Shared Care arrangements allow a drug to be initiated by a hospital clinician before prescribing responsibility and ongoing monitoring is taken over by the patients own GP.
Patients must first be stabilised on their treatment before responsibility is partially delegated to primary care. It remains a joint responsibility between the nominated GP and the hospital clinician to ensure ongoing safe usage of the medicine. Shared care protocols and proformas were developed to assist in this process.
Whilst a GP is able to prescribe any medicine listed in the BNF it would not be advisable to prescribe medicines outside of the guidelines provided by the Doncaster Medicines Management team.
Antipsychotics
Aripiprazole
Amisulpiride
Benperidol
Haloperidol
Levomepromazine
Olanzapine
Prochlorperazine
Quetiapine
Risperidone
Parkinson’s
Apomorphine
Bromocriptine
Cabergoline
Pergolide
Growth disorders
Somatropin
Inflammatory Arthritis
Azothioprine
Leflunamide
Gold
Methotrexate
Penicillamine
Sulfasalzine
ADHD
Atomoxetine
Dexamfetamine
Methylphenidate
Methylphenidate XL
Dementia
Rivastigmine
Memantine
Galatamine
Cardiology
Amiodarone
Bipolar disorder
Sodium valproate
Mania
Lithium
Pseudomonas infections
Colistimethate
Blood thinning
Dalteparin
Osteoporosis prevention
Denosumab
Pulmonary fibrosis
N-acetylcysteine