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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 Chapter
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.

 Details...
09.04  Expand sub section  Oral nutrition
Altraplen Compact
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Formulary
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Altrashot
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Aymes® Savoury
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Formulary
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Aymes®Complete (Milkshake Style)
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Aymes®Shake
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Calogen®
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Calogen® Extra
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Ensure®Compact
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Ensure®Plus  (Milkshake style )
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Ensure®Plus Juce
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Ensure®Shake
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Ensure® Plus Advance
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Ensure® Plus Fibre
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Ensure® TwoCal
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Foodlink Complete®
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Foodlink Complete® with Fibre
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fortisip® 2kcal
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fortisip® Compact Fibre
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fortisip® Compact Protein
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fortisip® Extra
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fresubin® 2kcal Creme
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fresubin® 3.2kcal Drink
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fresubin® Thickened  (Level 2)
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fresubin® Thickened  (Level 3)
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Fresubin® 5kcal Shot
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Nutilis® Complete Crčme (Level 3)
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Nutilis® Complete Drink  (Level 3)
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Nutilis® Fruit  (Level 4)
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Nutricrem
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Pro-Cal® Shot
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Pro-Cal® Powder
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
ProSource ® TF
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
ProSource® Jelly
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
ProSource® Liquid
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
ProSource® Plus
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
Scandishake® Mix
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Vitasavoury® Soup
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Initiation by specialist dietician services prior to continuation within primary care.

 
   
09.04.01  Expand sub section  Foods for special diets
Gluten Free Dietary Products
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Green

Prescribe in line with ACBS Guidance and endorse prescription ’ACBS’
Please prescribe in line with current guidelines

 
   
09.04.02  Expand sub section  Enteral nutrition
Jevity® (Abbott Laboritories Ltd)
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Formulary
Green

Less than 1kcal/mL and less than 5g protein/100ml

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Jevity®1.5kcal (Abbott Laboritories Ltd)
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Formulary
Green

1.5kcal/mL and 5g (or more) protein/100mL

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Jevity®Plus (Abbott Laboritories Ltd)
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Formulary
Green

Less than 1.5kcal/mL and 5g (or more) protein/100mL

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Jevity®Plus HP (Abbott Laboritories Ltd)
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Formulary
Green

Less than 1.5kcal/mL and 5g (or more) protein/100mL

Gluten-free
Residual lactose


Available in:
500ml
1000ml
1500ml

 
   
Jevity®Promote (Abbott Laboritories Ltd)
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Formulary
Green

Less than 1.5kcal/mL and 5g (or more) protein/100mL

Gluten-free
Residual lactose

Available in:
1 litre

 
   
Osmolite® (Abbott Laboritories Ltd)
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Formulary
Green

1kcal/mL and less than 5g protein/100ml

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Osmolite®1.5kcal (Abbott Laboritories Ltd)
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Formulary
Green

1.5kcal/mL and 5g (or more) protein/100ml

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Osmolite®Plus (Abbott Laboritories Ltd)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

1.5kcal/mL and 5g (or more) protein/100mL

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

 
   
Perative ® (Abbott Laboritories Ltd)
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Formulary
Green

less than 1.5kcal/mL and 5g (or more) protein/100mL

Gluten free
Residual lactose

Available in:
500ml
1000ml

 
   
TwoCal® (Abbott Laboritories Ltd)
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Formulary
Green

More than 1.5kcal/mL and 5g (or more) protein/100mL

Gluten free
Residual lactose

Available in:
1 litre

 
   
Vital 1.5kcal (Abbott Laboritories Ltd)
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Formulary
Green

1.5kcal/mL and 5g (or more) protein/100mL

Gluten free
Residual lactose

Available in:
200ml
1000ml

 
   
 ....
 Non Formulary Items
Preparations  (Forceval Protein Powder®)

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Non Formulary
 
Sapropterin Dihydrochloride  (Kuvan®)

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Non Formulary This is an NHS England Specialised Commissioning Drug for Phenlalanine restriction
 
  
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 children's 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

Traffic Light Status Information

Status Description

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

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