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Harrogate & District NHS Foundation Trust
Harrogate & Rural District Clinical Commissioning Group
 
 
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 Introduction


Welcome to the Harrogate & Rural District Area Prescribing Committee Medicines Formulary

This Formulary is intended for use by staff working within Harrogate & District NHS Foundation Trust and the Harrogate & Rural District Clinical Commissioning Group and is available via www.harrogateformulary.nhs.uk

The development of the formulary has been overseen by the Harrogate & Rural District Area Prescribing Committee (HaRD APC) and choices are based on clinical evidence and consultant and GP opinion. The formulary aims to provide information on medicines available within the locality reflecting safe, evidence-based, cost-effective choices. Only formulary approved medicines are displayed and those medicines which are restricted (by specialist or indication) are shown, as are first and second line choices for some medicines.

The database is formatted in accordance with BNF chapter classification for ease of use and also includes hyperlinks to the e-BNF, e-BNFc and to the electronic medicines compendium which holds Summaries of Product Characteristics. Searches can be undertaken by medicine name, class or condition. 

The HaRD APC would be pleased to receive any comments or criticisms by e-mailing drug-information@hdft.nhs.uk or christopher.ranson@nhs.net

Blank medication record cards to aid patient compliance can be found on the following links:

General Use

Multiple Daily Dosing (e.g. for Parkinsons Patients)

Traffic Light Status Information

Status Description
  Amber   Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.  
  Amber Shared Care   Medicines which are suitable to be prescribed in primary care only after specialist recommendation only under a shared care protocol once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must be approved by the Harrogate & Rural District Area Prescribing Committee (HaRD APC).   
  Black   Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.  
  Green   Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  
  Grey   Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.  
  Red   Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.  


Updated November 2017  

Guidance on the administration of medicines in patients who are unable to swallow tablets or capsules can be located using this link


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