{"id":3749,"date":"2025-03-27T10:09:37","date_gmt":"2025-03-27T10:09:37","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=3749"},"modified":"2026-01-22T11:44:45","modified_gmt":"2026-01-22T11:44:45","slug":"proposed","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/pqs\/25-26\/proposed\/","title":{"rendered":"Proposed medication changes"},"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-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;\">Branded prescribing review<\/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-3749-1\"><div class=\"fusion-panel panel-default panel-9a9a8d283d5069a24 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_9a9a8d283d5069a24\"><a aria-expanded=\"false\" aria-controls=\"9a9a8d283d5069a24\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-1\" data-target=\"#9a9a8d283d5069a24\" href=\"#9a9a8d283d5069a24\"><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-capsules fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"9a9a8d283d5069a24\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9a9a8d283d5069a24\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>NHS Dorset is asking PCN teams to review the branded prescribing of medicines, where these offer no clinical advantage over generic medicines.<\/p>\n<p>A table of suggested branded to generic medication switches can be found in the resources section.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5ee0b8e985c9f2c3b 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_5ee0b8e985c9f2c3b\"><a aria-expanded=\"false\" aria-controls=\"5ee0b8e985c9f2c3b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-1\" data-target=\"#5ee0b8e985c9f2c3b\" href=\"#5ee0b8e985c9f2c3b\"><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-capsules 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=\"5ee0b8e985c9f2c3b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5ee0b8e985c9f2c3b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>For some medicines generic prescribing is less expensive than branded prescribing, meaning the potential savings enable the NHS budget to be used to greater benefit the Dorset population.<\/p>\n<p>A table of suggested branded to generic medication switches can be found in the resources section.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ec2a277dbae04490b 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_ec2a277dbae04490b\"><a aria-expanded=\"false\" aria-controls=\"ec2a277dbae04490b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-1\" data-target=\"#ec2a277dbae04490b\" href=\"#ec2a277dbae04490b\"><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-capsules fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"ec2a277dbae04490b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ec2a277dbae04490b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Review the table of proposed branded to generic medication switches in the resources section, to identify appropriate switches.<\/p>\n<p>Run SystmOne searches to help identify patients suitable for generic product switch within the PCN:<\/p>\n<p>Dorset SystmOne GPs&gt; PQS Finance 25 26&gt; F11 Generic adoption&gt;<\/p>\n<p>Switch patients to the NHS Dorset recommended generic medicines.<\/p>\n<p>As with all product switches, not all patients will be appropriate for switch.<\/p>\n<p>Where patients are not eligible for product switch, this should be recorded in the patient record e.g. patients requiring specific products due to visual impairment, licensing, contraindication, intolerance\/allergy to excipients, dietary preference, religious grounds, swallowing issues etc.<\/p>\n<p>Communicate the change to patients using the Template patient letters and text messages within SystmOne:<\/p>\n<p>Template text messages can be found within SystmOne&gt;Msg presets&gt; Medication Management&gt;Formulation&gt;generic medicines<\/p>\n<p>Template Letters can be found within SystmOne&gt;Word letter templates<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-9942bcd618d9b2e99 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_9942bcd618d9b2e99\"><a aria-expanded=\"false\" aria-controls=\"9942bcd618d9b2e99\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-1\" data-target=\"#9942bcd618d9b2e99\" href=\"#9942bcd618d9b2e99\"><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-capsules 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=\"9942bcd618d9b2e99\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9942bcd618d9b2e99\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2025\/09\/prescribing-cost-efficiencies-generic-prescribing-V2-09.25.docx\">Table of proposed branded to generic prescribing changes<\/a><\/p>\n<p><a href=\"https:\/\/www.dorsetformulary.nhs.uk\/\" target=\"_blank\" rel=\"noopener\">Dorset formulary<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/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-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_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;\">Medication formulation switches<\/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-3749-2\"><div class=\"fusion-panel panel-default panel-36e69bd01da38de3d 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_36e69bd01da38de3d\"><a aria-expanded=\"false\" aria-controls=\"36e69bd01da38de3d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-2\" data-target=\"#36e69bd01da38de3d\" href=\"#36e69bd01da38de3d\"><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-capsules fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"36e69bd01da38de3d\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_36e69bd01da38de3d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>NHS Dorset is asking PCN teams to review the prescribed formulation of medicines, where multiple formulations exist.<\/p>\n<p>A table of suggested formulation switches can be found in the resources section.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ad0c21e2c00ec150a 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_ad0c21e2c00ec150a\"><a aria-expanded=\"false\" aria-controls=\"ad0c21e2c00ec150a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-2\" data-target=\"#ad0c21e2c00ec150a\" href=\"#ad0c21e2c00ec150a\"><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-capsules 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=\"ad0c21e2c00ec150a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ad0c21e2c00ec150a\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Some formulations of the same medicine offer no clinical advantage, at an increased cost. The potential savings achieved through formulation switching, can enable the NHS budget to be used to greater benefit the Dorset population.<\/p>\n<p>A table of suggested formulation switches can be found in the resources section.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-69a7e6c57bcada3a6 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_69a7e6c57bcada3a6\"><a aria-expanded=\"false\" aria-controls=\"69a7e6c57bcada3a6\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-2\" data-target=\"#69a7e6c57bcada3a6\" href=\"#69a7e6c57bcada3a6\"><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-capsules fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"69a7e6c57bcada3a6\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_69a7e6c57bcada3a6\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Review the table of proposed medication formulation switches in the resources section, to identify appropriate switches.<\/p>\n<p>Run SystmOne searches to help PCN teams identify patients suitable for product formulations to switch within the PCN:<\/p>\n<p>Dorset SystmOne GPs&gt; PQS Finance 25 26&gt; F10 Drug formulation changes&gt;<\/p>\n<p>Switch patients to the NHS Dorset recommended formulations, taking into consideration any dosage instruction changes which may be required because of the formulation change.<\/p>\n<p>As with all product switches, not all patients will be appropriate for switch.<\/p>\n<p>Where patients are not eligible for product switch, this should be recorded in the patient record e.g. where increasing tablet\/capsule burden is not appropriate, patients requiring specific products due to visual impairment, licensing, contraindication, intolerance\/allergy to excipients, dietary preference, religious grounds, swallowing issues etc.<strong>\u00a0<\/strong><\/p>\n<p>Note, where a formulation switch requires a tablet formulation to be halved, the patient&#8217;s ability to half a tablet must be considered. Patients are able to purchase a pill cutter form their community pharmacy.<strong>\u00a0<\/strong><\/p>\n<p>Communicate the change to patients using the Template patient letters and text messages within SystmOne:<\/p>\n<p>Template text messages can be found within SystmOne&gt;Msg presets&gt; Medication Management&gt;Formulation&gt; specific template for each product listed<\/p>\n<p>Template Letters can be found within SystmOne&gt;Word letter templates&gt;Dorset CCG&gt; Medicines Management&gt; Formulation&gt; specific template for each product listed<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-02350d1296fa07f6e 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_02350d1296fa07f6e\"><a aria-expanded=\"false\" aria-controls=\"02350d1296fa07f6e\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3749-2\" data-target=\"#02350d1296fa07f6e\" href=\"#02350d1296fa07f6e\"><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-capsules 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=\"02350d1296fa07f6e\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_02350d1296fa07f6e\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/www.dorsetformulary.nhs.uk\/\">Dorset formulary<\/a><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2026\/01\/prescribing-cost-efficiencies-formulation-prescribing-for-website-v4-22.1.26.docx\">Table of proposed formulation changes<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":3699,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-3749","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3749","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=3749"}],"version-history":[{"count":21,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3749\/revisions"}],"predecessor-version":[{"id":4162,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3749\/revisions\/4162"}],"up":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3699"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=3749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}