Updated Pan-London Forms: Symptom Control MAAR Chart version 5 and All- Age- Specialist Palliative Care Referral Form version 4.1 

NHS North East London are pleased to inform colleagues that the following documents have been refreshed and approved by the London Clinical Executive Group (LCEG) for use across London. These documents have also been approved for use locally by the NEL System Prescribing and Medicines Optimisation (SyPMO) Board.  

Pan-London Symptom Control Medication Authorisation and Administration Record (MAAR): Chart for subcutaneous and intramuscular medication in the community setting: 

• Pan-London Symptom Control MAAR Chart V5 
• Policy – Pan-London Symptom Control MAAR Chart V5 
• Procedure – Pan-London Symptom Control MAAR Chart V5 

All services need to switch to using the updated version 5 , hosted here  

Additionally, please note, the All-Age- Pan-London Specialist Palliative Care Referral Form V4.1 has also been updated. This is the same as version 4 of the form that is currently in use except for changes to some of the service contact details at the end of the form.  

Actions for practices: 

Remove any previously downloaded versions and replace with the updated versions. 

Both new forms are available on EMIS & SystmOne and should be used going forward. Please note from 1st May 2025 service providers will only accept the most up-to-date MAAR Chart version 5 and All Age Pan-London Specialist Palliative Care Referral Form version 4.1.