The North East London Pharmacy and Medicines Optimisation Team works with all partners to develop a system-wide vision for medicines optimisation and pharmacy through clinical and patient engagement, linking national medicines policy and local clinical priorities to deliver maximum value and outcomes for our local population.
We are implementing a phased approach of aligning previous separate formularies, shared care, pathways, guidelines and position statements across North East London. New/updated documents will be uploaded to this website as they are approved.
Shared Care Guidelines
All shared care guidelines are currently under review. For shared care guidelines that have passed the review date – please refer to the SPC or BNF for the most up to date clinical drug information, including dosing and monitoring requirements. As part of the review some guidelines will be updated, others may become obsolete.
Drugs within the shared care guidelines listed here will remain under shared care until further notice.
Primary Care Prescribing support Factsheets
Medicines Governance, Guidelines and Pathways
Medicines Safety
Infections & Antimicrobials Stewardship
Newsletter
Committees and Subgroups
Community Pharmacy
Translation Service
Prescribing Quality and Efficiency Scheme
High Cost Drugs
A number of high cost drugs, devices and procedures have been excluded from the scope of the NHS Payment Scheme. The use of high cost drugs are typically under specialist prescribing and supervision, and the commissioning arrangements must be agreed before their use.These drugs are commissioned by:
– NHS England (here is a comprehensive list of medicines directly commissioned by NHSE) or
– Integrated Care Boards (will include list of medicines commissioned by NEL ICB for 23/24 once this is agreed)
NEL High-Cost Drugs Treatment Pathway for Atopic Dermatitis in Adults – Sep 2025
NEL Psoriatic Arthritis pathway
NEL HCD Rheumatoid Arthritis treatment pathway
NEL HCD Medical retina treatment pathway for wet age-related macular degeneration (wet AMD) v1.1
Medicine Supply Problems
ALL UPDATES IN ALPHABETICAL ORDER