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.
Documents
The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of DAPAGLIFLOZIN and EMPAGLIFLOZIN, following specialist recommendation, as options for treating symptomatic chronic heart failure with reduced ejection fraction in accordance with NICE TA679 and NICE TA773, and symptomatic chronic heart failure with preserved or mildly reduced ejection fraction, in accordance with NICE TA902 and TA929.
GP communication letter: SGLT2 inhibitors in heart failure
Pathway for the use of SGLT2 inhibitors in heart failure
NHS Cheshire and Merseyside APPROVED
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
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.
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.
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.
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.
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.
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
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
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