Policies, Procedures, Protocols, SOPs and Guidelines

Shared Care Protocols

Number	Title	Review Date
MMP 465	Methylphenidate V1	20/11/2027

Guidelines

There are no current Guidelines documents

Number	Title	Expiry Date

UKHSA Vaccine Incident Guidance (added 19 July 2022)

Protocols

Number	Title	Review Date
MMPr 004	MMPr 0004 - Protocol for Administration of Ibuprofen	31/05/2025
MMPr 005	PR0005 - Protocol for the Administration of Paracetamol	06/05/2025
MMPr 007	MMPR 007 - Aspirin 300mg	31/05/2025
MMPr 010	MMPr 010 - Protocol for the Administration of Entonox	13/07/2025
MMP 200	MMP 200 - Protocol for Instillagel Sexual Health	16/8/2025
MMP 400	MMP 400 - Lidocaine Spray	01/09/2025
MMP 405	MMP 405 - Oxygen Protocol	08/11/2026
MMP 423	MMP 423 - Lidocaine Spray for Endoscopy	01/09/2025
MMP 453	MMP 453 - Nicotine Replacement Therapy (NRT)	20/08/2026
MMP 462	MMP 462 - National protocol for inactivated influenza vaccine V6	01/04/2025
MMP 463	MMP 463 - National protocol for COVID-19 mRNA vaccine (5 yrs+)	31/03/2025
MMP 466	MMP 466 - Fluorescein Eye Drops (MIU) V1	01/12/2027

SOPs

Number	Title	Review Date
MMP 039	MMP 039 - Development, Approval and Implementation of PGDs V3	01/07/2025
MMP 408	MMP 408 - Labelling Medicines at Ward Level V2	01/11/2026
MMP 417	MMP 417 - Medicines Management Safety Stock and Other Alerts	December 2026
MMP 419	MMP 419 - CD Destruction Authorised Witnesses	01/03/2027
MMP 422	MMP 422 - Freedom of Information	November 2026
MMP 425	MMP 425 - Collection of Medication V1	September 2027
MMP 430	MMP 430 - Cleaning, Defrosting Refrigerators V2	April 2027
MMP 427	MMP 427 - Safe-Secure Mgt of Refrigerated Meds and Vaccines	January 2027
MMP 428	MMP 428 - Use of Labcold Vaccine Carriers V2	01/02/2027
MMP 432	MMP 432 - Use and Mgt of Helapet Vaccine Carrier Systems V2	01/02/2027
MMP 433	MMP 433 - Intravenous Iron Infusion	November 2027
MMP 434	MMP 434 - Mgt of Concerns or Incidents Relating to CDs	01/01/2027
MMP 435	MMP 435 - Receipt-Storage of Stock and Patients Own CDs	01/04/2027
MMP 436	MMP 436 - Prescribing of Controlled Drugs	01/04/2027
MMP 437	MMP 437 - Ordering of Stock and Named Patient Controlled Drugs	01/04/2027
MMP 439	Vaccine Mgt Duties & Responsibilities in VCs & Cty Settings	07/04/2027
MMP 441	MMP 441 - Repacking & Over Labelling Meds Vaccines in PS V1	01/04/2027
MMP 442	MMP 442 - Managing Multiple Vaccines FINAL V3	08/04/2027
MMP 443	MMP 443 - Quarantine, Product Recall, Disposal of Vaccines FINAL V2	08/04/2027
MMP 444	MMP 444 - Responding to Pharmaceutical Incidents V4	01/05/2027
MMP 445	MMP 445 - General Management of Pharmacy Stores V1	23/05/2027
MMP 446	MMP 446 -Managing Covid Vaccine during Hot Weather V1	01/05/2027
MMP 447	MMP 447 - Vaccination Team Stock Management System V1	01/05/2027
MMP 448	MMP 448 - Administration of Controlled Drugs	01/03/2027
MMP 450	MMP 450 - Record Keeping Controlled Drugs	01/03/2027
MMP 451	MMP 451 - Receipt Storage Distribution of Refrigerated Ambient Temperature Medicines_Vaccines PS FINAL V1	01/01/2027
MMP 456	MMP 456 - Sotrovimab Ordering, Management, Prep and Administration for IV infusion for COVID-19 Infection V2	26/09/2027
MMP 459	MMP459 - Medicines Storage Keys Management V1	25/09/2027

Policies

Number	Title	Review Date
MMP 001	Medicines Policy - Approved 8 September 2022 (Sept 2024 Update)	September 2025
MMP 006	MMP 006 Non Medical Prescribing Policy for Nurses Midwives Pharmacists and Allied Health Professionals FINAL 5 Jan 2022	December 2024
MMP 009	MMP009 - Discretionary Homely Medicines Policy June 2023	May 2026
MMP 426	MMP 426 - Unlicensed Medicines Policy	December 2026
MMP 424	MMP 424 - Patients Own Drugs Policy V2	09/06/2027
MMP 440	MMP 440 - Administration of Covert Medicines v6	April 2027
MMP 460	MMP 460 - Commissioning for Quality in Medicines Management V2	September 2025
MMP 464	MMP 464 - Intravitreal anti-VEGF medicines (and Intravitreal Corticosteroids -DMO)	September 2026