The Ardens formularies are all based upon national prescribing guidelines.
When prescribing from a formulary, an acute medication will always be prescribed. This ensures that the patient isn’t started and left on a repeat without the appropriate initial checks. If you wish to start a repeat straight away, then prescribe the acute and then in the view at the bottom of the formulary, just right click > make repeat.
With Ardens Pro the formularies can be localised so that they reflect local guidelines. The CCG and/or GP Practice just need to inform Ardens of any specific changes to the existing Ardens formularies. These updates will then be reviewed by our Pharmacist and Clinical Team who all follow a Clinical Governance process. Users can submit change requests in whatever format is easiest for them which can be either via a change request form, by email or by spreadsheet.
Three different methods of localisation are used depending on the formulary and extent of changes request different method of loculation are appropriate:
With this method of localisation, non-formulary items will be disabled and prescribers will not be able to issue the medication unless the "Override CCG formulary" tick box is selected. This method is used on formularies where prescribers may wish to prescribe off formulary for specific patients, for example COPD. Examples of when the prescribers may wish to use a non-formulary CCG inhaler would be for patients with manual dexterity problems, low inspiratory flow or other issues which can affect inhaler usage. This method not only supports the use of local guidelines and formularies but also supports prescribers to provide the best care to their patient following best practice.
Formularies that are localised like this include: Asthma, COPD, Diabetes and Cardiovascular Disease Formularies
This method is used when there are large differences between CCGs on the guidance given. A good example of this would be End of Life formularies. Different CCGs use a variety of different doses and regimes. With this method of localisation, a protocol runs in the background when launching the formulary to display the correct version of the formulary for your practice. If no local version of the formulary exists a national formulary will be displayed.
Formularies that are localised like this include: End of Life and Dressing Formularies
CCG Preferred Choices Template
This method is used to provided quick access to local CCG guidance. This is used for formularies were there are a wide range of different products which may be used for several different indications. An example of this would be the creams and ointments formulary, where depending on the indication the guidance is often different. Eg the older person skin care pathway in Harrogate and Rural District uses a different selection of products to the Incontinence associated dermatitis pathway.