Humber APC Guidance

General APC Documents

Agreed quantities of medicines to be supplied to patients from secondary care

HAPC Guideline on Use of Unlicensed Medicines in Primary Care April 2022

Chapter 1 – Gastrointestinal Tract

Rifaximin for hepatic encephalopathy – Amber 2 guidance

Chapter 2 – Cardiovascular Guidance

Amber Guidance for Inclisiran for treating Primary Hypercholesterolaemia or Mixed Dyslipidaemia

Heart Failure Protocol 

Lipid guidance

Prescribing Anticoagulants

Orthostatic Hypotension guideline

Chapter 2 – Shared Care Frameworks

Amiodarone SCF – Hull and East Riding only

Chapter 3 – Respiratory System

Nintedanib guidance for pulmonary fibrosis

Pirfenidone guidance for pulmonary fibrosis

Diagnosing and Treating Asthma in Humber and North Yorkshire

HNY Adult Asthma Guidance 2023

HNY Paediatric Asthma Guidance 12-17 years

HNY Paediatric Asthma Guidance 6-11 years

Chapter 4 – Central Nervous System Guidelines

Amber guidance for managing migraine and cluster headache

Amber 2 guidance for cenobamate

Distress in Dementia – Primary care and Care homes in Hull

Protocol for managing Multiple Sclerosis

Oral paracetamol dosing in adults

Chapter 4 – Leaflets

Buprenorphine leaflet final Hull and ERY only

Chapter 4 – Shared Care Frameworks

Dementia Medication Shared Care Framework Hull and ERY only

Shared care framework for Modafinil (Hull, East Riding of Yorkshire and North East Lincolnshire)

Shared care framework for Riluzole

Shared care for lithium for cluster headache (Hull and East Riding of Yorkshire only)

Shared care for ADHD medicines (North Lincolnshire)

Shared care for valproate medicines in patients of child bearing potential (HNY)

Shared care for ADHD medicines (North East Lincolnshire)

Chapter 5 – Infections

Gastrointestinal infections Hull and ERY only

Upper Respiratory Tract Infections Hull and ERY only

(see Northern Lincolnshire Guidance section for management of infection in Northern Lincolnshire Guidance on the Treatment and Management of Infection in Primary Care)

Amber 1 Prescribing guidance for Fidaxomicin

Amber 1 Prescribing guidance for Fosfomycin

Amber 1 Prescribing guidance for Pivmecillinam

Chapter 6 – Endocrine System

Humber and North Yorkshire Algorithm for the Management of Type 2 Diabetes

Humber and North Yorkshire Continuous Glucose Monitoring Commissioning Position

Humber and North Yorkshire Blood Glucose Meter Formulary

Chapter 7 – Genito-urinary system

Guideline for overactive bladder in females

Chapter 11 – Eye

Ocular Lubricant guideline

Wound care

CHCP wound care formulary (Hull and East Riding of Yorkshire)

North and North East Lincolnshire Joint Dressing and Wound Management Formulary v3.1

Palliative care

Guidance for Commencing Palliative Care Medicines (Just in Case Drugs) v11 2022 Hull and ERY only

Guide to your ‘just in case’ medications

Amber 1 guidance for the prescribing of glycopyrronium bromide injection in palliative care