Prescribing, Policies and Pathways
The last day of operation for Hertfordshire and West Essex ICB was 31 March 2026. The information on this website has not been updated since 31 March 2026. The legacy policies, prescribing recommendations and pathways can be accessed on this website. Find out more
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| Medicine / Guideline | Indication | RAG rating | Document type | Place |
|---|---|---|---|---|
| Abrocitinib | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Acitretin | Psoriasis, ichthyosis, Darier's disease | Red | Decision document | Hertfordshire and West Essex ICB |
| Actinic keratosis | Actinic keratosis | n/a | Prescribing pathway | Hertfordshire and West Essex ICB |
| Adalimumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Alitretinoin | Eczema - hand severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Apremilast | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Aveeno switch patient letter | Emollient | Double Red | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Back Pain | n/a | Clinical pathways | East and North Hertfordshire | |
| Baricitinib | Alopecia areata | Double Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Baricitinib | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Bath and shower preparations | Dry and pruritic skin conditions | Double Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Bimekizumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Biologic and Biosimilar Medicines | Where indicated | n/a | Patient information | Hertfordshire and West Essex ICB |
| Botulinum toxin type A | Focal spasticity, Hemi-facial spasm, Blepharospasm, Cervical dystonia, Frey’s syndrome, Chronic anal fissure, Dysphagia, Hirschsprung’s disease, Overactive bladder,Masseteric hypertrophy and temporomandibular disorders | Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Brodalumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Certoliziumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Chalazia (meibomian cysts) removal | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Chalazia Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Chlormethine gel | Mycosis fungoides-type cutaneous T-cell lymphoma (NHSE) | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Clascoterone | Acne Vulgaris | Double Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Delgocitinib | Chronic Hand Eczema | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Dermatology / Skin Lesions / Skin Health for Adults over 16 years old | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Deucravacitinib | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Diclofenac sodium 3% gel | Actinic keratosis | Green | Prescribing guideline | Hertfordshire and West Essex ICB |
| Dimethyl fumarate | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Dupilumab | Prurigo Nodularis | Double Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Dupilumab | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Emollient Guidelines | Topical Use | n/a | Decision document | Hertfordshire and West Essex ICB |
| Emollients | Topical Use | n/a | Patient information | Hertfordshire and West Essex ICB |
| Etanercept | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Fluorouracil 0.5% / Salicylic acid 10% cutaneous solution | Actinic keratosis | Green | Prescribing guideline | Hertfordshire and West Essex ICB |
| Fungal Nail Management | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Glycopyrronium bromide | Hyperhidrosis | Double Red | Decision document | Hertfordshire and West Essex ICB |
| Guselkumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Hyperhidrosis | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Hyperhidrosis | Hyperhidrosis - self help | n/a | Patient information | Hertfordshire and West Essex ICB |
| Hyperhidrosis Management | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Imiquimod 3.75% cream | Actinic keratosis | Double Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Imiquimod 5% cream | Actinic keratosis | Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Infliximab IV | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Isotretinoin | Acne | Red | n/a | Hertfordshire and West Essex ICB |
| Ivermectin 10mg/ml cream | Papulopustular rosacea | Green | Decision document | Hertfordshire and West Essex ICB |
| Ixekizumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Lebrikizumab | Atopic dermatitis - moderate to severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Mepacrine (unlicensed medicine) | Subacute cutaneous and Discoid lupus erythematosus | Red | n/a | Hertfordshire and West Essex ICB |
| Methoxsalen | Cancer, psoriasis | Red | n/a | Hertfordshire and West Essex ICB |
| Minocycline | Acne | Double Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Minocycline Patient information leaflet | Acne | n/a | Patient information | Hertfordshire and West Essex ICB |
| Nemolizumab | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Omalizumab | Urticaria - severe chronic | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Pigmanorm | Melasma | Double Red | Decision document | Hertfordshire and West Essex ICB |
| Plastics Referral Pathway (including scar revision) | n/a | Patient information | Hertfordshire and West Essex ICB | |
| Prednisolone | All indications - soluble tablet | n/a | Patient information | Hertfordshire and West Essex ICB |
| Prednisolone enteric coated | All indications | Double Red | n/a | Hertfordshire and West Essex ICB |
| Promethazine | All indications | n/a | Position statement | Hertfordshire and West Essex ICB |
| Psoriasis | Psoriasis - severe localised | Red | Decision document | Hertfordshire and West Essex ICB |
| Psoriasis | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Psoriasis Topical Treatment - Adults | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Risankizumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Ritlecitinib | Alopecia Areata - Severe | Red | Decision document | Hertfordshire and West Essex ICB |
| Ruxolitinib cream | Non-segmental vitiligo | Double Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Scar Revision | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Scar Revision Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Secukinumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Silk Garments | Eczema dermatitis | n/a | Patient information | Hertfordshire and West Essex ICB |
| Silk garments | Eczema dermatitis | Double Red | Prescribing guideline | Hertfordshire and West Essex ICB |
| Skin Cancer Suspected - Pigmented Lesion/ Melanoma/ SCC/ BCC | n/a | Patient information | Hertfordshire and West Essex ICB | |
| Spesolimab | Psoriasis - Pustular flares | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Sunscreens | Protection against UV radiation (ACBS) | Green | Decision document | Hertfordshire and West Essex ICB |
| Sunscreens | Protection against UV radiation (ACBS) | Green | Prescribing guideline | Hertfordshire and West Essex ICB |
| Surgical Removal of Benign Skin Lesions | n/a | Clinical policy | Hertfordshire and West Essex ICB | |
| Surgical Removal of Benign Skin Lesions Prior Approval Form | n/a | Prior approval form | Hertfordshire and West Essex ICB | |
| Tildrakizumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |
| Tirbanibulin | Actinic keratosis | Green | Prescribing guideline | Hertfordshire and West Essex ICB |
| Tralokinumab | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Upadacitinib | Atopic dermatitis - moderate severe | Red | NICE technology appraisal | Hertfordshire and West Essex ICB |
| Ustekinumab | Psoriasis - moderate severe | Red | Prescribing pathway | Hertfordshire and West Essex ICB |