{"id":3180,"date":"2024-02-21T12:34:14","date_gmt":"2024-02-21T12:34:14","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=3180"},"modified":"2025-09-16T10:34:21","modified_gmt":"2025-09-16T09:34:21","slug":"local","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/local\/","title":{"rendered":"Local Action Areas"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p><span class=\"ui-provider ee bre brf brg brh bri brj brk brl brm brn bro brp brq brr brs brt bru brv brw brx bry brz bsa bsb bsc bsd bse bsf bsg bsh bsi bsj bsk bsl\" dir=\"ltr\"><a href=\"https:\/\/app.powerbi.com\/groups\/me\/apps\/7c6397f3-8286-4214-ac1a-bbb029ab8e86\/reports\/3afa70b9-d55e-494a-a6d8-a0bf31c81c67\/ReportSection052a78101c532d3d084d?ctid=1f4a5522-5f5a-4974-8d95-9a032f4cf2e5&amp;experience=power-bi\" target=\"_blank\" rel=\"noopener\">The budget 24\/25 <\/a>and <a href=\"https:\/\/app.powerbi.com\/groups\/me\/apps\/7c6397f3-8286-4214-ac1a-bbb029ab8e86\/reports\/3afa70b9-d55e-494a-a6d8-a0bf31c81c67\/ReportSection76b5d8fbdbce7cfa4b7c?ctid=1f4a5522-5f5a-4974-8d95-9a032f4cf2e5&amp;experience=power-bi\" target=\"_blank\" rel=\"noopener\">spend information pages<\/a> within <a href=\"https:\/\/app.powerbi.com\/groups\/me\/apps\/7c6397f3-8286-4214-ac1a-bbb029ab8e86\/reports\/3afa70b9-d55e-494a-a6d8-a0bf31c81c67\/ReportSection815597a9b40c993ff077?ctid=1f4a5522-5f5a-4974-8d95-9a032f4cf2e5&amp;experience=power-bi\" target=\"_blank\" rel=\"noopener\">the DiiS can be used to identify potential savings opportunities and to track progress against the financial indicators.<\/a><\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-1 fusion-button-span-yes fusion-button-default-type\" target=\"_self\" href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/local\/#gluten\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Gluten free<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type\" target=\"_self\" href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/local\/#ons\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">ONS (Sip feeds)<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div ><a class=\"fusion-button button-flat button-xlarge button-default fusion-button-default button-3 fusion-button-span-yes fusion-button-default-type\" target=\"_self\" href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/local\/#stoma\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Stoma ancillaries<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" id=\"gluten\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Gluten free<\/h2><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3180-1\"><div class=\"fusion-panel panel-default panel-6af817cae77c6313c fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_6af817cae77c6313c\"><a aria-expanded=\"false\" aria-controls=\"6af817cae77c6313c\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-1\" data-target=\"#6af817cae77c6313c\" href=\"#6af817cae77c6313c\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"6af817cae77c6313c\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_6af817cae77c6313c\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Review prescriptions of gluten-free products to ensure that:<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">They are only issued to patients with a diagnosis for established gluten-sensitive enteropathies, including dermatitis herpetiformis and coeliac disease<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">They are only for bread and flour mixes<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"23\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">They follow the \u2018National Prescribing Guidance (for England) on the Recommended number of Units of Bread and Flour Mixes per month According to Age and Gender\u2019<\/span><\/li>\n<\/ul>\n<h4>Number of units of bread\/flour mixes<\/h4>\n\n<div class=\"table-1\">\n<table width=\"100%\">\n<thead>\n<tr>\n<th align=\"left\">Age and sex<\/th>\n<th align=\"left\">Number of units per month<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\">Child under 10 years<\/td>\n<td align=\"left\">8<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">Child 11-18 years<\/td>\n<td align=\"left\">12<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">Female 19 years and older<\/td>\n<td align=\"left\">8<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">Male 19 years and older<\/td>\n<td align=\"left\">12<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n<h4>Number of units from bread products<\/h4>\n\n<div class=\"table-1\">\n<table width=\"100%\">\n<thead>\n<tr>\n<th align=\"left\">Food item<\/th>\n<th align=\"left\">Number of units<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\">400g bread\/rolls\/baguettes<\/td>\n<td align=\"left\">1<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">500g bread\/flour mix<\/td>\n<td align=\"left\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f41d11ad6ad22e644 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f41d11ad6ad22e644\"><a aria-expanded=\"false\" aria-controls=\"f41d11ad6ad22e644\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-1\" data-target=\"#f41d11ad6ad22e644\" href=\"#f41d11ad6ad22e644\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"f41d11ad6ad22e644\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f41d11ad6ad22e644\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span class=\"NormalTextRun SCXW91567786 BCX9\">Dorset patients\u00a0<\/span><span class=\"NormalTextRun SCXW91567786 BCX9\">are receiving\u00a0<\/span><span class=\"NormalTextRun SCXW91567786 BCX9\">gluten-free products that fall outside of\u00a0<span class=\"TextRun SCXW185556427 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun TrackChangeHoverSelectHighlightBlue SCXW185556427 BCX8\">best clinical\u00a0<\/span><\/span>guidance.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d67e68ca690090a57 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d67e68ca690090a57\"><a aria-expanded=\"false\" aria-controls=\"d67e68ca690090a57\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-1\" data-target=\"#d67e68ca690090a57\" href=\"#d67e68ca690090a57\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"d67e68ca690090a57\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d67e68ca690090a57\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Use the SystmOne searches provided to identify patients who:<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"25\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Do not have a diagnosis of established gluten-sensitive enteropathies, including dermatitis herpetiformis and coeliac disease<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"25\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Are receiving items other than bread or flour mixes<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"25\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Are receiving excessive quantities each month<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Communicate the changes to patients involved.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-9c39c1970c48ec096 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_9c39c1970c48ec096\"><a aria-expanded=\"false\" aria-controls=\"9c39c1970c48ec096\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-1\" data-target=\"#9c39c1970c48ec096\" href=\"#9c39c1970c48ec096\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"9c39c1970c48ec096\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9c39c1970c48ec096\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span class=\"ui-provider ne bdl bdm bdn bdo bdp bdq bdr bds bdt bdu bdv bdw bdx bdy bdz bea beb bec bed bee bef beg beh bei bej bek bel bem ben beo bep beq ber bes\" dir=\"ltr\">SystmOne search: Dorset SystmOne GPs\/PQS Finance 24 25\/F3 Low clinical value\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Template patient text message \u2013 gluten free diagnosis:<\/span><\/p>\n<p><em>NHS Dorset have asked all GP teams to review prescribing of gluten free prescribing bread and\/or flour mixes. These can only be issued for patients diagnosed by their doctors as suffering from established gluten-sensitive enteropathies, including dermatitis herpetiformis and coeliac disease.<\/em><\/p>\n<p><em>Your records do not show such diagnoses and hence your prescription for these items has been stopped. If you would like to continue with these products, NHS Dorset recommend that they are purchased. If you would like to discuss this change further, please contact the surgery.<\/em><\/p>\n<p><span data-contrast=\"auto\">Template patient text message \u2013 gluten free products:<\/span><\/p>\n<p><i><span data-contrast=\"auto\"><span class=\"ui-provider gp b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">NHS Dorset have asked all GP teams to review prescribing of gluten free products.\u00a0 As per NHS England guidance only bread and\/or flour mixes can be prescribed.\u00a0 Your records show that you have previously received other gluten-free products which will no longer be supplied on prescription. \u00a0If you would like to continue with these products, NHS Dorset recommend that they are purchased. If you would like to discuss this change further, please contact the surgery<\/span>.<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/Template%20Patient%20Letter%20Gluten%20Free%20Diagnosis.docx\"><span data-contrast=\"auto\">Template patient letter \u2013 gluten free diagnosis<\/span><\/a><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/Template%20Patient%20Letter%20Gluten%20Free%20Products.docx\"><span data-contrast=\"auto\">Template patient letter \u2013 gluten free products<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.dorsetformulary.nhs.uk\/chaptersSubDetails.asp?FormularySectionID=25&amp;SubSectionRef=A2.06.01&amp;SubSectionID=A100\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Dorset Formulary \u2013 gluten free chapter<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.coeliac.org.uk\/information-and-support\/coeliac-disease\/once-diagnosed\/prescriptions\/how-much-should-be-prescribed\/?&amp;&amp;type=rfst&amp;set=true#cookie-widget\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Coeliac UK \u2013 how much should be prescribed?<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color2);--awb-flex-wrap:wrap;\" id=\"ons\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">ONS (SIP feeds)<\/h2><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><p style=\"text-align: center\">Dorset Pharmacy Network Meeting \u2013 Adult Oral Nutritional Pathway<\/p><\/h3><\/div><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;--awb-align-self:center;--awb-width:100%;\"><div class=\"video-shortcode\"><lite-youtube videoid=\"r4tBwI0MG6c\" class=\"landscape\" params=\"wmode=transparent&autoplay=1&amp;enablejsapi=1\" title=\"YouTube video player 1\" data-button-label=\"Play Video\" width=\"600\" height=\"360\" data-thumbnail-size=\"auto\" data-no-cookie=\"on\"><\/lite-youtube><\/div><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3180-2\"><div class=\"fusion-panel panel-default panel-539cb822e6556b4b9 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_539cb822e6556b4b9\"><a aria-expanded=\"false\" aria-controls=\"539cb822e6556b4b9\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-2\" data-target=\"#539cb822e6556b4b9\" href=\"#539cb822e6556b4b9\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"539cb822e6556b4b9\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_539cb822e6556b4b9\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Review prescribing of\u00a0<span class=\"TrackChangeTextInsertion TrackedChange SCXW40167191 BCX8\"><span class=\"TextRun SCXW40167191 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW40167191 BCX8\" data-ccp-parastyle=\"No Spacing\">high protein<\/span><\/span><\/span>\u00a0Oral Nutritional Supplements (ONS) to ensure that:<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">A recent dietetic assessment has been performed to confirm patients fit ACBS \u2018criteria to prescribe\u2019 and use the assessment date as a baseline for future reviews<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/www.dorsetccg.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/PATHWAY%20FOR%20PRESCRIBING%20ORAL%20NUTRITIONAL%20SUPPLEMENTS%20IN%20DORSET%20CCG%20A4%20-%20updated%20MUST%20link%20161221.pdf?UNLID=38810625202231511281\"><span data-contrast=\"auto\">Patients are reviewed every\u00a0<\/span>three months<span data-contrast=\"auto\">\u00a0as per the\u00a0<\/span><span data-contrast=\"none\">guideline<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Patients prescribed Oral Nutritional Supplements (ONS) have a\u00a0<\/span><b><span data-contrast=\"auto\">MUST score &gt;2<\/span><\/b><span data-contrast=\"auto\">\u00a0(<\/span><a href=\"https:\/\/www.bapen.org.uk\/screening-and-must\/must-calculator?UNLID=35568368120211216182259\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">MUST online calculator<\/span><\/a><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">High protein ONS should only be continued post hospital discharge where clinically indicated<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props=\"{\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Add review date within directions on each prescription<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">NOTE: Hospital teams are reviewing their discharge processes in support of this measure.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-28a68e08040c1055c fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_28a68e08040c1055c\"><a aria-expanded=\"false\" aria-controls=\"28a68e08040c1055c\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-2\" data-target=\"#28a68e08040c1055c\" href=\"#28a68e08040c1055c\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"28a68e08040c1055c\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_28a68e08040c1055c\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">There has been a significant rise in primary care ONS prescribing in Dorset and we are a national outlier for prescription of high-protein ONS.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">High protein ONS should only be prescribed under the direction of a dietician,<\/span><span data-ccp-props=\"{\">\u00a0<\/span><span data-contrast=\"auto\">restricted to use in patients with increased protein requirement, as per the Dorset Formulary and<\/span>\u00a0<span data-contrast=\"none\">ONS pathway<\/span><span data-contrast=\"auto\">.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-43977beedde077996 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_43977beedde077996\"><a aria-expanded=\"false\" aria-controls=\"43977beedde077996\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-2\" data-target=\"#43977beedde077996\" href=\"#43977beedde077996\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"43977beedde077996\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_43977beedde077996\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span class=\"TextRun SCXW104221453 BCX9\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW104221453 BCX9\">Use\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">the\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">SystmOne<\/span><span class=\"NormalTextRun CommentStart CommentHighlightPipeRest CommentHighlightRest SCXW104221453 BCX9\">\u00a0search\u00a0<\/span><span class=\"NormalTextRun CommentHighlightPipeRest SCXW104221453 BCX9\">provided\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">to identify patients prescribed\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">repeat\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">ONS<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">, particularly\u00a0<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">high protein ONS<\/span><span class=\"NormalTextRun SCXW104221453 BCX9\">, and review ongoing need.<\/span><\/span><span class=\"EOP SCXW104221453 BCX9\" data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p>Here is an example from a local frailty pharmacist on their process for reviewing nutritional supplements in a care home setting:<\/p>\n<ol>\n<li>Check under communication\/letters to see if patient has any dietician input and plan<\/li>\n<li>Carry out Must Score (Step 1: calculate BMI score \u2013 obtain weight and height. Step 2: calculate weight loss score \u2013 ny unplanned weight loss in last 3-6 months?)<\/li>\n<li>Check patient\u2019s Nutrition status: are they eating and drinking well?<\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/PATHWAY%20FOR%20PRESCRIBING%20ORAL%20NUTRITIONAL%20SUPPLEMENTS%20IN%20DORSET%20ICB%20APRIL%2023.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide&amp;UNLID=422860853202362210185\">Follow local guidance<\/a><\/li>\n<\/ol>\n<ul>\n<li>If patient is not under dietician care, has a MUST Score under 2, eating and drinking, no weight loss or issues \u2013 Nutritional supplements are STOPPED.<\/li>\n<li>MUST score and Nutritional status usually checked in care homes as part of annual medication review<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ad96f9e68be678b44 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ad96f9e68be678b44\"><a aria-expanded=\"false\" aria-controls=\"ad96f9e68be678b44\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-2\" data-target=\"#ad96f9e68be678b44\" href=\"#ad96f9e68be678b44\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"ad96f9e68be678b44\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ad96f9e68be678b44\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span class=\"ui-provider ne bdl bdm bdn bdo bdp bdq bdr bds bdt bdu bdv bdw bdx bdy bdz bea beb bec bed bee bef beg beh bei bej bek bel bem ben beo bep beq ber bes\" dir=\"ltr\">SystmOne search: Dorset SystmOne GPs\/PQS Finance 24 25\/F7 Oral Nutritional Sip Feeds<\/span><\/p>\n<p><a href=\"http:\/\/dorsetformulary.nhs.uk\/chaptersSubDetails.asp?FormularySectionID=25&amp;SubSectionRef=A2.02&amp;SubSectionID=A100\" rel=\"noopener\"><span data-contrast=\"auto\">Dorset Formulary \u2013 ONS formulary 23\/24<\/span><\/a><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/PATHWAY%20FOR%20PRESCRIBING%20ORAL%20NUTRITIONAL%20SUPPLEMENTS%20IN%20DORSET%20ICB%20APRIL%2023%20%281%29.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide&amp;UNLID=325213272024112214455\"><span data-contrast=\"none\">Dorset pathway for prescribing ONS<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.dorsetccg.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/ONS%20QA%20April%202021.pdf?UNLID=38810625202231511281\"><span data-contrast=\"none\">Dorset common questions about prescribing ONS<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.dorsetccg.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Tips%20for%20taking%20Supplements%20April%202021.pdf?UNLID=38810625202231511281\"><span data-contrast=\"none\">Patient advice: tips for taking ONS<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.malnutritionpathway.co.uk\/library\/pleaflet_yellow.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Patient &amp; carer advice: making the most of your food<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p>Referral criteria\/forms for Dorset dietitian teams:<\/p>\n<ul>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-County-Hospital-Adults-Referral-criteria.pdf\" target=\"_blank\" rel=\"noopener\">DCH referral criteria (adults)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-County-Hospital-Referral-Form-Adults.docx\" target=\"_blank\" rel=\"noopener\">DCH referral form (adults)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-Healthcare-University-Hospital-Dietetic-Referral-Criteria-Adults.pdf\" target=\"_blank\" rel=\"noopener\">DHUFT referral criteria (adults)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-Healthcare-University-Hospital-Dietetic-Referral-Form-Adults.doc\" target=\"_blank\" rel=\"noopener\">DHUFT referral form (adults)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-Healthcare-University-Hospital-Dietetic-Referral-Criteria-Children.pdf\" target=\"_blank\" rel=\"noopener\">DHUFT referral criteria (children)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/07\/Dorset-Healthcare-University-Foundation-Trust-Dietetic-Referral-Form-Children.doc\" target=\"_blank\" rel=\"noopener\">DHUFT referral form (children)<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" id=\"stoma\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Stoma Ancillaries<\/h2><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3180-3\"><div class=\"fusion-panel panel-default panel-3f34b40544ce5fac0 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3f34b40544ce5fac0\"><a aria-expanded=\"false\" aria-controls=\"3f34b40544ce5fac0\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-3\" data-target=\"#3f34b40544ce5fac0\" href=\"#3f34b40544ce5fac0\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"3f34b40544ce5fac0\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3f34b40544ce5fac0\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li><span class=\"TrackChangeTextInsertion TrackedChange SCXW258561832 BCX8\"><span class=\"TextRun SCXW258561832 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW258561832 BCX8\">Only issue formulary items unless\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW258561832 BCX8\"><span class=\"TextRun SCXW258561832 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW258561832 BCX8\">clinical need dictates other<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW258561832 BCX8\"><span class=\"TextRun SCXW258561832 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW258561832 BCX8\">wise<\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"auto\">Have a process for checking the quantities and frequency of repeat supplies of these items:<\/span><\/li>\n<\/ul>\n<ol>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Contact the patient if there is a query<\/span><\/li>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Contact the stoma nurse for follow up if the patient is regularly over-ordering<\/span><\/li>\n<\/ol>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Issue stoma products on a separate FP10 prescription to the patient\u2019s regular medication<\/span><\/li>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Send stoma FP10 prescriptions to the patients\u2019 nominated dispensing organisation (this may be different from the patients\u2019 regular dispensing organisation)<\/span><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-aed2b21d835685cb4 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_aed2b21d835685cb4\"><a aria-expanded=\"false\" aria-controls=\"aed2b21d835685cb4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-3\" data-target=\"#aed2b21d835685cb4\" href=\"#aed2b21d835685cb4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"aed2b21d835685cb4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_aed2b21d835685cb4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><span data-contrast=\"auto\">Dorset issues a high-volume of non-formulary ancillary items.\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Stoma clinics and GP practices must not provide retrospective prescriptions when requested by appliance contractors, dispensing practices or community pharmacies.\u00a0<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-60e3b53bab1123cbe fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_60e3b53bab1123cbe\"><a aria-expanded=\"false\" aria-controls=\"60e3b53bab1123cbe\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-3\" data-target=\"#60e3b53bab1123cbe\" href=\"#60e3b53bab1123cbe\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"60e3b53bab1123cbe\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_60e3b53bab1123cbe\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Only prescribe items from the Dorset formulary.<\/p>\n<p>If a patient has received non-formulary stoma ancillary items and\/or large quantities and has not had a recent review, the patient should be referred to their local stoma clinic.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5389bb82f944b2f2f fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5389bb82f944b2f2f\"><a aria-expanded=\"false\" aria-controls=\"5389bb82f944b2f2f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3180-3\" data-target=\"#5389bb82f944b2f2f\" href=\"#5389bb82f944b2f2f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"5389bb82f944b2f2f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5389bb82f944b2f2f\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/www.dorsetformulary.nhs.uk\/chaptersSubDetails.asp?FormularySectionID=19&amp;SubSectionRef=19&amp;SubSectionID=A100\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Dorset formulary \u2013 stoma ancillaries<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Formulary%20Guidelines%20for%20the%20prescribing%20of%20Stoma%20additional%20Products%20in%20PC%20Oct%2021.pdf?UNLID=6384618182023222125156\"><span data-contrast=\"auto\">Dorset\u00a0<\/span><span data-contrast=\"none\">Guidelines for the prescribing of stoma additional products preferred in primary care<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.prescqipp.info\/umbraco\/surface\/authorisedmediasurface\/index?url=%2fmedia%2f1665%2fb105-stoma-21.pdf\" target=\"_blank\" rel=\"noopener\">PrescQIPP Stoma Bulletin<\/a><\/p>\n<p><span data-contrast=\"auto\">Contact details for stoma nurses &amp; clinics (<\/span><span data-contrast=\"auto\">GPs may refer patients or patients may self-refer).<\/span><\/p>\n<table data-tablestyle=\"MsoNormalTable\" data-tablelook=\"480\">\n<tbody>\n<tr>\n<td data-celllook=\"4369\"><b><span data-contrast=\"auto\">Dorset County Hospital NHS Foundation Trust\u00a0<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Lead Nurse \u2013 Kate March<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Telephone: 01305 255152<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Ext: 5152<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Email:\u00a0<\/span><a href=\"mailto:stomacare@dchft.nhs.uk\"><span data-contrast=\"none\">stomacare@dchft.nhs.uk<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">University Hospitals Dorset (Bournemouth Site)<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Lead Nurse \u2013<\/span>\u00a0<span data-contrast=\"auto\">Jane Wijeyekoon Telephone: 0300 018 4813<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Email:\u00a0<\/span><a href=\"mailto:stoma.care@uhd.nhs.uk\"><span data-contrast=\"none\">stoma.care@uhd.nhs.uk<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">University Hospital Dorset (Poole Site)<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Lead Nurse \u2013 Tracy Lees Telephone: 0300 019 8199<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Email:\u00a0<\/span><a href=\"mailto:stoma.team@uhd.nhs.uk\"><span data-contrast=\"none\">stoma.team@uhd.nhs.uk<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":3067,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-3180","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/comments?post=3180"}],"version-history":[{"count":12,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3180\/revisions"}],"predecessor-version":[{"id":4068,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3180\/revisions\/4068"}],"up":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3067"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=3180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}