netFormulary NHS
Guildford And Waverley Joint Formulary
Guildford And Waverley CCG
Royal Surrey County Hospital NHS Foundation Trust
Welcome to the Royal Surrey County Hospital and Guildford and Waverley Clinical Commissioning Group Joint Formulary
For use by all primary and secondary care prescribers within the Trust and CCG. See about page.

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News Feed

From: RSCH Pharmacy Department & Director of Therapeutics

To: All Clinical staff

Date: 8th November 2018

Dalteparin (Fragmin®) Shortage

There is a current supply shortage of all strengths of dalteparin (Fragmin®). Effective immediately patients should be reviewed and where appropriate switched from dalteparin (Fragmin®) to an alternative low molecular weight heparin called Inhixa® (enoxaparin biosimilar). For the majority of patients, switching to Inhixa® is safe when switched to an equivalent dose.

What is your responsibility during the switch?

  • Doctors – review all prescriptions for dalteparin, including those pre-printed on pathway charts, unless the patient meets one of the exclusion criteria, cross off dalteparin and prescribe Inhixa® by brand
  • Pharmacists – review all prescriptions for dalteparin, unless the patient meets one of the exclusion criteria, cross off dalteparin and chart Inhixa® by brand supported by  the enablement policy
  • Nurses – identify patients that still have dalteparin prescribed and alert doctor or pharmacist

See updated Quick Reference VTE guide on desktop and SPACE for dosing information.

It is expected that all medicines prescribed in the Guildford and Waverley Area will be in accordance with this Formulary.  

Introduction of new medicines, and changes to traffic light classification of existing medicines, will be managed via the Drugs and Therapeutics Committee of the Royal Surrey County Hospital and the Medicines Optimisation Group at Guildford and Waverley CCG.  

If there is a need to prescribe a non-formulary medicine please contact the Royal Surrey Pharmacy or the CCG Medicines Management Team before initiating or recommending the medicine to the patient or other prescribers.

Contact Us

Please use the feedback button at the top of this page for:

  • any queries related to the formulary - we will endeavour to respond to you within 2 working days.  As this is the first draft of the new Formulary we welcome all feedback, including minor amendments.
  • any requests for consideration of medicines not currently in the Formulary or amendments of traffic light status.  Requests will be followed up in accordance with local priorities.

Any patient specific queries should not be submitted via this feedback form and prescribers should contact their hospital pharmacy team or local CCG medicines managment team in the usual way. 

To feedback secondary care prescribing concerns from RSCH please email using your secure e-mail account.

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