netFormulary East Kent Hospitals University NHS
NHS Foundation Trust  
 Introduction

Welcome to the East Kent Hospitals University NHS Foundation Trust Formulary
Enter a drug name below to search for it (if not sure of spelling click on chapters button above)

Useful Links

                 
Antimicrobial Guidelines

                 
                 
                 
Prescription Chart
(Interactive e-learning)

                 
                 
MHRA YellowCard
Report an adverse drug reaction

                 
                 
Web clinical calculators
(Login if external to Trust)
                 
                 
Medicines safety
(Login if external to Trust)

                 
                 
Latest NICE guidance
Used throughout England & Wales

                 
                 
EKHUFT Prescribing
Policies and Guidelines
(Login if external to Trust)

                 
                 
EKHUFT Medicines
Competency & induction
(Login if external to Trust)

                 
                 
Eastern Kent Formulary
& prescribing guidelines since 2013

                 

News Feed

September 2019: Do not supply just in case prescriptions for Brexit so patients can stockpile. See NHS England on continuity of supply in case of non-deal Brexit and for latest news on actual issues see Trust medicines shortages page.

Guidance and checklists for formulary requests exists. Please click this link for information that will help in the decision making of formulary applications.

Smof Vits Lipid Solution information. Please refer to the link below.

http://www.ekhuftformulary.nhs.uk/docs/SmofVits%20info%20for%20formulary.docx

 


August 2019

For the interest of Foundation F1 doctors the new critical medicines and out of hours medication lists are now available on the front page of the EKHUFT formulary


July 2019 Welcome to this years new junior doctors. E-learning is available on the prescription chartsafer basic prescribing and how to do VTE risk assessment in our Trust. Trustnet has general prescibing advice .


June 2019 : The local specialist respiratory group has recommended that all easy haler devices except Salbutamol are removed from use. The easyhaler devices cause problems in giving consent information on inhaler technique as they are the only dry powder devices which require shaking. The message used by respiratory staff is:

  • dry powder devices = don't shake + forceful inhalation
  • pMDI devices= don't shake +gentle inhalation
  • Easy halers therefore require a mixed message. Including salbutamol easy haler "on formualry"  is therfore not completely logical but there are limited dry powder salbutamol devices.

March 2019:  Please check Microguide for latest antibiotic recommendations and Medusa (link on every Trust desktop) for advice in English on formulations of iv drugs supplied by pharmacy.


December 18 Please only have one new inpatient prescription chart  active on a patient at any one time and use antimicrobial and anticoagulant sections correctly for all medications of these respective classes with review of prescription chart every ward round.


>>> more news

BNF British National Formulary SPC Summary of Product Characteristics InformationNHS
(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)
BNF 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.

http://www.ekhuftformulary.nhs.uk/docs/HCD%20manual%20Oct%2019.xlsx

 

MEDICINES WISE

 Please see thee file below to access the recent and archived copies of Medicines Wise, the quarterly bulletin pact with information from learning incidents.

http://www.ekhuftformulary.nhs.uk/docs/mw/

 

 

 

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.

http://www.ekhuftformulary.nhs.uk/docs/TOP%20TWENTY%20MOST%20USED%20DRUGS.docx

 

 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

A joint formulary is being developed across East Kent and this document outlines the process for requesting the inclusion of new products onto the formulary and amendments in use for current products. If the product is going to be hospital use only the request is made to the EKHUFT Drug and Therapeutics Committee (DTC); which is held on the fourth Wednesday of every second month at Buckland Hospital.If the product is going to be used across the health economy the request is made to the East Kent Prescribing Group (EKPG) which is held every third Wednesday of the month at the South Kent Coast CCG offices.In order to maximise the efficiency of the approach to assessing the suitability of products and to ensure a safe and straightforward implementation if approved; there is a substantial amount of work that needs to be done prior to any request being submitted, especially if the product is to be used across the Health Economy. The timeline from identifying a product for inclusion to it being approved for use is likely to be from 2 to 6 months, and possibly more if there are factors such as NICE decisions and the development of shared care guidelines to include Please note that the deadline for submissions to an EKPG meeting is usually the first working day of the month it is held in.

http://www.ekhuftformulary.nhs.uk/docs/files/EastKentJointFormularyProductInclusionRequestAugust18.pdf

 

Only utilise the previous drug request form if the medication will be used within the trust at trust expense on a one off fashion

http://www.ekhuft.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=23702

http://www.ekhuftformulary.nhs.uk/docs/Guidance%20and%20Checklists%20for%20formulary%20requests%20June%2019.docx

http://www.ekhuftformulary.nhs.uk/docs/EK%20Shared%20Care%20template.docx

http://www.ekhuftformulary.nhs.uk/docs/D&TC%20SBAR%20front%20sheet%20Template%20Jan%2019.docx

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


Electrolyte Pocket Guide No access if external to Trust 
IV Fluid Pocket GuideNo access if external to Trust
Anticoagulation Guidelines
No access if external to Trust
NOAC Hospital Safety Guidelines:
Dabigatran
Rivaroxaban
Apixaban
Edoxaban
No access if external to Trust
Nausea & Vomiting Guidelines No access if external to Trust
Analgesics in Renal Failure Guideline No access if external to Trust

Drugs & Therapeutics
Requires login if external to Trust
Novel anticoagulants(NOACs) in AF
Decision Aid
Documents may not include yet edoxaban
Patient FAQs

Emergencies
Handbook

EKHUFT prescribing
safety module
SCRIPT web site

SCRIPT information

SCRIPT manual
Learning fromMedicines Incidentspast issues
No access if external to Trust







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