Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

NICE Guidance - January 2016

The National Institute of Health and Care Excellence (NICE) have published new guidance for the month of January 2016. This month there is one clinical guideline that impacts upon primary care.

The Tuberculosis guideline covers prevention, identification and management of latent and active tuberculosis (TB) in children, young people and adults. It aims to improve ways of finding people who have TB in the community and recommends that everyone under 65 with latent TB should be treated.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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NICE Guidance - December 2015

The National Institute of Health and Care Excellence (NICE) have published new guidance for the month of December 2015. An updated version of the Diabetes guideline has already been published. In addition there is one clinical guideline and one technology appraisal that impact upon primary care.

The Care of dying adults in the last days of life guideline covers the clinical care of adults (18 years and over) who are dying during the last 2 to 3 days of life. It aims to improve end of life care for people in their last days of life by communicating respectfully and involving them, and the people important to them, in decisions and by maintaining their comfort and dignity. The guideline covers how to manage common symptoms without causing unacceptable side effects and maintain hydration in the last days of life.

The Ciclosporin for treating dry eye disease technology appraisal recommends ciclosporin eye drops (Ikervis) as a possible treatment for people with dry eye disease that has not improved despite treatment with artificial tears.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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NICE Guidance - Diabetes guideline update

The National Institute of Health and Care Excellence (NICE) have published an updated version of the guideline for diabetes. It was originally due for publication earlier this year but was delayed to allow further development time.

It covers the care and management of type 2 diabetes in adults (aged 18 and over). It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications.

This updated guideline includes new recommendations on:

  • individualised care
  • managing blood glucose levels:
    • HbA1c measurement and targets
    • self-monitoring of blood glucose
    • drug treatment
  • antiplatelet therapy
  • managing complications

Action: Clinicians should be aware of this new guidance and implement any necessary changes to practice.

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NICE Guidance - November 2015

The National Institute of Health and Care Excellence (NICE) have published new guidance for the month of November 2015. This month there are two clinical guidelines and one technology appraisal that impact upon primary care.

The Menopause: diagnosis and management guideline covers the diagnosis and management of menopause, including in women who have premature ovarian insufficiency. The guideline aims to improve the consistency of support and information provided to women in menopause.

The Older people with social care needs and multiple long-term conditions guideline covers planning and delivering social care and support for older people who have multiple long-term conditions. It promotes an integrated and person-centred approach to delivering effective health and social care services.

The Vortioxetine technology appraisal recommends this treatment as a possible option for adults having a first or recurrent major depressive episode, if the current episode has not responded to two antidepressants.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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NICE Guidance - October 2015

The National Institute of Health and Care Excellence (NICE) have published new guidance for the month of October 2015. This month there is one clinical guideline that impacts upon primary care.

The Dementia, disability and frailty in later life guideline covers mid-life approaches to delay or prevent the onset of dementia, disability and frailty in later life. The guideline aims to increase the amount of time that people can be independent, healthy and active in later life.

The guideline includes recommendations on promoting a healthy lifestyle including:

  • stopping smoking
  • being more active
  • reducing alcohol consumption
  • improving diet
  • losing weight and maintaining a healthy weight if necessary

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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