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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A frequently asked questions document - NHS Shared care and specialist guided prescribing service specification Shared Care n/a Primary Care prescribing resource Hertfordshire and West Essex ICB
Acetylcholinesterase (AChE) inhibitor Alzheimer's disease dementia Amber protocol Shared care protocol West Essex
Acetylcholinesterase (AChE) inhibitor Alzheimer's disease dementia Amber initiation Prescribing support document East and North Hertfordshire, South and West Hertfordshire
Alternatives To Admission | East and North Hertfordshire n/a Clinical pathways East and North Hertfordshire
Alternatives To Admission | West Essex n/a Clinical policy West Essex
Alternatives To Admission| South West Hertfordshire n/a Clinical pathways South and West Hertfordshire
Amiodarone Arrythmia Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Amiodarone Review Pathway Arrythmia Amber protocol Primary Care prescribing resource Hertfordshire and West Essex ICB
Atomoxetine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Atomoxetine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol West Essex
Attention deficit hyperactivity disorder (ADHD) ADHD shared care protocol Amber protocol Shared care protocol West Essex
Attention deficit hyperactivity disorder (ADHD) ADHD shared care protocol children and young people (methylphenidate, lisdexamfetamine, dexamfetamine, atomoxetine or guanfacine) Amber protocol Shared care protocol West Essex
Attention deficit hyperactivity disorder (ADHD) ADHD shared care protocol - children, young people and adults Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Azathioprine / mercaptopurine Multisystem autoimmune disease Amber protocol Shared care protocol West Essex
Azathioprine / mercaptopurine Multisystem autoimmune disease Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Cinacalcet Secondary Hyperparathyroidism in Adults with End Stage Kidney Disease Requiring Renal Replacement Therapy Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Clinical brand prescribing guidance n/a Primary Care prescribing resource Hertfordshire and West Essex ICB
Dapsone Licensed Indications Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Denosumab Osteoporosis Amber initiation Prescribing guideline Hertfordshire and West Essex ICB
Denosumab letter template Osteoporosis Amber initiation Prescribing guideline Hertfordshire and West Essex ICB
Denosumab prescribing support document Osteoporosis Amber initiation Prescribing support document Hertfordshire and West Essex ICB
Dexamfetamine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Dexamfetamine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol West Essex
Donepezil Alzheimer's disease dementia Amber initiation Prescribing support document East and North Hertfordshire, South and West Hertfordshire
Donepezil Alzheimer's disease dementia Amber protocol Shared care protocol West Essex
Dronedarone - Adults Arrythmia Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Fludrocortisone Orthostatic Hypotension Amber initiation Prescribing support document Hertfordshire and West Essex ICB
Galantamine Alzheimer's disease dementia Amber initiation Decision document East and North Hertfordshire, South and West Hertfordshire
Galantamine Alzheimer's disease dementia Amber protocol Shared care protocol West Essex
Guanfacine Atttention deficit hyperactivity disorder (ADHD) - in children Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Guanfacine Atttention deficit hyperactivity disorder (ADHD) - in children Amber protocol Shared care protocol West Essex
Hydroxycarbamide Myeloproliferative neoplasms Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Ivabradine stable angina and chronic heart failure Amber initiation Prescribing support document Hertfordshire and West Essex ICB
Lanthanum Hyperphosphataemia in adult patients with chronic kidney disease Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Leflunomide Rheumatoid Arthritis, Psoriatic Arthritis Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Liothyronine Hypothyroidism Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Liothyronine - Position Statement Hypothyroidism Amber protocol Position statement Hertfordshire and West Essex ICB
Liothyronine – Information for Patients Hypothyroidism Amber protocol Patient information Hertfordshire and West Essex ICB
Liothyronine Review Algorithm Hypothyroidism Amber protocol Primary Care prescribing resource Hertfordshire and West Essex ICB
Lisdexamfetamine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Lisdexamfetamine Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol West Essex
Lithium Mania, hypomania, bipolar disorder, depression and aggressive or self-harming behaviour Amber protocol Shared care protocol West Essex
Lithium Mania, hypomania, bipolar disorder, depression and aggressive or self-harming behaviour Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Memantine Alzheimer's disease dementia Amber initiation Prescribing support document East and North Hertfordshire, South and West Hertfordshire
Memantine Alzheimer's disease dementia Amber protocol Shared care protocol West Essex
Methotrexate Autoimmune disease Amber protocol Shared care protocol West Essex
Methotrexate Autoimmune disease Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Methylphenidate Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Methylphenidate Attention deficit hyperactivity disorder (ADHD) Amber protocol Shared care protocol West Essex
Midodrine Orthostatic Hypotension Amber initiation Prescribing support document Hertfordshire and West Essex ICB
Modern Slavery and Human Trafficking n/a Patient information Hertfordshire and West Essex ICB
Mycophenolate mofetil Multisystem autoimmune disease Amber protocol Shared care protocol West Essex
Mycophenolate mofetil Multisystem autoimmune disease Amber protocol Shared care protocol East and North Hertfordshire, South and West Hertfordshire
Penicillamine Rheumatoid Arthiritis Amber protocol n/a Hertfordshire and West Essex ICB
Penicillamine Tertiary care indication (NHSE) Amber protocol n/a Hertfordshire and West Essex ICB
Riluzole Amyotrophic Lateral Sclerosis (ALS) form of Motor Neurone Disease (MND) Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Rivastigmine Alzheimer's disease dementia Amber initiation Prescribing support document East and North Hertfordshire, South and West Hertfordshire
Rivastigmine Alzheimer's disease dementia Amber protocol Shared care protocol West Essex
Safeguarding n/a Patient information Hertfordshire and West Essex ICB
Sevelamer Hyperphosphateemia in adult patients with chronic kidney disease Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Shared Care Shared Care Principles n/a Primary Care prescribing resource 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
Shared care Initiation by a Private Provider Amber protocol Patient information Hertfordshire and West Essex ICB
Sirolimus oral Transplant rejection (prescribe by brand) NHSE for existing patients Amber protocol n/a Hertfordshire and West Essex ICB
Sodium valproate All indications Amber initiation Primary Care prescribing resource Hertfordshire and West Essex ICB
Somatropin Treatment of adults with growth hormone deficiency Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Somatropin Treatment of growth failure in children Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Sucroferric Oxyhydroxide Hyperphosphataemia in adult patients with end stage renal failure requiring renal replacement therapy Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Sulfasalazine Gastroenterology / Rheumatology Amber protocol Shared care protocol Hertfordshire and West Essex ICB
Tacrolimus oral Transplant rejection (prescribe by brand) NHSE for existing patients Amber protocol n/a Hertfordshire and West Essex ICB