Developing and updating local formularies

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The committee also has representation from local Healthwatch organisations, NHS England London area team, and support from Medicines Information Services and the South London Commissioning Support Unit.A working group (South East London Area Prescribing Committee New Drugs Panel) meets monthly to assess new medicines for prescribing within south east London, where these are intended to be prescribed in primary care or commissioned by CCGs.For any enquiries relating to the Formulary or medicines guidelines in Lewisham CCG please contact Eileen White on 02 or email [email protected]​javascript:common Show Modal Dialog('' '/_layouts/15/itemexpiration.aspx' '?Warfarin and direct oral anticoagulants (DOACs) have been shown to reduce the risk of stroke in patients with atrial fibrillation, yet many patients are still not being anticoagulated. There is now a licensed specific reversal agent for dabigatran called idarucizumab Lack of experience is another key factor in preventing prescribing of oral anticoagulants for SPAF. A study interviewing GPs, practice managers and nurses observed that the majority of oral anticoagulation for SPAF was initiated in secondary care and hence primary care staff, including GPs, felt lacking in experience in starting anticoagulation.

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Meta-analysis of DOAC trials showed significantly lower rates of intracranial bleeding, similar major bleeding but higher gastrointestinal bleeding rates when compared with warfarin. Their website also covers the recommendations of the NICE Good Practice Guidance on 'Developing and updating local formularies (GPG1).To find out about local Lewisham CCG medicine guidelines go to the management of infection guidance document on the web site.Where primary care or commissioned medicines are subject to a new NICE technology appraisal, the committee will advise on best adoption and implementation in line with NICE guidelines.The local hospitals have a joint formulary committee that considers new drugs within secondary care.

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