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 |
|---|---|---|---|---|
| Areas of Focus for 2026/27 ECF Target - Summary Document | Guidance - ECF 26/27 | n/a | Primary Care prescribing resource | East and North Hertfordshire, South and West Hertfordshire |
| Continuous Glucose Monitoring - Dexcom ONE to ONE+ Switch Letter to Patient | Diabetes | Amber initiation | Prescribing guideline | Hertfordshire and West Essex ICB |
| Continuous Glucose Monitoring - FSL2 to FSL2 Plus Sensor Switch Letter to Patient | Diabetes | Amber initiation | Prescribing guideline | Hertfordshire and West Essex ICB |
| Cosopt eye drops to generic-switch-letter | Glaucoma, raised IOP | n/a | Patient information | Hertfordshire and West Essex ICB |
| Daridorexant | Long-term insomnia | Green | Prescribing support document | Hertfordshire and West Essex ICB |
| Dosulepin Patient Information Leaflet | Depression | n/a | Patient information | Hertfordshire and West Essex ICB |
| Doxazosin 8mg to 4mg tablets-switch-letter | Hypertension | n/a | Patient information | Hertfordshire and West Essex ICB |
| Doxazosin Prolonged-Release Patient Information Leaflet | Hypertension, benign prostatic hyperplasia (BPH) | n/a | Patient information | Hertfordshire and West Essex ICB |
| Eclipse Live | Advice and Guidance FAQs | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Emollients | Topical Use | n/a | Patient information | Hertfordshire and West Essex ICB |
| Fentanyl Immediate-Release Patient Information Leaflet | Pain (except for palliative care) | n/a | Patient information | Hertfordshire and West Essex ICB |
| Generic medicines statement | n/a | Prescribing support document | Hertfordshire and West Essex ICB | |
| Glucophage SR tablets to generic-switch-letter | Diabetes | n/a | Patient information | Hertfordshire and West Essex ICB |
| Glucosamine and Chondroitin Patient Information Leaflet | Osteoarthritis | n/a | Patient information | Hertfordshire and West Essex ICB |
| Herbal Treatments Patient Information Leaflet | All indications | n/a | Patient information | Hertfordshire and West Essex ICB |
| High Dose Opioid Prescribing Top Tips Checklist | High dose opioid prescribing | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Homeopathy Patient Information Leaflet | All indications | n/a | Patient information | Hertfordshire and West Essex ICB |
| How to guide: Searching HWE prescribing guidance website | n/a | n/a | Hertfordshire and West Essex ICB | |
| Independence dressings | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB | |
| Inspection - CQC | Managing Medicines in a GP Practice | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Joint Activities with the Pharmaceutical Industry | Pharmaceutical Industry | n/a | Position statement | Hertfordshire and West Essex ICB |
| Levothyroxine solution to tablets switch patient letter | hypothyroidism | n/a | Patient information | Hertfordshire and West Essex ICB |
| Lidocaine plaster patient information Leaflet | Pain | n/a | Patient information | Hertfordshire and West Essex ICB |
| Lidocaine plasters deprescribing guide | Neuropathic pain | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Long term insomnia management including Cognitive Behavioural Therapy for insomnia (CBT-I) Frequently Asked Questions (FAQs) for adult patients | Long-term insomnia | n/a | Patient information | Hertfordshire and West Essex ICB |
| Lutein and Antioxidants Patient Information Leaflet | Eye Supplements for AMD | n/a | Patient information | Hertfordshire and West Essex ICB |
| Medication Shortages | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB | |
| Medicines Management & Prescribing Self-Assessment Tool | Managing Medicines in a GP Practice - CQC | n/a | n/a | Hertfordshire and West Essex ICB |
| Metformin oral solution to tablets switch patient letter | Diabetes | n/a | Patient information | Hertfordshire and West Essex ICB |
| Minocycline Patient information leaflet | Acne | n/a | Patient information | Hertfordshire and West Essex ICB |
| Multi-compartment compliance aid and 7-day prescription guidance | Multi-compartment compliance aid | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | Provider/Trust Communication Bulletin | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | FAQs | n/a | Prescribing support document | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | GP Practice Communication Bulletin | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | Carer Communication Bulletin | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | Reasonable adjustment | n/a | Prescribing pathway | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | Assessment tool | n/a | n/a | Hertfordshire and West Essex ICB |
| Multi-compartment Compliance Aids | Patient information | n/a | Patient information | Hertfordshire and West Essex ICB |
| Needles Patient Information Leaflet | Diabetes | n/a | Patient information | Hertfordshire and West Essex ICB |
| Nitrofurantoin oral solution to capsules switch Patient Letter | urinary tract infection | n/a | Patient information | Hertfordshire and West Essex ICB |
| Non-Medical Prescriber Guidance | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB | |
| Omeprazole switch paediatric patient letter | Gastrointestinal disorders | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Omeprazole switch PEG or NG patient letter | Gastrointestinal disorders | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Over the counter medicines for minor health conditions – Information for patients | OTC | n/a | Patient information | Hertfordshire and West Essex ICB |
| Overprescribing and reducing harm from medicines Q&A | n/a | Prescribing support document | Hertfordshire and West Essex ICB | |
| Oxybutynin oral solution to Tablets switch Patient Letter | urinary incontinence | n/a | Patient information | Hertfordshire and West Essex ICB |
| Oxycodone and Naloxone combination products Patient Information Leaflet | Pain | n/a | Patient information | Hertfordshire and West Essex ICB |
| Paracetamol and Tramadol combination products Patient Information Leaflet | Pain | n/a | Patient information | Hertfordshire and West Essex ICB |
| Perindopril Arginine Patient information leaflet | Heart failure, hypertension and prophylaxis of CV events | n/a | Patient information | Hertfordshire and West Essex ICB |
| Pharmacy First referral decision aid | n/a | Decision document | Hertfordshire and West Essex ICB | |
| Practice support - Memorandum of understanding between GP practices and medicines optimisation team | n/a | n/a | Hertfordshire and West Essex ICB | |
| Prescribing of GLP1 Receptor Agonists for Weight Loss – Restricted | Weight management | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Prescription | Private consultation | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Prescription - NHSBSA | Organisation and prescriber changes | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Prescription - repeat | Clerks hints and tips | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Prescription - repeat | Prescriber guide with tips | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Prescription duration | Decision aid | n/a | Prescribing pathway | Hertfordshire and West Essex ICB |
| Prescription duration 7 days | Process and communication for identification | n/a | Prescribing pathway | Hertfordshire and West Essex ICB |
| Prescription duration guidance | Prescription duration guidance | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Rebates and National Procurement Pricing Agreements | n/a | n/a | Position statement | Hertfordshire and West Essex ICB |
| Recording medications prescribed by other parties on GP clinical systems | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB | |
| Repeat Prescribing Toolkit Q&A ECF 2025/26 | Toolkit ECF FAQ | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Schools | Medicines in schools FAQs | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| ScriptSwitch | Process simple switches | n/a | Decision document | Hertfordshire and West Essex ICB |
| Scriptswitch | Implementation for practices | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Seroquel 100mg tablets to generic-switch-letter | Schizophrenia/Bipolar | n/a | Patient information | Hertfordshire and West Essex ICB |
| Shared care | Attention deficit hyperactivity disorder (ADHD) by Private Provider | Amber protocol | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Shortage of Pancreatic Enzyme Replacement Therapy (PERT) Shortage Information - General Practice | PERT Shortage | n/a | Prescribing support document | Hertfordshire and West Essex ICB |
| Silk Garments | Eczema dermatitis | n/a | Patient information | Hertfordshire and West Essex ICB |
| Specialist / Non-approved / Non-Formulary Medicines – Information for Patients | Patient information | n/a | Patient information | Hertfordshire and West Essex ICB |
| Specialist or non-approved drug response letter from GP to Trust | n/a | n/a | Hertfordshire and West Essex ICB | |
| Specials alternative guidance | Specials alternative guidance | n/a | Prescribing guideline | Hertfordshire and West Essex ICB |
| Steroid card | FAQs | n/a | Primary Care prescribing resource | Hertfordshire and West Essex ICB |
| Travel Vaccines Patient Information Leaflet | Hepatitis B, Rabies, BCG, Meningitis ACWY, Japanese Encephalitis, Yellow fever, Tick-borne encephalitis | n/a | Patient information | Hertfordshire and West Essex ICB |
| Trimipramine | Depression | n/a | Patient information | Hertfordshire and West Essex ICB |
| User guide for Cancelling or Amending eRDs (EMIS and SI) | eRDs | n/a | Prescribing support document | Hertfordshire and West Essex ICB |
| User guide for eRD (EMIS and SI) | eRDs | n/a | Prescribing support document | Hertfordshire and West Essex ICB |
| Vitamin D guideline | n/a | Clinical pathways | Hertfordshire and West Essex ICB | |
| Zonegran caps to generic -switch-letter | Epilepsy | n/a | Patient information | Hertfordshire and West Essex ICB |