Search prescribing guidance
Prescribing guidance and pathways for healthcare professionals across NHS Central East ICB.
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Dermatology
Dermatology guidance supports the treatment and management of inflammatory skin conditions, including psoriasis and atopic dermatitis. This page provides prescribing guidance, treatment pathways, shared care guidance for medicines such as dapsone, and supporting information for the management of dermatological conditions.
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Diabetes
Diabetes is a condition that affects how the body regulates blood glucose (sugar) levels. This page provides information to support the safe and effective management of diabetes, including medicines, monitoring and self-management approaches to help people live well with their condition.
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Disease modifying anti-rheumatic drugs (DMARDs)
Disease modifying anti-rheumatic drugs (DMARDs) are used to treat a range of inflammatory and autoimmune conditions by reducing disease activity and preventing long-term complications. This page provides information on the safe use, monitoring and management of DMARD therapy.
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Dronedarone
Dronedarone is a medicine used to treat certain heart rhythm problems, including atrial fibrillation. This page provides information on its use, monitoring and ongoing management.
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Enhanced Commissioning Framework (ECF) 2026/27 – Hertfordshire
The Hertfordshire Enhanced Commissioning Framework (ECF) supports GP practices to deliver locally agreed medicines optimisation priorities. This page provides guidance and supporting resources for the Hertfordshire ECF for 2026/27.
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Epilepsy
Epilepsy is a neurological condition that causes recurrent seizures and may require treatment with antiseizure medicines. This page provides information on the treatment, monitoring and ongoing management of epilepsy.
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Finerenone
Finerenone is a medicine used in people with chronic kidney disease associated with type 2 diabetes to help reduce the risk of kidney disease progression and cardiovascular complications. This page provides information to support the safe prescribing, monitoring and ongoing management of finerenone therapy.
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Guidance for schools
Some children and young people may require medicines during the school day to support the management of their health condition. This page provides information to support the safe and appropriate management of medicines in educational settings.
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Heart Failure
Heart failure is a condition that affects the heart’s ability to pump blood effectively. This page provides clinical pathways and prescribing guidance for the assessment and management of heart failure, including left ventricular systolic dysfunction (LVSD).
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Hydroxycarbamide
Hydroxycarbamide is used in the management of myeloproliferative neoplasms and other selected haematological conditions. This page provides information to support the safe and effective use of hydroxycarbamide, including monitoring requirements and ongoing patient care.
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Inflammatory Arthritis
Inflammatory arthritis includes conditions such as rheumatoid arthritis and psoriatic arthritis, which cause inflammation of the joints and surrounding tissues. This page provides prescribing guidance, treatment pathways and supporting information for the management of inflammatory arthritis.
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Inflammatory Bowel Disease (IBD)
Inflammatory bowel disease (IBD) includes Crohn’s disease and ulcerative colitis, which cause long-term inflammation of the digestive tract. This page provides prescribing guidance, treatment pathways and supporting information for the management of inflammatory bowel disease.
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Iron Chelation Agents
Iron chelation medicines are used to remove excess iron from the body when it builds up over time. This page provides information on the use and management of these medicines for people with iron overload.
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Lanthanum
Lanthanum is a medicine used to help lower phosphate levels in people with chronic kidney disease. This page provides information on the use and management of lanthanum as part of the treatment of phosphate imbalance associated with kidney disease.
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Liothyronine
Liothyronine is a thyroid hormone medicine used to treat hypothyroidism in selected patients where levothyroxine alone is not sufficient. This page provides information on the prescribing, monitoring and management of liothyronine therapy.
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Lipid Management
Lipids, including cholesterol, play an important role in cardiovascular health. This page provides information on the management of lipid levels to help reduce the risk of cardiovascular disease, including heart attack and stroke.
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Lithium
Lithium is used in the treatment of bipolar disorder and certain other mental health conditions. This page provides information on the safe prescribing, monitoring and management of lithium therapy.
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Medical devices and appliances
Medical devices and appliances support the treatment and management of a range of clinical conditions. This page provides prescribing guidance and information on the appropriate selection, use and management of medical devices, appliances and associated products."
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Melatonin
Melatonin is used in the management of sleep disorders in selected patient groups, including children and young people where clinically appropriate. This page provides prescribing, formulary and monitoring information to support the safe, effective and appropriate use of melatonin therapy.
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Menopause and Menstrual Health
Menopause and menstrual health guidance supports the assessment and management of menopause, heavy menstrual bleeding and other menstrual health conditions. This page provides clinical pathways, prescribing guidance and supporting information to support appropriate treatment and ongoing management.