Shared Care Guidelines are local policies to enable GPs to pick up the prescribing and monitoring of medicines/treatments in primary care in agreement with the initiating specialist. If you receive a request to prescribe in the absence of a shared care guideline which you feel is inappropriate please complete an inappropriate request form.
DMARD Monitoring Quick Reference Guide
ADHD resources Derbyshire Healthcare resource - National supply shortage of ADHD medication ADHD Medications - shortages briefing (update for clinicians January 2024) ADHD Medications - shortages briefing (December 2023) Interim Guanfacine down titration advice (October 2023) DDICB Adult ADHD assessment guidance (requires intranet access) JUCD ADHD adult assessment guidance
Specialist Pharmacy Service (SPS) resources for ADHD medicines shortage: Continuing management of the ADHD medicines shortage
NHSE Shared Care Protocols for Adult ADHD services |
Alcohol abstinence
Dec 2022
Nov 2025
Treatment of severe heart rhythm disorder when other treatments cannot be used
Aug 2023
July 2026
Immunomodulating drugs
Sept 2023
Aug 2026
For use in adult respiratory infections
Aug 2022
July 2025
Advanced hormone-dependant prostate cancer
May 2022
Apr 2025
Osteoporotic fractures in men and post-menopausal women
June 2022
May 2025
Maintenance of alcohol abstinence
Dec 2022
Nov 2025
For the maintenance of sinus rhythm after successful cardioversion
Aug 2023
July 2026
Somatostatin analogues
Jan 2021
Dec 2024
Hypothyroidism
Nov 2022
Oct 2025
Mania, hypomania & bipolar disorder
June 2023
May 2026
Immunomodulating drugs
Sept 2023
Aug 2026
Immunomodulating drugs (Non transplant indications)
Apr 2023
Mar 2026
Substance alcohol misuse
Dec 2022
Nov 2025
Synthetic Human Growth Hormone
Dec 2024
Nov 2027
Children with epilepsy
Jan 2021
Dec 2024