Introduction

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 (GP Practices) and secondary care (hospitals), patients, carers and other health and care professionals and aims to ensure that we offer evidence-based, cost-effective interventions for the people of Bury.

A  note for General Practice colleagues: Clinical prescribing guidelines have now been relocated to our internal Sharepoint site and can be accessed by members of the Bury Information Hub channel on Teams via the A to Z.

Self-Care

What is self-care?

Self-care is where people manage their own medical conditions and buy any medicines they require to treat their symptoms instead of being given a prescription.

Greater Manchester has agreed as a region, and in line with NHS England guidance, which conditions are not appropriate to be treated using NHS monies.

These are conditions that:

  • May be considered to be self-limiting, so they do not require treatment as they will get better of their own accord.
  • Are suitable for self-care, so that the person suffering does not normally need to seek medical advice and can manage the condition by purchasing over the counter items unless there are clinically exceptional circumstances.

However, some people (and their families) who are on low incomes and in receipt of certain benefits may be able to obtain over the counter medicines free of charge for a limited set of minor ailments from community pharmacies who are signed up to offer this service.

Greater Manchester Joint Formulary

All prescribers in Bury are requested to adhere to the Greater Manchester Medicines Management Group (GMMMG) Joint Formulary (which is a locally approved list of medicines and technologies), Prescribing Guidance and Shared Care arrangements. These are available here.

Primary Care Antimicrobial Policy

All clinicians are requested to adhere to the Greater Manchester Antimicrobial Policy. This covers prescribing for the treatment of infections commonly encountered in general practice. Guidance can be accessed here.

Non-Medical Prescribing Policy

This policy sets out a framework for Non-Medical Prescribing within the CCG to establish a consistent approach. Access the policy here.

Prescribing of antipsychotics in patients living with dementia

The prescribing status of antipsychotics in dementia patients has 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.

Guidance for the Administration of Over the Counter Medication in schools and nurseries

Access the guidance here.

Resources for care homes

Homely Remedy Guidelines

In line with national and local guidance the CCG, Bury Council and Bury GP Federation have developed guidelines to support local Care Homes to implement a Homely Remedy Policy for their residents:

Resources for Care Homes for the management of medicines waste:

Resources for the management of UTIs in care home patients over 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.