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 Formulary Chapter 26: A5 - Wound Managment Formulary (Dressings/Elastic Hoisery) - Full Chapter
Notes:

This chapter of the formulary is populated with formulary dressings only. If a dressing is not listed it should be considered non-formulary.

The roll-out of a non-prescription dressings supply service is complete in Crawley, Horsham and Mid-Sussex. (excluding some of the nursing homes)

 Details...
A5.01  Basic wound contact dressings
A5.01.01  Low adherence dressings
N-A Ultra
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First Choice
Green

Low/Non Adherence
A primary contact layer for a wide range of wounds, including infected wounds

  • 9.5cm x 9.5cm
  • 19cm x 9.5cm

  • Non-Formulary equivalents
  • Similar to Atrauman but NOT impregnated
  • Tricotex
  • Profore

     
  • Atrauman
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    Formulary
    Green

    Low/Non Adherence
    A primary contact layer for a wide range of wounds, including infected wounds

  • 5cmx5cm
  • 7.5cmx10cm
  • 10cmx20cm
  • 20cmx30cm

  • Non-Formulary equivalents
  • Similar to Atrauman but NOT impregnated
  • Tricotex
  • Profore
     
  •    
    A5.01.02  Absorbent dressings
    A5.01.02  For lightly exuding wounds
    Cosmopor E
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    Formulary
    Green

    Wound Contact Pad
  • 5cm x 7.2cm
  • 8cm x 10cm
  • 8cm x 15cm
  • 10cm x 20cm
  • 10cm x 25cm
  • 10cm x 35cm
  •  
       
    A5.01.02  For moderately to heavily exuding wounds to top
    Zetuvit E(non-sterile)
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    Formulary
    Green

    Absorbent cellulose dressing.
    Only for padding outside primary and secondary

  • 20cmx40cm
  •  
       
    Zetuvit E(sterile)
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    Formulary
    Green

    Absorbent cellulose dressing (sterile)
    Primary or secondary dressing for medium to heavily exuding wounds

  • 10cmx10cm
  • 10cmx20cm
  • 20cmx20cm
  • 20cmx40cm

  • Non-Formulary equivalents
  • Mesorb dressing
  • Eclypse dressing
  • Exu-Dry dressing
  • CelluDress dressing
     
  •    
    A5.01.02  For heavily exuding wounds
    Klinidermsuperabsorbent
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    Formulary
    Green

    Heavy Exudate
  • 10cmx10cm
  • 10cmx15cm
  • 20cmx20cm
  • 20cmx30cm
  •  
       
    A5.02  Advanced wound dressings
    A5.02.01  Hydrogel dressings
    IntrasiteConformable
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    Formulary
    Green

    Hydrogels
    Not recommended for heavily exudating wounds. Contra-indicated in anaerobic infection. Not to be used in ischaemic feet

  • 10cmx10cm (7.5g)
  •  
       
    A5.02.01  Hydrogel application (amorphous)
    IntrasiteGel
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    Formulary
    Green

    Hydrogels
    Not recommended for heavily exudating wounds. Contra-indicated in anaerobic infection. Not to be used in ischaemic feet

  • 8g
  •  
       
    A5.02.01  Hydrogel sheet dressings to top
    A5.02.01.01  Sodium hyaluronate dressings
    A5.02.02  Vapour-permeable films and membranes
    A5.02.02  Vapour-permeable Adhesive Film Dressing (Semi-permeable Adhesive Dressing)
    A5.02.02  Vapour-permeable Adhesive Film Dressing with absorbent pad
    A5.02.02  For intravenous and subcutaneous catheter sites to top
    A5.02.03  Soft polymer dressings
    A5.02.03  Without absorbent pad
    A5.02.03  With absorbent pad
    A5.02.03  Bio-cellulose dressings
    A5.02.04  Hydrocolloid dressings to top
    A5.02.04  Without adhesive border
    A5.02.04  With adhesive border
    A5.02.04  Hydrocolloid-fibrous dressings
    A5.02.04  Polyurethane matrix dressing
    A5.02.05  Foam dressings to top
    A5.02.05  For lightly exuding wounds
    A5.02.05  For lightly to moderately exuding wounds
    A5.02.05  For moderately to heavily exuding wounds
    A5.02.06  Alginate dressings
    A5.02.07  Capillary-action dressings to top
    A5.02.08  Odour absorbent dressings
    A5.03  Antimicrobial dressings
    A5.03.01  Honey
    A5.03.01  Sheet dressing
    L-MesitranHydro
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 10cmx10cm
  • 15cmx20cm
  • Specialist use only (TVN).  
  •    
    L-MesitranNet
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 10cmx10cm
  • Specialist use only (TVN).  
  •    
    A5.03.01  Honey-based topical application to top
    Activon (Honey) 25g
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    Restricted Drug Restricted
    Blue

    Antimicrobial - Honey
  • 25g
  • Specialist use only (TVN).  
  •    
    A5.03.02  Iodine
    A5.03.03  Silver
    A5.03.03  Low adherence dressings
    A5.03.03  With charcoal
    A5.03.03  Soft polymer dressings to top
    A5.03.03  Hydrocolloid dressings
    A5.03.03  Foam dressings
    A5.03.03  Alginate dressings
    A5.03.04  Other antimicrobials
    A5.04  Specialised dressings to top
    A5.04.01  Protease-modulating matrix dressings
    A5.04.02  Silicone keloid dressings
    A5.04.02  Silicone sheets
    A5.04.02  Silicone gel
    A5.05  Adjunct dressings and appliances to top
    A5.05.01  Gauze and tissue
    A5.05.01  Surgical absorbents
    A5.05.01  Cotton
    A5.05.01  Lint
    A5.05.01  Pads to top
    A5.05.02  Wound drainage pouches
    A5.06  Complex adjunct therapies
    A5.06.01  Topical negative pressure therapy
    A5.06.01  Vacuum assisted closure products
    PICO
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    Restricted Drug Restricted
    Blue

    A disposable and portable TNP system designed to kick start wound healing

    • NB: PICO is a 7 day device. Each kit contains 1 PICO system and 2 PICO dressings
    • Topical Negative Pressure Products
    • 10cmx20cm
    • 10cmx30cm
    • 15cmx15cm
    • 15cmx20cm

    • Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS
     
    Link  PCN 215 - 2016 updated March 2018 Negative Pressure Wound Therapy (NPWT)
       
    RenasysF Foam Dressing Kit with Soft Port
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • Small
    • Medium
    • Large


    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS.

     
    Link  PCN 215-2016 updated March 2018 - Negative Pressure Wound Therapy (NPWT)
       
    RenasysG Gauze Dressing Kit with Soft Port
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • Small
    • Medium
    • Large


    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS

     
    Link  PCN 215-2016 updated March 2018 Negative Pressure Wound Therapy
       
    RenasysGo Canister Kit
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    Restricted Drug Restricted
    Blue

    Topical Negative Pressure Products

    • 300ml with Solidifier

    Please note: Specialist use only - patients to be referred through TVN service. Supply via CCOMS.

     
    Link  PCN 215-2016 updated March 2016 - Negative Pressure Wound Therapy
       
    A5.06.01  Wound drainage collection devices to top
    A5.06.01  Accessories
    A5.07  Wound care accessories
    A5.07.01  Dressing packs
    Nurse It
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    Formulary
    Black

    Dressing Pack (sterile)Please note that discussions are currently taking place to repatriate to community provider
  • Used to provide a clean sterile working surface. Contains apron and gauze

  • Nurse It
    Sterile Pack containing: 7 Non-Woven Swabs 4 ply 10cm x 10cm
    1 Compartment Tray 12cm x 11cm
    1 Disposable Forceps 11cm
    2 Laminated Paper Sterile Fields 40cm x 40cm
    1 Large Apron 80cm x 130cm
    1 Paper Towel 35cm x 40cm
    1 White Polythene Disposable Bag 46cm x 26cm, 1 Paper Measuring Tape
    1 pair latex free powder free nitrile gloves small/med, med/large 
       
    A5.07.02  Woven and fabric swabs
    A5.07.03  Surgical adhesive tapes to top
    A5.07.03  Permeable adhesive tapes
    A5.07.03  Occlusive adhesive tapes
    A5.07.04  Adhesive dressings
    A5.07.04  Vapour permeable adhesive dressings
    A5.07.05  Skin closure dressings to top
    A5.07.05  Skin closure strips, sterile
    A5.08  Bandages
    A5.08.01  Non-extensible bandages
    A5.08.02  Light-weight conforming bandages
    A5.08.03  Tubular bandages and garments to top
    A5.08.03  Elasticated
    A5.08.03  Non-elasticated
    A5.08.03  Silk Clothing
    A5.08.04  Support bandages
    A5.08.05  Adhesive bandages to top
    A5.08.06  Cohesive bandages
    A5.08.06  Cohesive extensible bandages
    A5.08.07  Compression bandages
     note  COMPRESSION (only health care staff who have undergone the specific training should apply compression bandaging.)
    A5.08.07  High compression bandage
    A5.08.07  Short stretch compression bandage to top
    A5.08.07  Sub-compression wadding bandage
    A5.08.08  Multi-layer compression bandaging
    A5.08.08  Four layer systems
    A5.08.08  Two layer systems
    A5.08.09  Medicated bandages to top
    A5.08.09  Medicated stocking
    A5.09  Compression hosiery and garments
    A5.09.01  Graduated compression hosiery
    Acti-glide Hosiery Applicator
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    Formulary
    Green

    One Size (for open & closed toe)

     
       
    Activa Leg Ulcer Hosiery Kit
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    Formulary
    Green

    Compression Liner Pack Closed Toe - Pack contains: 3 liners (10mmHg, Small, Medium, Large, Extra Large, Extra Extra Large
  • Venous ulcer compression systems treatment stockings
    N.B. Made-to-measure hosiery should be obtained through your usual route

  •  
       
    Activa Leg Ulcer Hosiery Kit
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    Formulary
    Green

    Medical Stocking & Compression Liner - Pack contains: 1 stocking and 2 liners (40mmHg, Small, Medium, Large, Extra Large, Extra Extra Large
  • Venous ulcer compression systems treatment stockings
    N.B. Made-to-measure hosiery should be obtained through your usual route

  • Please note: SystmOne will not allow this product to be DM+D Mapped. This product unable to be sent via EPS. Prescription needs to be printed
     
       
    ActivaClass 1 (Elastic Hosiery)
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    Formulary
    Green

    Below knee

     
       
    ActivaClass 2 (Elastic Hosiery)
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    Formulary
    Green

    Below knee - (open or closed toe)

     
       
    Easy-Slide
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    Formulary
    Green

    Application aid for open toe stockings.
    Small, Medium, Large, X Large


     
       
    Jobst UlcerCARECompression Liner
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    Formulary
    Green

    Compression Liner Pack - Pack contains 3 liners 10mmHg (Small, Medium, Large, X Large, XX Large, XXX Large)
  • 3 pieces 18.86
  •  
       
    Jobst UlcerCAREMedical Stocking & Compression Liner
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    Formulary
    Green

    Pack contains 1 stocking and 2 liners (Small, Medium, Large, X Large, XX Large, XXX Large)
  • 1 pack 31.23

  •  
       
    A5.09.01  Accessories
    A5.09.01  Suspender to top
    A5.09.01  Anklets
    A5.09.01  Knee caps
    A5.09.02  Lymphoedema garments
    A5.10  Skin Protection
    A5.11  Appliances to top
     ....
     Non Formulary Items
    Silk Garments

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Black

    Poor evidence base not appropriate to use NHS resources to prescribe these products

    Link  Brighton Joint Formulary Not for routine prescribing (BLACK list)
     
      
    Key
    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
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Black

    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.   

    Red

    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.   

    Amber

    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.   

    Blue

    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   

    Green

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

    OTC

    Patients should be advised to purchase if approriate.  

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