The SASH Prescribing Formulary contains a comprehensive list of approved drugs for prescribing as ratified & integrated by 2 main committees (SASH Drugs and Therapeutics Committee and the Surrey Area Prescribing Committee (representing 8x CCGs & 5x Acute NHS Trusts across the Health Economy). The formulary contains links to shared care guidelines, updated NICE TAs and the newer agents are colour-coded in a Traffic Light System to reflect where clinical prescribing responsibility lies for a specific medicine (see table below).
All prescribing from within the Trust (i.e. inpatient and outpatient) must comply with the Formulary. Advice given to GPs regarding drug treatment options must also be in line with the SASH Formulary
Access SaSH PRESCRIBING FORUMLARY here
The formulary pages below are no longer being kept up to date and will soon be removed. The up to date formulary is now available on Microguide and can be downloaded in the microguide app on a smart phone or accessed online via the link above. For any feedback relating to the formulary/formulary app, please contact the formulary lead pharmacist: jemma.hives@nhs.net
Initiating non-formulary medicines for individual patients
Process for non formulary drug initiationNon-Formulary requests for individual patients (for patient specific use of a non-formulary medication)
Individual funding requests (IFR) for high cost drugs can be found on the high cost drugs page >>
Adding medicines to SaSH prescribing formulary
The process for adding medicines to the formulary is changing. Applications for medicines that will only be prescribed within secondary care will continue to be reviewed by the SaSH DTC following full completion and submission of one of the below forms. Any applications for medicine that may be prescribed within primary care or PBRex medicines commissioned by CCGs will need to be reviewed at the Surrey & North West Sussex Area Prescribing Committee (APC). Decisions made at APC will be reflected in the SaSH prescribing formulary.
Formulary application (for addition of a medication onto the formulary for specified indication(s))
Formulary extension Application (for adding a new formulation or strength of a medication to the formulary)
Drug Shortages
If there is a TEMPORARY shortage of a medicine, a non-formulary alternative may be used without a formulary application. Shortages are reviewed by the pharmacy department in conjunction with clinical teams to identify suitable alternative products before prescribing. For information and advice regarding medicines shortages see ‘Advice for divisions on medicines shortages’ document below.
Zero Cost Medicines
APC statement: ZERO COST MEDICINES PRIOR TO NICE OR SURREY & SUSSEX AREA PRESCRIBING COMMITTEE (APC) REVIEW
Useful links
Shared Care Guidelines/Information Sheets
Area Prescribing Committee (APC) Operational Documents
Surrey Prescribing Advisory Database [PAD]
Medicines.org – Summary of Product Characteristics (SPCs) and Patient Information Leaflets (PILs) for licensed medicines
National Patient Safety Alerts
SASH Medicines Information (intra-net only)
West Sussex INTEGRATED MUSCULOSKELETAL (MSK) SERVICE
Crawley, Horsham & Mid-Sussex CCG Formulary [CHMS]
