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NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
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 Formulary Chapter 24: Devices - Full Chapter
Notes:

This chapter includes devices that were discussed at BCAP Area Prescribing Committee and therefore relate to patients being treated within the RUH.  The chapter will be reviewed by the new BSW Area Prescribing Committee.

 Details...
24.01  Expand sub section  Devices
Jaw rehabilitation
(Therabite®)
(Device)
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Formulary
Amber
  • Recommended for patients following head and neck radiotherapy or head and neck surgery when recommended by an appropriate Secondary Care Specialist
  • Only on recommendation from maxillofacial surgeon with clear follow up plan by specialist
 
   
Oscillating positive expiratory pressure (OPEP)
(Flutter®, Acapella®, Cronet®)
(Device)
Formulary
Red
  • Recommended for cystic fibrosis patients where PEP alone has proved ineffective
  • BTS guidelines recommend OPEP should be considered for use with postural drainage and forced expiration when helping patients develop effective mucus clearance techniques
  • For Bronchiectasis patients as per BTS. Physios to supply first device and show patients how to use. Replacement devices via FP10 via Physiotherapy ONLY
 
   
Vacuum Pumps for Erectile Dysfunction

Formulary
Red
  • Hospital only
  • arrangements for supply and appropriate training should be agreed locally
 
   
Vaginal dilators or trainers
(Femmax® Ameille Care® Ameille Comfort®)
(Device)
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Formulary
Amber
  • Recommended for women following vaginal reconstruction surgery or following pelvic radiotherapy when recommended by an appropriate Secondary Care Specialist
 
   
 ....
 Non Formulary Items
Constrictor rings for erectile dysfunction


Non Formulary
 
Insulin devices - Needle free
(Insujet®, Injet®)
(Device)

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Non Formulary
  • Not routinely recommended unless there is aconfirmed diagnosis of needle phobia which would result in the patient not injecting insulin
  • Individual Funding Request - if necessary
 
Normal saline nasal sprays
(Sterimar® Aqua Maris®)
(Device)

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Non Formulary
 
Pelvic toning (PelvicToner®)
(Device)

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Non Formulary
  • Not recommended as there is no evidence of additional benefit compared to undertaking pelvic floor exercises alone
  • Patients may purchase from a pharmacy or on-line if wanted
 
Potassium hydroxide solution
(MolluDab®, Molutrex®)
(Device)

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Non Formulary
  • 5%
  • Not recommended - limited clinical value treatment
  • Patients may purchase from a pharmacy or on-line directly from the manufacturers if wanted
 
RESPeRATE ®


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Non Formulary
  • Not recommended as the British Hypertension Society consider that the small effect over short durations do not provide sufficient evidence for this equipment to be recommended
 
Vibro-Pulse ®


Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Red

RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Amber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Self

Suitable for patient to be directed to buy themselves  

Grey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Black

Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.  

Red Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

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