The CCG’s Medicines Optimisation team’s role is to ensure people obtain the best possible outcomes from their medicines. The team works closely with clinicians in primary and secondary care, patients, carers and other health and social care professionals and aims to ensure that we offer evidence-based, cost-effective interventions to the people of Bury.
Greater Manchester Joint Formulary
All prescribers in Bury are requested to adhere to the Greater Manchester Medicines Management Group (GMMMG) Joint Formulary, Interface Prescribing Guidance, and recommendations. These are all available via this website: http://gmmmg.nhs.uk/
Primary Care Antimicrobial Policy
The local (North East sector) policy has been replaced by a Greater Manchester policy. This covers prescribing for the treatment of infections commonly encountered in general practice. All clinicians are requested to adhere to this guidance.
Management of recurrent UTIs in females
Guidance on the management of recurrent UTIs in non-pregnant females Access the guidance here.
Resources for the management of UTIs in care home patients >65 years
Assessment Tool: Guidance for care home staff regarding older people (>65 years) with suspected UTI. Access tool here.
Poster: Advice to care home staff regarding older people (>65 years) with suspected UTI. Access poster here.
Vitamin B12 deficiency
Guidance on treatment of Vitamin B12 deficiency Access the guidance here.
Vitamin D guidance
Antimicrobial Stewardship (AMS):
Prescribing for Clinical Need Policy
The Governing Body advises that only treatments that are clinically effective and provide a clear health benefit to patients should be prescribed on NHS prescriptions. All other treatments should be considered a low priority and are detailed within this policy (updated June 2016).
Prescribing of antipsychotics in patients living with dementia
The prescribing status of antipsychotics in dementia patients has recently changed. The Greater Manchester Medicines Management Group have published a GP resource pack, however, the status is subject to local commissioning arrangements. Bury’s local commissioning arrangements for GPs highlights that: If an individual clinician has received training in the diagnosis and management of dementia and delirium and is confident to initiate and monitor an antipsychotic in a particular clinical situation, then it is reasonable for this clinician to have the flexibility to do this with or without the direction of a Consultant Psychiatrist.
Homely Remedy Guidelines
In line with national and local guidance Bury CCG, Bury MBC and Bury GP Federation have developed guidelines to support local Care Homes to implement a Homely Remedy Policy for their residents
Guidance for the Administration of Over the Counter Medication in schools and nurseries
Resources for Care Homes for the management of medicines waste
- Poster: How can care home staff help to reduce medicines waste
- Top Tips: Reducing medicines waste in Care Homes
- Guidance on the Management of ‘Rescue Packs’ for Exacerbations of Chronic Obstructive Pulmonary Disease (COPD)
- COPD - flare up plan
- Poster - Greater Manchester Asthma Management Plan 2018 – inhaler options for adult patients (18 and over)
- Poster - Greater Manchester Pharmacological Treatment Pathway for patients with COPD