Leicestershire Medicines Strategy Group
Shared Care
   Approval process
   Guidance Notes for initiating Full Shared Care
   Shared Care Request Form
   Traffic Light Reclassification Request Form
   Principles of Simple Amber Shared Care
   Simple Amber List
   Simple Amber Medicines - GP Transfer Form

Template

The Submission Form must be completed and approved before a new shared care agreement (SCA) is written.
The template for Full SCAs can be downloaded for use locally, but must be renamed to reflect the content of the SCA.

   Submission Form for Shared Care Agreement
   GP template to decline AMBER prescribing request for an unapproved indication
   GP template to decline BLACK drug prescribing request
   GP template to decline RED drug prescribing request
   GP template to request a shared care agreement form
   GP template to request a shared care agreement from out of county providers
   Template for New Full Shared Care Agreement

Documents
   ADHD adults
   ADHD children & adolescents
   Agomelatine
   Aliskiren for Hypertension
   Antipsychotics (atypical)
   Antipsychotics (typical depot injections)
   Azathioprine for inflammatory bowel disease
   Cinacalcet for Hyperparathyroidism
   Colomycin (nebulised)
   Dabigatran and Rivaroxaban for AF
   Dalteparin
   Degarelix in the treatment of Prostate cancer
   Dronedarone
   Eplerenone for LVD and HF after MI
   Exenatide and Liraglutide
   Grazax
   Hydroxycarbamide
   Hydroxychloroquine in the treatment of inflammatory arthritides
   Leflunomide
   Lithium Salts
   Mercaptopurine
   Methotrexate oral
   Mianserin
   Modafinil for Narcolepsy
   Mycophenolate mofetil and mycophenolate sodium following renal transplant
   Riluzole
   Rivaroxaban in DVT
   Ropinirole, Pramipexole & Rotigotine
   Silicone gel (Kelocote, Cica-Care, Mepiform) for Hypertrophic Scars
   Sirolimus following renal transplant
   Tacrolimus following renal transplant
   Testosterone for male hypogonadism
   Venlafaxine