Prescribing / Medicines Guidance

Introduction

Our prescribing guidelines and pathways have been developed in partnership with our clinical experts for use by health professionals and clinical teams in North West London.  They aim to ensure patients consistently access medicines with safe, clinical, and cost-effective outcomes. 

Cardiovascular

North West London Prescribing Guide: Low Molecular Weight Heparins (LMWHs) in Primary Care

This document is temporarily unavailable as it is currently under review.
 

Endocrine

North West London Preferred Blood Glucose and Ketone Meters, Test Strips and Lancets

 

This guidance outlines North West London's recommendations for blood glucose and ketone meters, strips, and lancets, in line with NICE guidelines. It supports healthcare professionals to ensure safe and effective diabetes self-monitoring.
Revised: April 2025

Eye

North West London Prescribing Guide for Dry Eye Disease

This guide is to support in advising on management and treatment choices for Dry Eye Disease (DED).

Infections

Back-up (delayed) Antibiotic Prescribing for Minor Infections Resource Pack

The resource pack supports the implementation of a delayed antibiotic strategy across North West London, promoting evidence-based practices to reduce inappropriate antibiotic use and address antimicrobial resistance (AMR).

North West London Antimicrobial Prescribing Guidelines for Primary Care

These guidelines have been developed based on the UKHSA/NICE Summary of antimicrobial prescribing guidance - managing common infections, taking into account current local evidence on resistance, sensitivities and product availability.

Nutrition

6 Steps to Appropriate Prescribing of Adult Oral Nutritional Supplements in Primary and Community Care

This document provides clinical guidance and preferred product options for prescribing Oral Nutritional Supplements (ONS) to adult patients in primary and community care.

North West London Management of Vitamin D deficiency in Adults

This guidance outlines North West London's position on routine vitamin D prescribing for treatment, maintenance, or prevention, in line with NHS England's recommendations. Patients are encouraged to purchase it over the counter unless they meet the exemption criteria outlined in the guidance.

Renal

North West London Chronic Kidney Disease Guideline

This document, developed in collaboration with primary and secondary care clinicians and aligned with NICE guidance, integrates CKD management with conditions such as diabetes, heart failure, and frailty, and is tailored to North West London with specific referral guidance.

Revised: April 2025

Respiratory

North West London Asthma Inhaler Guide for adults aged 17 years and over

This document is unavailable as it is currently under review. For further guidance, please refer to Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN) (November 2024) and the North West London Integrated Formulary.

North West London COPD Inhaler Guide in over 16s

This guide outlines preferred first-line inhalers for initiating or changing inhaled treatments in North West London, to be used alongside NICE COPD therapy algorithms.

North West London Prescribing Guidance for Rescue Packs in the management of COPD exacerbations 

This guidance supports primary care prescribers to establish a clear process for the appropriate supply, monitoring and review of patients prescribed COPD rescue packs.

Stoma
 

Appropriate Prescribing of Stoma Appliances and Accessories

This document provides guidance on appropriate primary care prescribing of stoma appliances and accessories and referral to stoma nurse specialists where indicated.
The formulary can be found here.

General Prescribing

North West London NHS and Private Interface Prescribing Guide

This guide assists clinicians with prescribing requests from patients registered with practices in North West London, after private consultations. The final decision to prescribe remains with the prescribing clinician.

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