 British National Formulary  Summary of Product Characteristics Information
(if you search on a drug name in the search box above, clicking the BNF/SPC icons under the drug entry will take you directly to relevant web page)
British National Formulary for Children Guys/St Thomas/Kings/Lewisham Paediatric Formulary
HIGH COST DRUGS MANUAL - Kent and Medway health economy national tariff excluded drugs
The purpose of this manual is to describe the process for funding National Tariff Excluded Drugs (NTEs) these are the high cost drugs or devices excluded from the National Tariff payment system (National Tariff), previously known as National Tariff Exclusions (National Tariff). The May 2019 update is in a different format and has been amended based on feedback from users.
Drugs are only commissioned for those indications listed under the individual drug and with regard to locally commissioned (CCG) drugs may not be commissioned across every CCG. Information on whether a CCG has commissioned a drug can be found in the “Commissioned By” box. Invoices will be refused for indications not listed within this manual or for patients in a CCG where the drug is not commissioned.
High Cost Drug Manual May 19 update
SACT pathways can be viewed using the following link:
http://www.kmcc.nhs.uk/medicines-and-prescribing-incorporating-sact-pathways/sact-pathways-guidelines-for-the-management-of-sact-induced-adverse-reactions-and-nursing/
The Critical Medicines List is now available. Please use the following link:
http://www.ekhuftformulary.nhs.uk/docs/Critical%20Medicine%20list%20FINAL.pdf
Obtaining Medication out of Hours
Any medication not available out of hours should be located using the drug stock file on the Intranet at ekhuft.nhs.uk/staff/clinical/antidote-drug-stock-lists/ If a medicine cannot be obtained the on-call pharmacist must be contatced for advice
TOP TWENTY MOST USED DRUGS - ADMINISTRATION ADVICE ON PATIENTS WITH SWALLOWING DIFFICULTIES OR ENTERAL FEEDING TUBES
The list below provides information relevant to alternative administration in patients with swallowing difficulties and enteral tubes in situ. The information provided is applicable to both routes unless otherwise stated.
[ Alternative Administration options ]
SIP FEEDS
N.B
If SIP feeds are to be continued by the GP there will be a message from the dieticians on the EDN under the dietetic summary section.
To access the Kent & Medway Catheter and Accessories First choice list please use link below
[ Kent & Medway Catheter and Accessories first choiice list ]
ABOUT THE FORMULARY
The formulary is maintained by the Medicines Information team. Contact Medicines Information for any formulary or medicine queries by email ekh-tr.MedicinesInformation@nhs.net or telephone 723-6001 (internal) or 01233 616001 (external).
This web formulary is continuously updated. There is more information about our formulary here. Within the Trust more medicines information is found on the Drugs & Therapeutic pages and clinical practice is supported by policies and guidelines on Sharepoint as well as the information on Trustnet. We are constantly mitigating medication shortages and update formulary appropriately.
FORMULARY APPLICATIONS
Trust clinicians should apply to add to formulary new medicines/formulations or new indications for an established drug using the Produc Inclusion request form at https://www.canterburycoastalccg.nhs.uk/_resources/assets/attachment/full/0/460009.docx . Only utilise the previous drug request form if the medication will be used within the Trust at Trust expense on a one off fashion.
TRAFFIC LIGHT POSTER
The Traffic light poster is available at the following link
http://www.ekhuftformulary.nhs.uk/docs/prescribing%20antimicrobials%20in%20renal%20transplant%20patients.pdfe at the
MEDUSA CONTINGENCY PLANS
It has been noted that several instances have occurred where Medusa has not been available. The Trust has therefore put a contingency plan into place so that alternative rsources can be used. Please click on link below.
http://www.ekhuftformulary.nhs.uk/docs/Medusa%20contingency%20advice%20v1.0.pdf
QUICK LINKS TO TRUST MEDICINES RELATED GUIDELINES & e-LEARNING
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