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

Protocols

Proformas

Miscellaneous

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