netFormulary NHS Crawley and NHS Horsham and Mid Sussex CCG NHS
 Formulary Chapter 16: Medicines Management Website information - Full Chapter

Includes guidelines and advice, PGDs, audit tools, template letters and link to drug tariff specials.

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16.07  Expand sub section  Effective Shared Care Agreements

Shared care
Certain drugs on the formulary are classified as 'amber' which means they are suitable for shared care prescribing under agreed shared care guidance.

Shared Care Guidance is available for specific drugs where therapy is initiated in the specialist setting but, at an agreed time, prescribing and drug monitoring is taken over by primary care. Shared care agreements have clearly defined areas of responsibility.

The existence of a shared care agreement does not imply that patients will automatically be accepted for shared care. It should be considered on a case-by-case basis for stabilised patients only. A GP has the right to decline shared care on clinical grounds or if he or she does not feel confident in managing the drug or condition.

If you are unable to accept shared care then you should complete this form and send to initiating organisation declining prescribing.

In such cases, you are encouraged to discuss your concerns with the referring consultant and/or the Medicines Management team to explore whether they can be safely resolved.

Melatonin Prescribing

Please note that if you are requested to prescribe Melatonin by Sussex Partnership NHS Foundation Trust, please contact the Medicines Management Team with the details

Information Sheets

Information Sheets for ‘blue’ drugs (which should be initiated by a specialist) are also being developed to facilitate the transfer of prescribing responsibilities.

Specialist should send agreement to GP to request shared care.

Shared Care Agreements for Amber Drugs

Information Sheets for Blue Drugs

See individual drug entries for amber shared care and  blue information sheets

note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Track Changes
Display tracking information
click to search
Link to adult BNF
click to search
Link to children's BNF
click to search
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHS England

Traffic Light Status Information

Status Description


Comment : Not to be routinely commissioned (prescribed) in any care setting (primary or secondary care). This may be due to a lack of good clinical evidence, cost effectiveness, concerns over safety or due to the availability of more suitable alternatives. As such, drugs classified as Black should be considered as non-formulary.   


Initiation : Specialist only
Repeat Prescribing : Specialist
Monitoring : Specialist
Comment : Prescribing must be in line with any specific treatment criteria outlined. In exceptional circumstances a GP may be asked to prescribe the specialist must provide adequate information and support.   


Initiation : Specialist only
Repeat Prescribing : Primary care OR specialist
Monitoring : Primary care OR specialist
Comment : Monitoring according to Effective Shared Care Agreement (ESCA) for stabilised patients only. GP agreement should be requested by specialist and confirmed/declined by GP on a patient-by-patient basis.   


Initiation/Recommendation : Specialist only
Repeat Prescribing : Primary care
Monitoring : Primary care
Comment : Should be initiated or recommended by a specialist. Monitoring of either medicine or disease does not require specialist skills or equipment   


Initiation : Primary care or specialist
Repeat Prescribing : Primary care
Monitoring : Primary care
Comment : Suitable for non specialist initiation   


Patients should be advised to purchase if approriate.