Folder Clinical guidelines and prescribing formularies

The clinical guidelines & prescribing formularies have been developed through joint consultations of the Clinical Commissioning Group (CCG) Medicines team, relevant consultants, GPs and other health professionals as appropiate.

Draft documents are discussed at locality medicines optimisation meetings and sent for consultation to Primary Care and relevant providers before being finally approved at Medicine Optimisation Programme Board (MOPB).

Clinical guidelines aim to address the whole medical management of a particular therapeutic area for example, osteoporosis, asthma etc.

The prescribing formulary is a list of medicines from the British National Formulary (BNF) which have been approved for prescribing by MOPB. The aim of MOPB is to promote rational evidence-based and cost-effective prescribing within West Essex health economy. The formulary also contains useful links to local and national guidance.

Any comments or improvements please do not hesitate to contact the team on 01992-566144 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

"DISCLAIMER - PLEASE READ". This website contains a selection of documents including guidelines approved by MOPB. These documents were believed to be an accurate reflection of the medical literature and practices at the time of preparation.

Whilst endeavouring to update these guidelines as per their review dates, there are presently some for which the review date may have passed and will be in the process of being reviewed.

West Essex CCG Medicines team advises on the place of new drugs, or new uses of drugs and therapies in effective, affordable prescribing in the West Essex health economy through an evaluation of current evidence and national guidance.


It is not the function of West Essex CCG Medicines team to substitute for the role of the prescribing clinician. It aims to support the clinician to arrive at an informed decision. These resources are provided for local NHS prescribers to support safe, effective and good value choices of medicines to provide optimum health improvements for our local population.

Members of the public may view the resources contained in this section. However, for any medicines related questions or health concerns please consult with a health professional or obtain further assistance by consulting: the NHS Choices website or Patient Experience team.

West Essex CCG accepts no liability for any use of the information included in the website. We do not accept responsibility for any loss, damage or expense resulting from the use of this information howsoever caused.


Whilst every reasonable effort has been made to ensure the accuracy of the information at the time of posting the recommendation on the website, we cannot guarantee that it is up-to-date at the time it is viewed.

Commercial Use

Information from the website may not be used for commercial purposes.

Recommendation Review

Recommendations will be reviewed upon the publication of a NICE Technology Appraisal or when significant new information or evidence becomes available and is supported by submission to the Medicines team.

Wherever possible documents will be updated before expiry however where this has not been possible in some instances it may be deemed most appropriate for expired documents to remain in place until updated copies are approved rather than remove all guidance or information.

Please contact the Medicines team before moving away from guidelines. Contact details are available on this website should you need to clarify any information or need advice.


Folder 00. COVID 19
Folder 01. Gastro-intestinal System
Folder 02. Cardiovascular System
Folder 03. Respiratory System
Folder 04. Central Nervous System
Folder 05. Infections
Folder 06. Endocrine System
Folder 07. Obstetrics, Gynaecology, Urinary-tract disorders
Folder 08. Malignant Disease and immunosuppression
Folder 09. Blood and Nutrition inc FOOD (Baby Milk, Nutritional supplements, Gluten free, Vitamins and Dysphagia)
Folder 10. Musculoskeletal and Joint diseases
Folder 11. Eye
Folder 12. Ear, Nose and Oropharynx
Folder 13. Skin
Folder 14. Immunological Products and Vaccines
Folder 15. Anaesthesia
Folder Appliances, Stoma care, Catheters and Bags
Folder Items which should not be routinely prescribed in Primary Care
Folder Wound Management Products and Elasticated Garments


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