Folder Shared Care Medicines

The General Medical Council Good Medical Practice states ‘prescribe drugs or treatment, including repeat prescriptions, only when you have adequate knowledge of the patient’s health, and are satisfied that the drugs or treatment serve the patient’s needs.

It also says provide effective treatments based on the best available evidence’. By prescribing a medication a GP is taking clinical responsibility.

What is the yellow list?

The Yellow list contains only those medicines and indications which have been agreed by the Stakeholders/ Locality/ MMPB for inclusion in the Blood Monitoring Service for Specialised Drugs SLA. These medicines must be initiated by Specialists, and then considered suitable for GPs to continue prescribing, with their agreement.

This is referred to as 'shared care' as both the Specialist and GP retain certain clinical responsibilities. For list of medicines see below.

Shared care guidelines are used to assist with the prescribing of these medicines and must be adhered to. In many circumstances the provider will retain prescribing and clinical responsibilities (if proven beneficial) for the agreed amount of time specified in the shared care guideline or until the GP has agreed to continue to prescribe and take on appropriate responsibilities.

If either clinician does not fulfil their responsibilities the prescribing should revert to the initiator of the medicines.

Some medicines are on both hospital only (RED) and shared care list (YELLOW) depending on the condition they are being used to treat.

Specialist initiated medicines without shared care guidelines will not be included on this list. If the specialist requests the GP to continue prescribing the specialist should provide the GP with sufficient information to assist them in reaching a decision to prescribe, see GMC guidance.

The following link to the yellow list decision aid is designed to help GP's when presented with a request for Shared Care:

Yellow list decision aid

The following link to the Community Pharmacists FAQs on Shared Care Medicines is a resource to help Community Pharmacists:

Community Pharmacists FAQs..

The following links provide Shared Care Guidelines for neighbouring areas:

Addenbrookes Shared Care Guidelines

Essex Partnership University Foundation Trust

Mid Essex CCG  Medicines Management Team Shared Care Guidelines

City and Hackney CCG Shared Care Guidelines

North Central  London Shared Care Guidelines 

Please see below West Essex Shared Care Guidelines


Toggle Title Date
document ADHD Shared care and agreement form ( docx, 129 KB ) (4939 downloads) Popular
pdf Azathioprine Mercaptopurine ( pdf, 435 KB ) (7238 downloads) Popular
pdf Ciclosporin ( pdf, 567 KB ) (17440 downloads) Popular
pdf Community Pharmacy FAQs for Shared Care Medicines ( pdf, 305 KB ) (3184 downloads) Popular
pdf Denosumab Guideline ( doc, 190 KB ) (10150 downloads) Popular
pdf High Risk Drug Monitoring ( pdf, 204 KB ) (5422 downloads) Popular
pdf Human varicella ( pdf, 246 KB ) (10764 downloads) Popular
pdf Hydroxycarbamide Myeloproliferative neoplasms ( pdf, 377 KB ) (9034 downloads) Popular
pdf Leflunomide Jan 15 ( pdf, 327 KB ) (7286 downloads) Popular
pdf Methotrexate oral and Subcutaneous ( pdf, 808 KB ) (15637 downloads) Popular
pdf Mycophenolate for interstitial lung disease ( pdf, 420 KB ) (11959 downloads) Popular
pdf Mycophenolate for rheum,derm and gastroenterology ( pdf, 430 KB ) (13375 downloads) Popular
pdf Orthostatic Hypotension Shared Care Agreement ( pdf, 418 KB ) (110296 downloads) Popular
pdf Riluzole SCA ( pdf, 361 KB ) (5453 downloads) Popular
pdf Shared Care Letter ( pdf, 270 KB ) (3161 downloads) Popular
pdf Shared care process ( pdf, 629 KB ) (4033 downloads) Popular
pdf Sulfasalazine ( pdf, 646 KB ) (10585 downloads) Popular
pdf Yellow list decision aid ( pdf, 545 KB ) (2712 downloads) Popular