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Summary and Next Steps Linda Lord – Chief Pharmacist

Summary and Next Steps Linda Lord – Chief Pharmacist. FreeStyle Libre (1). For now, continue to adhere to the WSCCG Prescribing Policy (holding statement): No prescribing Policy is in your pack Promote DAFNE and DESMOND DAFNE = Dose Adjustment For Normal Eating (T1D)

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Summary and Next Steps Linda Lord – Chief Pharmacist

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  1. Summary and Next StepsLinda Lord – Chief Pharmacist

  2. FreeStyle Libre (1) • For now, continue to adhere to the WSCCG Prescribing Policy (holding statement): • No prescribing • Policy is in your pack • Promote DAFNE and DESMOND • DAFNE = Dose Adjustment For Normal Eating (T1D) • DESMOND = Diabetes Education and Self Management for Ongoing and Newly Diagnosed (T2D) • DAFNE and DESMOND are freely available for all diabetic patients in West Suffolk - availability recently enhanced • Adhere to the revised WSCCG Prescribing Policy, available soon, which will clarify criteria for prescribing • Waiting for final EoE recommendations

  3. FreeStyle Libre (2) And also… • Continue to adhere to WSCCG-WSFT prescribing policies for blood glucose testing strips, lancets and needles • Continue to adhere to WSCCG-WSFT Type 2 Diabetes Mellitus Adult Treatment Pathway Further copies of all these documents available tonight

  4. Liothyronine (1) ePACT, October 2017 Projected full year cost for WSCCG (2017) = £180k Approximately 50 patients

  5. Liothyronine (2) Costs, Drug Tariff January 2018 The issue! The issue! Cost per patient per 12 months Liothyronine tablets 20mcg tds: £10,097 Levothyroxine tablets 100mcg od: £14.21

  6. Liothyronine (3) • Do not initiate any new patients on liothyronine or Armour Thyroid • Switch existing patients from liothyronine, combination therapy or Armour Thyroid to levothyroxine if at all possible • Refer to the WSCCG Liothyronine Policy for • Risks associated with T3 • Equivalent doses of levothyroxine • Exceptional circumstances • Supporting statements from national organisations, e.g. Royal College of Physicians, British Thyroid Association, NHSE/NHSCC. • Policy is in your pack • EoE Priorities Advisory Committee recommendations due soon - WSCCG Policy will be updated if needed

  7. Quetiapine (1) ePACT, October 2017 Projected full year cost for WSCCG (2017) = £212k Estimated savings from switching to IR (2017) = £150k

  8. Quetiapine (2) • Do not initiate quetiapine XL • Quetiapine costs are being monitored by the Medicines Management Team • Switch from XL to IR if at all possible when advised by the Medicines Management Team • Follow NSFT switching protocol • Protocol is in your pack

  9. Trimipramine (1) ePACT, October 2017 Projected full year cost for WSCCG (2017) = £144k Approximately 30 patients

  10. Trimipramine (2) • Discontinue if possible • Switch to an SSRI if on-going prescribing genuinely indicated, or to a TCA • Adhere to PrescQIPP bulletin recommendations • Bulletin is in your pack

  11. And Finally… • All sorts of supporting documents available at the back. Please take what you need! • Antibiotic Formulary • Antibiotic not required ‘prescription’ • Treating your infection leaflets • Pain Ladders • Pain Toolkit • Diabetes Treatment Guidelines • BGTS, Lancet and Needle Policies • COPD Guidelines • COPD Placebo Inhaler Device Kits • Other things too

  12. Thank you

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