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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  Expand sub section  Basic wound contact dressings
A5.01.01  Expand sub section  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  Expand sub section  Absorbent dressings
    A5.01.02  Expand sub section  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  Expand sub section  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  Expand sub section  For heavily exuding wounds
    Klinidermsuperabsorbent
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    Formulary
    Green

    Heavy Exudate
  • 10cmx10cm
  • 10cmx15cm
  • 20cmx20cm
  • 20cmx30cm
  •  
       
    A5.02  Expand sub section  Advanced wound dressings
    A5.02.01  Expand sub section  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  Expand sub section  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  Expand sub section  Hydrogel sheet dressings to top
    A5.02.01.01  Expand sub section  Sodium hyaluronate dressings
    A5.02.02  Expand sub section  Vapour-permeable films and membranes
    A5.02.02  Expand sub section  Vapour-permeable Adhesive Film Dressing (Semi-permeable Adhesive Dressing)
    A5.02.02  Expand sub section  Vapour-permeable Adhesive Film Dressing with absorbent pad
    A5.02.02  Expand sub section  For intravenous and subcutaneous catheter sites to top
    A5.02.03  Expand sub section  Soft polymer dressings
    A5.02.03  Expand sub section  Without absorbent pad
    A5.02.03  Expand sub section  With absorbent pad
    A5.02.03  Expand sub section  Bio-cellulose dressings
    A5.02.04  Expand sub section  Hydrocolloid dressings to top
    A5.02.04  Expand sub section  Without adhesive border
    A5.02.04  Expand sub section  With adhesive border
    A5.02.04  Expand sub section  Hydrocolloid-fibrous dressings
    A5.02.04  Expand sub section  Polyurethane matrix dressing
    A5.02.05  Expand sub section  Foam dressings to top
    A5.02.05  Expand sub section  For lightly exuding wounds
    A5.02.05  Expand sub section  For lightly to moderately exuding wounds
    A5.02.05  Expand sub section  For moderately to heavily exuding wounds
    A5.02.06  Expand sub section  Alginate dressings
    A5.02.07  Expand sub section  Capillary-action dressings to top
    A5.02.08  Expand sub section  Odour absorbent dressings
    A5.03  Expand sub section  Antimicrobial dressings
    A5.03.01  Expand sub section  Honey
    A5.03.01  Expand sub section  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  Expand sub section  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  Expand sub section  Iodine
    A5.03.03  Expand sub section  Silver
    A5.03.03  Expand sub section  Low adherence dressings
    A5.03.03  Expand sub section  With charcoal
    A5.03.03  Expand sub section  Soft polymer dressings to top
    A5.03.03  Expand sub section  Hydrocolloid dressings
    A5.03.03  Expand sub section  Foam dressings
    A5.03.03  Expand sub section  Alginate dressings
    A5.03.04  Expand sub section  Other antimicrobials
    A5.04  Expand sub section  Specialised dressings to top
    A5.04.01  Expand sub section  Protease-modulating matrix dressings
    A5.04.02  Expand sub section  Silicone keloid dressings
    A5.04.02  Expand sub section  Silicone sheets
    A5.04.02  Expand sub section  Silicone gel
    A5.05  Expand sub section  Adjunct dressings and appliances to top
    A5.05.01  Expand sub section  Gauze and tissue
    A5.05.01  Expand sub section  Surgical absorbents
    A5.05.01  Expand sub section  Cotton
    A5.05.01  Expand sub section  Lint
    A5.05.01  Expand sub section  Pads to top
    A5.05.02  Expand sub section  Wound drainage pouches
    A5.06  Expand sub section  Complex adjunct therapies
    A5.06.01  Expand sub section  Topical negative pressure therapy
    A5.06.01  Expand sub section  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  Expand sub section  Wound drainage collection devices to top
    A5.06.01  Expand sub section  Accessories
    A5.07  Expand sub section  Wound care accessories
    A5.07.01  Expand sub section  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  Expand sub section  Woven and fabric swabs
    A5.07.03  Expand sub section  Surgical adhesive tapes to top
    A5.07.03  Expand sub section  Permeable adhesive tapes
    A5.07.03  Expand sub section  Occlusive adhesive tapes
    A5.07.04  Expand sub section  Adhesive dressings
    A5.07.04  Expand sub section  Vapour permeable adhesive dressings
    A5.07.05  Expand sub section  Skin closure dressings to top
    A5.07.05  Expand sub section  Skin closure strips, sterile
    A5.08  Expand sub section  Bandages
    A5.08.01  Expand sub section  Non-extensible bandages
    A5.08.02  Expand sub section  Light-weight conforming bandages
    A5.08.03  Expand sub section  Tubular bandages and garments to top
    A5.08.03  Expand sub section  Elasticated
    A5.08.03  Expand sub section  Non-elasticated
    A5.08.03  Expand sub section  Silk Clothing
    A5.08.04  Expand sub section  Support bandages
    A5.08.05  Expand sub section  Adhesive bandages to top
    A5.08.06  Expand sub section  Cohesive bandages
    A5.08.06  Expand sub section  Cohesive extensible bandages
    A5.08.07  Expand sub section  Compression bandages
     note  COMPRESSION (only health care staff who have undergone the specific training should apply compression bandaging.)
    A5.08.07  Expand sub section  High compression bandage
    A5.08.07  Expand sub section  Short stretch compression bandage to top
    A5.08.07  Expand sub section  Sub-compression wadding bandage
    A5.08.08  Expand sub section  Multi-layer compression bandaging
    A5.08.08  Expand sub section  Four layer systems
    A5.08.08  Expand sub section  Two layer systems
    A5.08.09  Expand sub section  Medicated bandages to top
    A5.08.09  Expand sub section  Medicated stocking
    A5.09  Expand sub section  Compression hosiery and garments
    A5.09.01  Expand sub section  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  Expand sub section  Accessories
    A5.09.01  Expand sub section  Suspender to top
    A5.09.01  Expand sub section  Anklets
    A5.09.01  Expand sub section  Knee caps
    A5.09.02  Expand sub section  Lymphoedema garments
    A5.10  Expand sub section  Skin Protection
    A5.11  Expand sub section  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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