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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Abatacept Psoriatic arthritis Double Red NICE technology appraisal Hertfordshire and West Essex ICB
Abatacept Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Acromioclavicular Joint (ACJ) n/a Clinical pathways South and West Hertfordshire
Adalimumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Adalimumab Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Adalimumab Rheumatoid arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Adalimumab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Allopurinol Gout 1st line Green n/a Hertfordshire and West Essex ICB
Apremilast Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Arthroscopic Sub-acromial Decompression n/a Clinical policy Hertfordshire and West Essex ICB
Axial Spondyloarthritis Axial Spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Back Pain n/a Clinical pathways East and North Hertfordshire
Baricitinib Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Bimekizumab Axial Spondyloarthritis Red Prescribing guideline Hertfordshire and West Essex ICB
Bimekizumab Psoriatic arthritis Red Prescribing guideline Hertfordshire and West Essex ICB
Biologic and Biosimilar Medicines Where indicated n/a Patient information Hertfordshire and West Essex ICB
Bunions n/a Clinical pathways Hertfordshire and West Essex ICB
Carpal Tunnel Syndrome n/a Clinical pathways South and West Hertfordshire
Carpometacarpal Joint Osteoarthritis n/a Clinical pathways South and West Hertfordshire
Certolizumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Certolizumab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Certolizumab Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Cervical Spine and Pain n/a n/a South and West Hertfordshire
Co-proxamol Pain Double Red Prescribing guideline Hertfordshire and West Essex ICB
Co-proxamol Pain n/a Patient information Hertfordshire and West Essex ICB
Colchicine Gout 2nd line Green n/a Hertfordshire and West Essex ICB
De Quervains Pathway n/a Clinical pathways South and West Hertfordshire
Dependence forming medicine Pain - ECF FAQs n/a Primary Care prescribing resource Hertfordshire and West Essex ICB
Diastasis Recti Repair n/a Clinical policy Hertfordshire and West Essex ICB
Dibotermin alfa Promotion of ectopic bone formation Red Decision document Hertfordshire and West Essex ICB
Dupuytren's Contracture - Assessment n/a Clinical pathways Hertfordshire and West Essex ICB
Elbow Pain n/a Clinical pathways Hertfordshire and West Essex ICB
Etanercept Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Etanercept Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Etanercept Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Etanercept Rheumatoid arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Febuxostat Gout 2nd line Green n/a Hertfordshire and West Essex ICB
Fentanyl immediate release (IR) Pain (except for palliative care) Double Red Prescribing guideline Hertfordshire and West Essex ICB
Filgotinib Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Filgotinib Rheumatoid arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Foot & Ankle Pain and Disorders excluding Bunions n/a Clinical pathways Hertfordshire and West Essex ICB
Foot Symptoms | Adults Only n/a Clinical pathways Hertfordshire and West Essex ICB
Functional Electrical Stimulation n/a Clinical policy Hertfordshire and West Essex ICB
Ganglion n/a Clinical pathways Hertfordshire and West Essex ICB
Glenohumeral Joint (Shoulder Pain) n/a Clinical pathways South and West Hertfordshire
Glucosamine and chondroitin Osteoarthritis Double Red Prescribing guideline Hertfordshire and West Essex ICB
Glucosamine and Chondroitin Patient Information Leaflet Osteoarthritis n/a Patient information Hertfordshire and West Essex ICB
Golimumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Golimumab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Golimumab Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Guselkumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Hallux Valgus (Bunion) Surgery n/a Clinical policy Hertfordshire and West Essex ICB
Hallux Valgus (Bunion) Surgery Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Hand and Wrist including Dupuytren's, Trigger Finger and Carpal Tunnel n/a Clinical pathways Hertfordshire and West Essex ICB
Hip Arthroscopy n/a Clinical policy Hertfordshire and West Essex ICB
Hip Pain n/a Clinical pathways Hertfordshire and West Essex ICB
Hip Replacement n/a Clinical policy Hertfordshire and West Essex ICB
Hip Replacement Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Hyaluronan, intra-articular injection Osteoarthritis Double Red NICE technology appraisal Hertfordshire and West Essex ICB
Hydroxychloroquine Rheumatoid arthritis, discoid and systemic lupus erythematosus, and dermatological conditions caused or aggravated by sunlight Amber initiation n/a Hertfordshire and West Essex ICB
Ibandronic acid 50mg Prevention of skeletal events (pathological fractures, bone complications requiring radiotherapy or surgery) in patients with breast cancer and bone metastases. Amber initiation n/a Hertfordshire and West Essex ICB
Immediate Release Fentanyl Deprescribing Guide In Primary Care Pain n/a Prescribing guideline Hertfordshire and West Essex ICB
Infliximab IV Axial spondyloarthritis - ankylosing spondylitis Red Prescribing pathway Hertfordshire and West Essex ICB
Infliximab IV Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Infliximab IV Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Infliximab IV Rheumatoid arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Injections and Radiofrequency Denervation for non-specific back pain n/a Clinical policy Hertfordshire and West Essex ICB
Injections and Radiofrequency Denervation for non-specific back pain Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Injections for isolated low back pain without sciatica n/a Clinical policy Hertfordshire and West Essex ICB
ixekizumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
ixekizumab Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Knee Arthroscopy – local supplement n/a Clinical policy Hertfordshire and West Essex ICB
Knee arthroscopy for patients with osteoarthritis n/a Clinical policy Hertfordshire and West Essex ICB
Knee Arthroscopy Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Knee Pain n/a Clinical pathways Hertfordshire and West Essex ICB
Knee Replacement n/a Clinical policy Hertfordshire and West Essex ICB
Leflunomide Rheumatoid Arthritis, Psoriatic Arthritis Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Management of MSK conditions in patients with previous cancer n/a Clinical pathways South and West Hertfordshire
Neck Pain n/a Clinical pathways Hertfordshire and West Essex ICB
Open MRI n/a Clinical policy Hertfordshire and West Essex ICB
Open Mri Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Opioid Pain - persistent self care n/a Prescribing guideline Hertfordshire and West Essex ICB
Opioid Pain - plan agreement n/a Patient information Hertfordshire and West Essex ICB
Opioid Pain - review letter n/a Primary Care prescribing resource Hertfordshire and West Essex ICB
Opioid Aware Campaign n/a Primary Care prescribing resource Hertfordshire and West Essex ICB
Opioid Deprescribing Pain - long-term prescribing for non-cancer, chronic pain in adults n/a Position statement Hertfordshire and West Essex ICB
Oxycodone and naloxone Pain Double Red Prescribing guideline Hertfordshire and West Essex ICB
Paracetamol and tramadol Pain Double Red Prescribing guideline Hertfordshire and West Essex ICB
Penicillamine Rheumatoid Arthiritis Amber protocol n/a 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
Psoriatic Arthritis Psoriatic Arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Residential exercise therapy/rehabilitation courses for the management of Ankylosing Spondylitis n/a Clinical policy Hertfordshire and West Essex ICB
Revision Surgery for Hip & Knee Replacements n/a Clinical policy Hertfordshire and West Essex ICB
Rheumatoid Arthritis - moderate Rheumatoid Arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Rheumatoid Arthritis - severe Rheumatoid Arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Rituximab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Rotator Cuff Injury or Inflammation n/a Clinical pathways South and West Hertfordshire
Rubefacients, benzydamine, mucopolysaccharide and cooling products (excluding topical NSAIDs and capsaicin) Musculoskeletal pain Double Red Prescribing guideline Hertfordshire and West Essex ICB
Sarilumab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Secukinumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Secukinumab Axial spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Shoulder Arthroscopy n/a Clinical policy Hertfordshire and West Essex ICB
Shoulder Arthroscopy Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Shoulder Instability Pathway n/a n/a South and West Hertfordshire
Shoulder Pain n/a Clinical pathways Hertfordshire and West Essex ICB, South and West Hertfordshire
Simultaneous Joint Replacement n/a Clinical policy Hertfordshire and West Essex ICB
Spinal and Low Back Pain |SWH n/a Clinical pathways South and West Hertfordshire
Spinal Cord Stimulation n/a Clinical policy Hertfordshire and West Essex ICB
Tennis and Golfers Elbow n/a Clinical pathways South and West Hertfordshire
Tocilizmuab Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Tofacitinib Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Tofacitinib Axial Spondyloarthritis - ankylosing spondylitis Red Prescribing guideline Hertfordshire and West Essex ICB
Tofacitinib Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Total Knee Replacement Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Trigger Finger/Thumb n/a Clinical pathways South and West Hertfordshire
Unicompartmental Knee Replacement Prior Approval Form n/a Prior approval form Hertfordshire and West Essex ICB
Upadacitinib Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Upadacitinib Rheumatoid arthritis - severe Red Prescribing pathway Hertfordshire and West Essex ICB
Upadacitinib Axial Spondyloarthritis Red Prescribing pathway Hertfordshire and West Essex ICB
Upadacitinib Rheumatoid arthritis - moderate Red Prescribing pathway Hertfordshire and West Essex ICB
Ustekinumab Psoriatic arthritis Red Prescribing pathway Hertfordshire and West Essex ICB