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APC Documents

Area Prescribing Committee – Documentation

All documents submitted to the Berkshire West Area Prescribing Committee (APC) will be categorised into one of the following categories; 

There is also a section for DAWN monitoring summaries;

All decisions made at the APC meeting are detailed in the APC Minutes.

Definitions for each of the four categories are outlined below;

Formulary Application

Definition

An application for a drug, device or treatment to be added/amended/removed from the Berkshire West Formulary. Please click here for the current Formulary Application Form.

APC Policy

Definition

A policy to define the traffic light status, place in therapy or restrictions for a drug, device or therapy for drugs within the Berkshire West Formulary. APC policies will be written based on the outcome of a Formulary Application submitted to the APC.

The policy will outline the traffic light status, which will be at least one of the following;

Green - Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with the BNF or other recognised national formularies. Primary care prescribers take full responsibility for prescribing 

Amber  - Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Where applicable, prescribing guidelines (PG) will be agreed and must be adhered to. The prescribing Guidelines must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s)(DTC) and approved by Berkshire West APC

Red - Medicines which should be prescribed by specialists only 

Brown - Drugs that have been reviewed and not recommended for prescribing. These drugs are not considered a cost-effective use of scarce NHS resources. There may be individual patient-specific or clinical reasons why a drug deemed low priority may be suitable for a particular patient. This is for the GP to consider, weighing up the reasons against his/her allocated CCG budget. Where the decision is made to prescribe a low priority drug, detailed documentation must be included within the patients' notes for audit purposes. *Please note that low priority drug requests are unsuitable for the Case Review Committee and therefore should not be sent to this committee

APC Prescribing Guideline (PG)

Definition

A guideline to enable General Practitioners to accept responsibility for the prescribing and monitoring of medicines, treatments or devices in primary care, in agreement with the initiating specialist service. The guideline is there to provide a framework for the seamless transfer of care for a person from a hospital or specialist service setting to general practice, where this is appropriate and in the patient’s best interest.

 

APC Clinical Document (ClinDoc)

Definition

All documents (guidelines, pathways, algorithms etc.) which do not fall in to the category of APC Policy or APC Prescribing Guideline