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Recommendations

This section contains a list of the policy recommendations of the Pan Mersey Area Prescribing Committee.

Reviews of the new medicines have been conducted by our pharmacists using a number of resources including National Institute for Health and Clinical Excellence (NICE) which is a Special health Authority (SHA) set up in 1999. It is used to give advice to the NHS on best clinical practice including the clinical and cost effectiveness of drugs and other treatments.

Definitions and criteria for the categorisation of medicines

Legacy Merseyside
New Cheshire and Merseyside

Transition of Commissioning Policies

On 1st July 2022 NHS Cheshire and Merseyside Integrated Care Board (ICB) became the new statutory body responsible for ensuring health care services are available to meet the reasonable needs of the people of Cheshire & Merseyside.

Until such time as a single suite of commissioning policies can be developed and adopted, NHS Cheshire and Merseyside will continue to adopt and operate the CCG policies it has inherited at Place/borough level, which means that there will be no immediate change in commissioning policy for local people resident in those Places/boroughs from what was in place prior to 1st July 2022.

NHS Cheshire and Merseyside Commissioning Policies

 

Documents

Date Added: 19 - Dec - 2023

The Cheshire and Merseyside Area Prescribing Group recommends DAPAGLIFLOZIN and EMPAGLIFLOZIN as options for treating symptomatic chronic heart failure with preserved or mildly reduced ejection fraction in adults, following specialist recommendation, in accordance with NICE TA902 and TA929.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Feb - 2024

The Cheshire and Merseyside Area Prescribing Group recommends DAPAGLIFLOZIN and EMPAGLIFLOZIN as options for treating chronic kidney disease, in accordance with NICE TA775 and NICE TA942.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 25 - Nov - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of DAPAGLIFLOZIN tablets (Forxiga®) for symptomatic chronic heart failure with reduced ejection fraction, following specialist recommendation in accordance with NICE TA679.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing ofCANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as
MONOTHERAPIES as options for treating type 2 diabetes in adults in accordance with NICE TA390 and TA572.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as COMBINATION THERAPIES as options for treating type 2 diabetes in adults in accordance with NICE guidance.

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Date Added: 24 - Apr - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of DAPOXETINE tablets (Priligy®) for the treatment of premature ejaculation when recommended by a psychosexual service or a specialist clinician with experience of treating psychosexual disorders. Treatment is restricted to three doses per month.

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Date Added: 25 - Jan - 2024

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of DARIDOREXANT Tablets (Quviviq ®▼), for treating long term insomnia in accordance with NICE TA922.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 02 - Oct - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of DEGARELIX SC injection (Firmagon®) following specialist initiation for treating advanced hormone-dependent prostate cancer in people with spinal metastases in accordance with NICE TA404.

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Date Added: 22 - Apr - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of DENOSUMAB solution for injection (Prolia®) for the treatment of bone loss associated with long-term systemic glucocorticoid therapy.

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Date Added: 25 - Sep - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of DEUCRAVACITINIB tablets (Sotyktu ®▼), by specialists only, for treating moderate to severe plaque psoriasis in adults in accordance with NICE TA907.

NHS Cheshire and Merseyside APPROVED

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Date Added: 26 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of DEXAMETHASONE INTRAVITREAL IMPLANT (Ozurdex®), by specialists only, for treating visual impairment caused by diabetic macular oedema, in accordance with NICE TA824.

NHS Cheshire and Merseyside APPROVED

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Date Added: 27 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Dibotermin Alfa formulation (InductOs®) by specialists only for the licensed indication (acute tibia fractures in adults, as an adjunct to standard care) and use outside of this license as detailed below by a non-union specialist only.

NHS Cheshire and Merseyside APPROVED

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Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Direct Oral Anticoagulants (DOACs) for the prevention of stroke and systemic emboli in non-valvular atrial fibrillation (AF)

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Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Direct Oral Anticoagulants (DOACs) for the treatment and prevention of Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE)

Body System:
Date Added: 24 - Apr - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of DOSULEPIN capsules and tablets.

Body System:
Date Added: 31 - Jan - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of DOXAZOSIN modified release (M/R) tablets (All Brands).

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Date Added: 24 - Mar - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of DOXYLAMINE/PYRIDOXINE gastro-resistant tablets (Xonvea®), as an option for the treatment of nausea and vomiting of pregnancy

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Date Added: 24 - Nov - 2022

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of DROSPIRENONE 3mg / ESTETROL 14.2mg tablets (Drovelis®▼) for contraception.

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