster
    8. Jobs
  3. Our Teams
    1. Strategic Commissioning Unit
    2. North Cambridgeshire & Peterborough Care Partnership
    3. Cambridgeshire South Care Partnership
    4. Children's & Maternity Partnership
    5. Mental Health, Learning Disability & Autism Partnership
  4. Get Involved
    1. Let's Talk
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    4. Freedom of Information (FOI)
    5. How To Get Involved
    6. Patient Experience Team
    7. Shared Data Environment
    8. Contact us
    9. Access to Records
  5. Your Health & Care
    1. Local Services
    2. Patient Choice
    3. Palliative and End of Life Care
    4. The Vaccinators
      1. Community Pharmacies offering COVID-19 vaccinations
      2. GP Practices offering COVID-19 vaccinations
    5. Your Healthier Future
    6. My Care Record
    7. Well Together this autumn
    8. Weight management services
    9. NHS Continuing Healthcare (CHC)
    10. What's your number
    11. Waiting Well
  6. What's Happening
    1. News and events
    2. ICS Newsletter
  7. Healthcare Professionals
    1. Policies and thresholds
      1. Clinical Policies
      2. Additional information on policies
      3. Clinical Policies Forum
      4. Exceptional and individual funding
      5. Specialised commissioning
      6. Seeking medical treatment abroad
    2. Prescribing
      1. Cambridgeshire and Peterborough Formulary
      2. Local Pathways and Guidelines
      3. Medicines Supply Information
      4. Let's Talk Medicines Newsletters
      5. Pharmacy First Toolkit for GPs
      6. Group Prior Approvals
      7. Controlled Drugs Resources
      8. Care Home Resources
      9. Patient Group Directions
      10. Shared Care Guidance
    3. Patient pathways
      1. Safeguarding information for health and care professionals
      2. Clinical information for Primary Care
      3. Healthier You Diabetes Prevention Programme
      4. Palliative and End of Life Information for Health Care Professionals
    4. Primary care
      1. JOY Marketplace
      2. Approval Process for GP Premises Improvement Schemes
      3. Local Commissioning Agreements
      4. Local Practices
      5. Social Prescribing
      6. GP Resilience
      7. Training Hub
      8. Primary Care IT
      9. Tier 2 Sponsorship
    5. News and resources
      1. Frailty
      2. Hydration - It All Counts - Resources & Training
      3. Latest news
      4. Working Together Principles
      5. Greener NHS – info for Health Professionals
      6. Communications Hub
      7. Research Updates - Health Professionals
      8. Document Finder
      9. Shared Care Record
      10. Registration and revalidation page
      11. Infection prevention and control
  1. Our Ambitions
  2. Our Challenges
  3. Our Outcomes Framework
  4. Our Plans
  5. Our Priorities
  6. Our Strategic Commissioning Plan
  7. Our People
  8. Our Partnership
  9. Joint Health & Wellbeing Board and Integrated Care Partnership
  10. NHS Cambridgeshire & Peterborough
  11. Safeguarding
  12. How we meet our duties
  13. Jargon buster
  14. Jobs
  15. Strategic Commissioning Unit
  16. North Cambridgeshire & Peterborough Care Partnership
  17. Cambridgeshire South Care Partnership
  18. Children's & Maternity Partnership
  19. Mental Health, Learning Disability & Autism Partnership
  20. Let's Talk
  21. Housing needs survey
  22. Voluntary Sector Network
  23. Freedom of Information (FOI)
  24. How To Get Involved
  25. Patient Experience Team
  26. Shared Data Environment
  27. Contact us
  28. Access to Records
  29. Local Services
  30. Patient Choice
  31. Palliative and End of Life Care
  32. The Vaccinators
    1. Community Pharmacies offering COVID-19 vaccinations
    2. GP Practices offering COVID-19 vaccinations
  33. Your Healthier Future
  34. My Care Record
  35. Well Together this autumn
  36. Weight management services
  37. NHS Continuing Healthcare (CHC)
  38. What's your number
  39. Waiting Well
  40. News and events
  41. ICS Newsletter
  42. Policies and thresholds
    1. Clinical Policies
    2. Additional information on policies
    3. Clinical Policies Forum
    4. Exceptional and individual funding
      1. Appeals
    5. Specialised commissioning
    6. Seeking medical treatment abroad
  43. Prescribing
    1. Cambridgeshire and Peterborough Formulary
    2. Local Pathways and Guidelines
    3. Medicines Supply Information
    4. Let's Talk Medicines Newsletters
    5. Pharmacy First Toolkit for GPs
    6. Group Prior Approvals
    7. Controlled Drugs Resources
    8. Care Home Resources
    9. Patient Group Directions
    10. Shared Care Guidance
  44. Patient pathways
    1. Safeguarding information for health and care professionals
      1. Mental Capacity
    2. Clinical information for Primary Care
      1. Recommended Summary Plan for Emergency Care and Treatment (ReSPECT)
    3. Healthier You Diabetes Prevention Programme
    4. Palliative and End of Life Information for Health Care Professionals
  45. Primary care
    1. JOY Marketplace
    2. Approval Process for GP Premises Improvement Schemes
    3. Local Commissioning Agreements
    4. Local Practices
    5. Social Prescribing
    6. GP Resilience
    7. Training Hub
    8. Primary Care IT
    9. Tier 2 Sponsorship
  46. News and resources
    1. Frailty
    2. Hydration - It All Counts - Resources & Training
    3. Latest news
    4. Working Together Principles
    5. Greener NHS – info for Health Professionals
    6. Communications Hub
      1. Vaccination assets for winter 2025/26
      2. Lung Cancer Screening toolkit
      3. MMR vaccines toolkit
      4. Summer 2025 toolkit
      5. Cervical screening toolkit
      6. Cambridgeshire & Peterborough Staff Health and Wellbeing Hub
      7. WorkWell toolkit
      8. Home for lunch toolkit
      9. Your Healthier Future Toolkit
      10. Digital Survey 2024
    7. Research Updates - Health Professionals
    8. Document Finder
    9. Shared Care Record
      1. Latest News - Shared Care Record
    10. Registration and revalidation page
    11. Infection prevention and control
Pharmacist handing bottle of tablets to a patient

Local Pathways and Guidelines

Find out more about the Cambridgeshire and Peterborough Formulary.

  1. Our Mission
    1. Our Ambitions
    2. Our Challenges
    3. Our Outcomes Framework
    4. Our Plans
    5. Our Priorities
    6. Our Strategic Commissioning Plan
  2. About Us
    1. Our People
    2. Our Partnership
    3. Joint Health & Wellbeing Board and Integrated Care Partnership
    4. NHS Cambridgeshire & Peterborough
    5. Safeguarding
    6. How we meet our duties
    7. Jargon buster
    8. Jobs
  3. Our Teams
    1. Strategic Commissioning Unit
    2. North Cambridgeshire & Peterborough Care Partnership
    3. Cambridgeshire South Care Partnership
    4. Children's & Maternity Partnership
    5. Mental Health, Learning Disability & Autism Partnership
  4. Get Involved
    1. Let's Talk
    2. Housing needs survey
    3. Voluntary Sector Network
    4. Freedom of Information (FOI)
    5. How To Get Involved
    6. Patient Experience Team
    7. Shared Data Environment
    8. Contact us
    9. Access to Records
  5. Your Health & Care
    1. Local Services
    2. Patient Choice
    3. Palliative and End of Life Care
    4. The Vaccinators
      1. Community Pharmacies offering COVID-19 vaccinations
      2. GP Practices offering COVID-19 vaccinations
    5. Your Healthier Future
    6. My Care Record
    7. Well Together this autumn
    8. Weight management services
    9. NHS Continuing Healthcare (CHC)
    10. What's your number
    11. Waiting Well
  6. What's Happening
    1. News and events
    2. ICS Newsletter
  7. Healthcare Professionals
    1. Policies and thresholds
      1. Clinical Policies
      2. Additional information on policies
      3. Clinical Policies Forum
      4. Exceptional and individual funding
      5. Specialised commissioning
      6. Seeking medical treatment abroad
    2. Prescribing
      1. Cambridgeshire and Peterborough Formulary
      2. Local Pathways and Guidelines
      3. Medicines Supply Information
      4. Let's Talk Medicines Newsletters
      5. Pharmacy First Toolkit for GPs
      6. Group Prior Approvals
      7. Controlled Drugs Resources
      8. Care Home Resources
      9. Patient Group Directions
      10. Shared Care Guidance
    3. Patient pathways
      1. Safeguarding information for health and care professionals
      2. Clinical information for Primary Care
      3. Healthier You Diabetes Prevention Programme
      4. Palliative and End of Life Information for Health Care Professionals
    4. Primary care
      1. JOY Marketplace
      2. Approval Process for GP Premises Improvement Schemes
      3. Local Commissioning Agreements
      4. Local Practices
      5. Social Prescribing
      6. GP Resilience
      7. Training Hub
      8. Primary Care IT
      9. Tier 2 Sponsorship
    5. News and resources
      1. Frailty
      2. Hydration - It All Counts - Resources & Training
      3. Latest news
      4. Working Together Principles
      5. Greener NHS – info for Health Professionals
      6. Communications Hub
      7. Research Updates - Health Professionals
      8. Document Finder
      9. Shared Care Record
      10. Registration and revalidation page
      11. Infection prevention and control
  1. Our Ambitions
  2. Our Challenges
  3. Our Outcomes Framework
  4. Our Plans
  5. Our Priorities
  6. Our Strategic Commissioning Plan
  7. Our People
  8. Our Partnership
  9. Joint Health & Wellbeing Board and Integrated Care Partnership
  10. NHS Cambridgeshire & Peterborough
  11. Safeguarding
  12. How we meet our duties
  13. Jargon buster
  14. Jobs
  15. Strategic Commissioning Unit
  16. North Cambridgeshire & Peterborough Care Partnership
  17. Cambridgeshire South Care Partnership
  18. Children's & Maternity Partnership
  19. Mental Health, Learning Disability & Autism Partnership
  20. Let's Talk
  21. Housing needs survey
  22. Voluntary Sector Network
  23. Freedom of Information (FOI)
  24. How To Get Involved
  25. Patient Experience Team
  26. Shared Data Environment
  27. Contact us
  28. Access to Records
  29. Local Services
  30. Patient Choice
  31. Palliative and End of Life Care
  32. The Vaccinators
    1. Community Pharmacies offering COVID-19 vaccinations
    2. GP Practices offering COVID-19 vaccinations
  33. Your Healthier Future
  34. My Care Record
  35. Well Together this autumn
  36. Weight management services
  37. NHS Continuing Healthcare (CHC)
  38. What's your number
  39. Waiting Well
  40. News and events
  41. ICS Newsletter
  42. Policies and thresholds
    1. Clinical Policies
    2. Additional information on policies
    3. Clinical Policies Forum
    4. Exceptional and individual funding
      1. Appeals
    5. Specialised commissioning
    6. Seeking medical treatment abroad
  43. Prescribing
    1. Cambridgeshire and Peterborough Formulary
    2. Local Pathways and Guidelines
    3. Medicines Supply Information
    4. Let's Talk Medicines Newsletters
    5. Pharmacy First Toolkit for GPs
    6. Group Prior Approvals
    7. Controlled Drugs Resources
    8. Care Home Resources
    9. Patient Group Directions
    10. Shared Care Guidance
  44. Patient pathways
    1. Safeguarding information for health and care professionals
      1. Mental Capacity
    2. Clinical information for Primary Care
      1. Recommended Summary Plan for Emergency Care and Treatment (ReSPECT)
    3. Healthier You Diabetes Prevention Programme
    4. Palliative and End of Life Information for Health Care Professionals
  45. Primary care
    1. JOY Marketplace
    2. Approval Process for GP Premises Improvement Schemes
    3. Local Commissioning Agreements
    4. Local Practices
    5. Social Prescribing
    6. GP Resilience
    7. Training Hub
    8. Primary Care IT
    9. Tier 2 Sponsorship
  46. News and resources
    1. Frailty
    2. Hydration - It All Counts - Resources & Training
    3. Latest news
    4. Working Together Principles
    5. Greener NHS – info for Health Professionals
    6. Communications Hub
      1. Vaccination assets for winter 2025/26
      2. Lung Cancer Screening toolkit
      3. MMR vaccines toolkit
      4. Summer 2025 toolkit
      5. Cervical screening toolkit
      6. Cambridgeshire & Peterborough Staff Health and Wellbeing Hub
      7. WorkWell toolkit
      8. Home for lunch toolkit
      9. Your Healthier Future Toolkit
      10. Digital Survey 2024
    7. Research Updates - Health Professionals
    8. Document Finder
    9. Shared Care Record
      1. Latest News - Shared Care Record
    10. Registration and revalidation page
    11. Infection prevention and control
  1. Now viewing:
  2. Home
  3. Healthcare Professionals
  4. Prescribing
  5. Local Pathways and Guidelines

Antimicrobials

  • CDI management algorithm Systemwide
  • Fluoroquinolone (FQ) Usage - AMS Systemwide Policy
  • Management of Recurrent Urinary Tract Infections in Adults
  • Patient information leaflet for Fluoroquinolone antibiotics
  • Paxlovid (Nirmatrelvir and Ritonavir) for Eligible Non-Hospitalised patients (18 years and over) with COVID-19 Prescribing Support Document
  • Preventing infective endocarditis warning card (PI 229): Royal Papworth Hospital
  • Summary of antimicrobial prescribing guidance – managing common infections

Cardiovascular System

  • Bempedoic Acid with ezetimibe for treating primary hypercholesterolaemia or mixed dyslipidaemia
  • Chronic Kidney Disease Management Pathway
  • Dapagliflozin for chronic kidney disease in adults
  • Dapagliflozin and Empagliflozin for Heart Failure in Adults 
  • Direct-acting oral anticoagulants Prescribing Support Document
  • East of England Protocols for the Management of Hypertension
  • Empagliflozin for chronic kidney disease is adults
  • Entresto Prescribing Support Information
  • Finerenone Prescribing Support Document
  • Guidance for Primary Care - Low Molecular Weight Heparin
  • Inclisiran for treating primary hypercholesterolaemia or mixed dyslipidaemia in adults
  • Metolazone Prescribing Support Document
  • Statin intolerance pathway
  • Summary of national guidance for lipid management
  • System Guidance to support use of DOACs in Non-Valvular Atrial Fibrillation (NV-AF) patients
  • Warfarin Prescribing Support Document

Central Nervous System (excluding Mental Health)

  • Acetylcholinesterase Inhibitors and Memantine in Adults
  • Dependence forming medications opioid deprescribing algorithm
  • Epilepsy Pathway
  • Melatonin prescribing formulary choice
  • Melatonin Prescribing Support Document Paediatrics
  • Narcolepsy Guide for Primary Care Practitioners
  • Orlistat Prescribing and Medication Review Guidelines for Adults
  • Pharmacological Treatment for the management of overweight and obesity
  • Protocol for the Management of Patients Receiving Sodium Oxybate For Narcolepsy

Dental

  • Dental Prescribing Patient Information Leaflet
  • Fluoride Dental Products Prescribing Policy

Endocrine System

  • Blood glucose and ketone self-monitoring guidance
  • Erectile dysfunction prescribing policy
  • Formulary Guidelines for Blood Glucose Meters and associated Test Strips and Lancets
  • Growth Hormone (Somatropin) for treatment in Adults
  • Growth Hormone (Somatropin) for treatment in Children
  • Humulin U500 Prescribing Support Document
  • Prescribing of Insulin Needles
  • Relugolix-estradiol-norethisterone acetate for uterine fibroids: Prescribing Support Document
  • Tirzepatide for type 2 diabetes prescribing support document

Eye, Ear, Nose and Oropharynx

  • Ocular Lubricants Prescribing Guidelines

Gastro-Intestinal System

  • Guidance to support in transferring patients to Sialanar® oral solution from generic Colonis glycopyrronium oral solution in children and adolescents

Governance and Processes

  • 28 day Repeat Prescribing Information Sheet
  • Biosimilar Position Statement July 2024
  • Biologics and Biosimilar Patient Information Leaflet (PIL)
  • Biosimilar to Biosimilar Switch Letter
  • Defining boundaries between NHS and privately funded healthcare (local)
  • Generic Prescribing Recommendations and Policy
  • Group Prior Approval Funding Application for Previous Best-Value Molecule Funding
  • Hospital only medication letter template
  • Information and Guidance on Prescribing vaccinations and medicines for travel abroad in GP
  • netFormulary Quick Reference Guide
  • PbR Excluded Drugs Commissioning Intentions 2024-2025
  • Prescribing Framework 2025-2026
  • Prescribing of Medicines that are Available for Purchase (Self-Care)
  • Primary Care Prescribing Rebate Schemes
  • Unlicensed medicines policy

 

Immunological products and vaccines

Hepatitis B vaccine prescribing flowchart

Medical Devices and Appliances

  • Barrier preparations and incontinence pads guidance
  • Compression Bandages and Hosiery Guideline
  • Guidelines for issuing Prescriptions for incontinence and stoma appliances
  • Home Enteral Feeding Standardised Ancillaries Formulary for Adults
  • Home Enteral Feeding Standardised Ancillaries Formulary for Paediatrics
  • Letter to Pharmacies or Appliance Contractors to inform about stoma reviews
  • Patient Information leaflet for changes to stoma accessories
  • Patient information leaflet for stopped stoma items
  • Service restriction policy - High Flow Oxygen Therapy
  • Stoma Formulary
  • Stoma switch matrix
  • Stoma switch toolkit
  • Urinary Continence Formulary Adults
  • Wound Care Formulary Guidelines

Mental Health

  • Agomelatine prescribing support document
  • Antipsychotics prescribing support document
  • Guide to antidepressant prescribing in primary care
  • Lithium Prescribing Support in affective disorders in adults
  • Managing Behavioural Problems in Pts with Dementia

Nutrition

  • Cow's milk allergy management pathway in primary care
  • Cows Milk Allergy Pathway Summary
  • Eating well with Dementia
  • Eating well with dysphagia
  • Food as treatment - for Care Homes
  • Food as Treatment - Food Toppers
  • Food as Treatment - Nourishing drinks
  • Food as Treatment - Meal and Snack Recipes
  • Food as treatment for primary care - High Risk
  • Food as treatment for primary care - Medium Risk
  • Gluten Free Food Policy Leaflet
  • Guidelines for Malnutrition Management and ONS in Primary care
  • Ketogenic Diet Therapy Guidance
  • Letter to patient re infant formula prescribing
  • Malnutrition action plan - For care homes 
  • Managing Nutrition products after hospital discharge
  • Nutrition at the End of Life 
  • Nutrition Prescribing - Switch and discontinuation protocol
  • ONS de-prescribing flow chart
  • ONS pathway for primary care 
  • Oral Vitamin B Compound and Thiamine Full Prescribing Guidance
  • Oral Vitamin B Compound and Thiamine Prescribing Guidance Summary
  • Pharmacological Treatment for the management of overweight and obesity
  • Plant milk alternatives for children under 5 years of age
  • Prescribing oral nutritional supplements for care home residents
  • Preterm Infant Formula Pathway
  • Thickener quick reference prescription guide
  • Vitamin B12 Food Fact sheet 
  • Vitamin B12 Full guidance
  • Vitamin B12 deficiency diagnosis and treatment pathway (flowchart)
  • Vitamin D Pathway Adults
  • Vitamin D Pathway Paediatrics
  • Vitamin D - Patient Information Leaflet

Obesity and Weight Management

  • Pharmacological treatment for the management of overweight and obesity

Obstetrics, Gynaecology and Urinary-Tract Disorders

  • Linzagolix Prescribing Support Document
  • Management of overactive bladder (OAB) in Primary Care

Palliative Care

If you need these documents in another format please feel free to contact us:

  • Anticipatory Medicines ICS information leaflet
  • Anticipatory Prescribing ICS policy
  • End of Life Care Medicine Administration Record Chart
  • End of Life Care Medicine Administration Record chart - FAQ
  • Lorazepam Information Leaflet
  • Syringe Driver Information Leaflet
  • Syringe Pump ICS Policy

Respiratory System

  • Adrenaline Auto-Injectors for Self-Administration – Summary for Prescribers
  • Adult COPD Quick Reference Guide
  • Asthma Management in adults flowchart
  • Asthma Management in paediatrics flowchart
  • COPD Exacerbation Rescue Medication Pack - Guidance for Prescribers
  • COPD Rescue Pack Guidelines for Community Pharmacy
  • COPD Rescue Pack Patient Information Leaflet
  • Regional Asthma Care and Medicines Optimisation Pathway
  • Spacer Devices for Pressurised Metered Dose Inhalers – Prescribing Support Document

Skin

Bath and Shower Emollient Prescribing Position Statement

Camouflage Creams and Powders Prescribing Policy

Emollient Prescribing Guideline

Managing Acne Vulgaris

Process for medicines management of an outbreak of scabies in a care home or residential setting

Womens Health

  • Information Factsheet for Primary Care Prescribers - Testosterone gel for management of low libido in postmenopausal women
  • Patient Information Leaflet - Testosterone gel for low sexual desire in post-menopausal women

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