Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

January NICE Guidance

The National Institute of Health and Clinical Excellence has published new guidance for the month of January.

There are two guidelines that may impact on primary care, a public health intervention looking at promoting physical activity for children and young people (QRG) and a clinical guideline covering medicines adherence (QRG).

NICE recommends that clinicians promote physical activity based on a minimum of 60 minutes moderate to vigorous physical activity a day. This can include opting for a physically active mode of travel for some journeys each day, for example travel too and from places of education. Clinicians should also be aware of locally arranged activity opportunities for sign posting.

The guidance on medicines adherence discusses both intentional and non-intentional non-adherence. It is noted that a patient has the right to decide not to take a medicine and that non-adherence is common.

NICE encourage clinicians to involve patients in decision making about their medication while understanding the patient's perspective. Adherence can be supported by exploring levels of adherence and addressing beliefs, concerns and practical problems. The importance of regular review of long term medication and good communication between healthcare professionals is also highlighted.

Action: Primary care clinicians should be aware of these new guidelines. Clinicians who prescribe or review medication and who consult children and young people will find this information useful.

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