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Shared Care

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

Protocol  Proforma

Aripiprazole

Amisulpiride

Benperidol

Haloperidol

Levomepromazine

Olanzapine

Prochlorperazine

Quetiapine

Risperidone



Parkinson’s

Protocol  Proforma

Apomorphine

Bromocriptine

Cabergoline

Pergolide



Growth disorders

Protocol  Proforma

Somatropin


Inflammatory Arthritis

Protocol  Proforma

Azothioprine

Leflunamide

Gold

Methotrexate

Penicillamine

Sulfasalzine



ADHD

Protocol  Proforma

Atomoxetine

Dexamfetamine

Methylphenidate

Methylphenidate XL



Demetia

Protocol  Proforma

Rivastigmine

Memantine

Galatamine



Cardiology

Amiodarone (Pending)

Bipolar disorder

Protocol  Proforma

Sodium valproate



Mania

Protocol  Proforma

Lithium



Pseudomonas infections

Protocol  Proforma

Colistimethate



Blood thinning

Protocol  Proforma

Dalteparin



Osteoporosis prevention

Protocol  Proforma

Denosumab



Pulmonary fibrosis

Protocol  Proforma

N-acetylcysteine