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South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 9: Nutrition and blood - Full Section
Notes:

The guideline for 'Appropriate prescribing of Oral Nutritional Supplements (ONS) in the treatment of Adult Malnutrition in primary care' can be accessed on netFormulary via this link

Joint Staffordshire CCG's Statement Regarding ONS in Primary Care.

Staffordshire and Stoke-on-Trent CCG's recommend in all cases of Malnutrition:

1. Appropriate nutritional assessment should be undertaken to assess risk in all patients.

2. Food fortification or over-the-counter nutritional supplements should be advised as firt-line treatment in patients with low/medium nutritional risk.

3. For patients at high risk (or those who fail to achieve the target MUST scores after first-line treatment) should be considered for ONS supplements or dietetic referral as detailed in the guidelines.

Numbers in brackets indicate counts of (Formulary items, Non Formulary items)
09.01 Anaemias and some other blood disorders (0,0)
09.01.01 Iron-deficiency anaemias (1,0)
09.01.01.01 Oral iron (3,7)
09.01.01.02 Parenteral iron (1,3)
09.01.02 Drugs used in megaloblastic anaemias (2,1)
09.01.03 Drugs used in hypoplastic, haemolytic, and renal anaemias (1,2)
Erythropoietin (3,3)
09.01.04 Drugs used in autoimmune thrombocytopenic purpura (5,0)
09.01.05 G6PD deficiency (0,0)
09.01.06 Drugs used in neutropenia (3,4)
09.01.07 Drugs used to mobilise stem cells (0,1)
09.02 Fluids and electrolytes (0,0)
09.02.01 Oral preparations for fluid and electrolyte imbalance (0,0)
09.02.01.01 Oral potassium (3,1)
Potassium removal (5,0)
09.02.01.02 Oral sodium and water (2,1)
Oral rehydration therapy (ORT) (1,2)
09.02.01.03 Oral bicarbonate (1,1)
09.02.02 Parenteral preparations for fluid and electrolyte imbalance (0,0)
09.02.02.01 Electrolytes and water (0,0)
09.02.02.02 Plasma and plasma substitutes (0,2)
09.03 Intravenous nutrition (0,12)
09.04 Oral nutrition (37,0)
09.04.01 Foods for special diets (1,2)
09.04.02 Enteral nutrition (11,0)
09.05 Minerals (0,0)
09.05.01 Calcium and magnesium (0,0)
09.05.01.01 Calcium supplements (4,3)
09.05.01.02 Hypercalcaemia and hypercalciuria (2,2)
09.05.01.03 Magnesium (2,6)
09.05.02 Phosphorus (0,0)
09.05.02.01 Phosphate supplements (1,2)
09.05.02.02 Phosphate-binding agents (6,7)
09.05.03 Fluoride (0,10)
09.05.04 Zinc (1,1)
09.05.05 Selenium (0,1)
09.06 Vitamins (0,0)
09.06.01 Vitamin A (0,5)
09.06.02 Vitamin B group (2,3)
Oral vitamin B complex preparations (1,3)
09.06.03 Vitamin C (1,0)
09.06.04 Vitamin D (3,17)
Vitamin D with Calcium (3,0)
09.06.05 Vitamin E (0,2)
09.06.06 Vitamin K (2,0)
09.06.07 Multivitamin preparations (1,9)
09.07 Bitters and tonics (0,4)
09.08 Metabolic disorders (0,0)
09.08.01 Drugs used in metabolic disorders (1,3)
09.08.02 Acute porphyrias (0,1)
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