South Staffordshire Joint Formulary Formulary


	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

Oral nutrition

Altraplen Compact

Formulary

Altrashot

Formulary

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

Aymes^® Savoury

Formulary

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

Aymes^®Complete (Milkshake Style)

Formulary

Aymes^®Shake

Formulary

Calogen®

Formulary

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

Calogen® Extra

Formulary

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

Ensure^®Compact

Formulary

Ensure^®Plus (Milkshake style )

Formulary

Ensure^®Plus Juce

Formulary

Ensure^®Shake

Formulary

Ensure® Plus Advance

Formulary

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

Ensure® Plus Fibre

Formulary

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

Ensure® TwoCal

Formulary

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

Foodlink Complete^®

Formulary

Foodlink Complete^® with Fibre

Formulary

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

Fortisip^® 2kcal

Formulary

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

Fortisip® Compact Fibre

Formulary

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

Fortisip® Compact Protein

Formulary

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

Fortisip® Extra

Formulary

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

Fresubin^® 2kcal Creme

Formulary

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

Fresubin^® 3.2kcal Drink

Formulary

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

Fresubin^® Thickened (Level 2)

Formulary

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

Fresubin^® Thickened (Level 3)

Formulary

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

Fresubin® 5kcal Shot

Formulary

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

Nutilis® Complete Crème (Level 3)

Formulary

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

Nutilis® Complete Drink (Level 3)

Formulary

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

Nutilis® Fruit (Level 4)

Formulary

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

Nutricrem

Formulary

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

Pro-Cal^® Shot

Formulary

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

Pro-Cal® Powder

Formulary

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

ProSource ^® TF

Formulary

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

ProSource® Jelly

Formulary

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

ProSource® Liquid

Formulary

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

ProSource® Plus

Formulary

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

Scandishake^® Mix

Formulary

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

Vitasavoury® Soup

Formulary

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

NICE CG32: Nutrition support in adults

09.04.01

Foods for special diets

Gluten Free Dietary Products

Formulary

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

09.04.02

Enteral nutrition

Jevity^® (Abbott Laboritories Ltd)

Formulary

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)

Formulary

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

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

Jevity^®Plus (Abbott Laboritories Ltd)

Formulary

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)

Formulary

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)

Formulary

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

Gluten-free
Residual lactose

Available in:
1 litre

Osmolite^® (Abbott Laboritories Ltd)

Formulary

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

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

Osmolite^®1.5kcal (Abbott Laboritories Ltd)

Formulary

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

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

Osmolite^®Plus (Abbott Laboritories Ltd)

Formulary

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

Gluten-free
Residual lactose

Available in:
500ml
1000ml
1500ml

Perative ^® (Abbott Laboritories Ltd)

Formulary

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

Gluten free
Residual lactose

Available in:
500ml
1000ml

TwoCal^® (Abbott Laboritories Ltd)

Formulary

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)

Formulary

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

Gluten free
Residual lactose

Available in:
200ml
1000ml

NICE CG32: Nutrition support in adults

....

Non Formulary Items

Preparations (Forceval Protein Powder^®)

Non Formulary

Sapropterin Dihydrochloride (Kuvan^®)

Non Formulary

This is an NHS England Specialised Commissioning Drug for Phenlalanine restriction

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.
	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.
	Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)
	Suitable first-line drugs for implementation in Primary Care
	South Staffs Formulary Choice