Clinical Guidance and Prescribing Resources

Relevant MHRA Alerts

October 2023 - Isotretinoin (Roaccutane▼): Introduction of New Safety Measures, Including Additional Oversight of the Initiation of Treatment for Patients Under 18 Years of Age

Wound Care

PTHB - Silver Dressings Guidance

AWTTC - Safe use of proton pump inhibitors

^{This document aims to highlight and help address the patient safety issues associated with the long-term use of proton pump inhibitors (PPIs) in adults. It includes examples of support material which can be used or adapted for this purpose.}

Pancreatic Cancer Resources (PERT)

The Effect of Bariatric Surgery on Certain Medicines

AWTTC - All Wales Advice on Oral Anticoagulation for Non-valvular Atrial Fibrillation

Risk Assessment for Venous Thromboembolism Shared Document

Lipid Management - Rapid Update Product

SPS - Specialist Pharmacy Service – Managing cardiovascular disease in frail older people

All Wales Prescribing Guidelines

AWTTC - All Wales Adult Asthma Management and Prescribing Guideline

AWTTC - All Wales Paediatric Asthma Management and Prescribing Guideline

AWTTC - All Wales COPD Management and Prescribing Guideline

High Quality and Low Carbon Asthma Care – Greener Practice

NICE Respiratory Clinical Knowledge Summaries (CKS)

CKS Topics covered include:

Allergic Rhinitis, Acute Sore Throat, Asthma, COPD, Chest Infections, Cough, Influenza, Treatment in Palliative Care

Medical Gases

NAMDET - Oxygen Cylinder Duration Chart

Patient Resources

Using your inhalers | Asthma + Lung UK

Asthmahub for Parents – Healthhub

SPS - Specialist Pharmacy Service - Generic Antiepileptic Drugs in Epilepsy (Update Sept 2020)

Is Valproate the Right Epilepsy Treatment for Me?

Decision Support Tool - Bipolar Disorder: Is Valproate the Right Treatment for Me?

SilverCloud - Online Mental Health Support - Powys Teaching Health Board (nhs.wales)

^{SilverCloud by Amwell® is a free online mental health support service available through NHS Wales without a GP referral. Through SilverCloud, you can access a range of guided self-help programmes to help you manage and improve your mental health and wellbeing. There’s support for mild-to-moderate anxiety, depression, stress, sleep difficulties and more.}

Deprescribing of antidepressants for depression and anxiety

^{Tools hosted by SPS - Specialist Pharmacy Service to help practice teams address inappropriate prescribing.}

Dementia

Managing Infections in Primary Care

PTHB Microguide

^{The MicroGuide provides advice on the effective and safe treatment of infections commonly presenting in primary care and are based on NICE and Public Health Wales advice with input from local experts.}

AWTTC - Primary Care Antimicrobial Guidelines

RCGP - Summary of Antimicrobial Prescribing Guidance - Managing Common Infections

AWTTC - Management of C.Diff Infection in Wales

AWTTC - Management of Recurrent Symptomatic Urinary Tract Infection in Adult Women

Urinary tract infection (lower) - women | CKS | NICE

PTHB - Silver Dressings Guidance

Safety Updates

AWTTC - Best Practice Reminder: Avoid Nitrofurantoin in the Treatment of Pyelonephritis

Prescriber Tools and Audits

Antimicrobial Prescribing and Stewardship (APS) Competency Framework

^{The APS competency framework can be used by both medical and non-medical prescribers in any care setting to support the development of their prescribing practice at any point in their professional development in relation to prescribing antimicrobials and embodying stewardship practices.}

AWMSG - CEPP National Audit - focus on antibiotic prescribing

^{Using the correct antibiotics only when needed, with the correct dose and for the correct duration, is vital to help tackle growing antibiotic resistance. These audits aim to:}

• ^{Promote antibiotic prescribing in accordance with existing guidelines; including the Primary care antimicrobial guidelines endorsed by AWMSG.}
• ^{Support clinicians with quality improvement by promoting review of antimicrobial prescribing in their practice.}

RCGP - Target Antibiotics Toolkit

^{This toolkit has been designed to support primary care clinicians to champion and implement antimicrobial stewardship activities. The resources can also be used to support CPD and revalidation requirements. This website has many patient resources when prescribing antimicrobials such as information on how long common infections usually last and self- care information.}

Food and Nutrition

Bulletin 261: Oral Nutritional Supplements | PrescQIPP C.I.C

Food Fortification Leaflet

Oral nutritional supplements patient leaflet

AWTTC - All Wales Guide to Prescribing Gluten-free Products

Joint Diseases

CKS | NICE | Management | Osteoarthritis

Management of Osteoarthritis

Eye Drops and Dispensing Aids