Clinical Guidelines

This guidance has been produced to facilitate the safe prescribing of LMWHs in primary care. It provides an overview of points to be considered when initiating LMWHs and when transferring prescribing responsibilities to or from another organisation.

LSCMMG have developed a menopause product relative price list to be used in conjunction with the LSCMMG primary care management of menopause guideline - available below. 

This is a summary document intended for Primary Care, taken from a more comprehensive document ‘Guidelines for the Management of Behavioural and Psychological Symptoms of Dementia (BPSD) in Primary and Secondary Care. This document should be accessed for additional resources such as the Leaflet for Care Home Staff, assessment forms and flow chart for responding to BPSD.

Information contained within this document is largely taken from the PrescQIPP toolkit ‘Reducing Antipsychotics in Dementia and documents available on the Alzheimer’s Society website.

This guideline comprises a flow chart outlining a stepwise approach to the management of psoriasis in adults and in children and young people. The guideline also includes relevant treatment review periods and referral criteria.

• Age related Macular Degeneration   

• Diabetic Macular Oedema 

• Macular Oedema secondary to Central Retinal Vein Occlusion

• Macular Oedema secondary to Branch Retinal Vein Occlusion

• CNV associated with pathological myopia

• Vitreomacular Traction

The purpose of oral nutritional supplementation (ONS) is to supplement food intake, not replace it and their use does not remove the need to manage the underlying condition responsible for the patient’s poor appetite. It is important to ensure that prescribing is both appropriate for the patient and that the treatment length is such that waste is minimised.

Last updated on LSCMMG January 2023

In developing local commissioning policies, the CCG will commission treatments or services which accord with all of the following principles:

• Appropriateness
• Effectiveness
• Cost-effectiveness
• Ethics
• Affordability

A number of treatments which should be considered a LOW PRIORITY are detailed within this policy

Guidance on consensus approaches to managing Palliative Care Symptoms

The purpose of this guidance is to outline recommendations for prescribing within primary care in Lancashire and South Cumbria. It is intended to provide information on current best practice including providing advice on prescribing situations which are not always clear so as to ensure a consistent approach by primary care prescribers across Lancashire and South Cumbria. All prescribers are encouraged to follow this guide.

This guideline provides recommendations on the medical management of adults with neuropathic pain. The outlined treatment strategy is relevant to non-specialist settings.

Adapted from NICE guideline 112

The purpose of these guidelines is to provide a quick reference guide for use in primary care summarising information on the diagnosis and management of RLS in primary care. This guidance covers the management of RLS in primary care and gives information about when to refer to secondary care.