Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • December 7th, 2018
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of Azathioprine (in conjunction with prednisolone) for Interstitial lung disease can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • January 21st, 2020
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of lisdexamfetamine in Attention-Deficit/Hyperactivity Disorder (ADHD) as part of a comprehensive treatment programme can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • December 7th, 2018
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of of Methotrexate for the treatment of Interstitial lung disease can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • March 24th, 2020
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of oral antipsychotics can be shared between the specialist and general practitioner (GP). This agreement covers all oral antipsychotics included in the Birmingham, Sandwell, Solihull and environs APC Formulary with the exception of clozapine and penfluridol. Where prescribed, these antipsychotics will continue to be prescribed by specialist services. Oral antipsychotics are often an essential component of treatment for schizophrenia, schizoaffective disorder and bipolar affective disorder. Other indications for specific antipsychotics include psychotic depression and augmentation with antidepressants in severe depression. They can also be used for unlicensed indications including significant and distressing anxiety disorders including obsessive compulsive disorder, Tourettes syndrome and post-traumatic stress disorder. For such indications, specialist services should liaise cl
Effective Shared Care Agreement (ESCA):Effective Shared Care Agreement (Esca) • July 25th, 2024
This shared care protocol applies to women aged under 55 years who are biologically capable of becoming pregnant and all girls, unless there is a compelling reason that there is a permanent absence of pregnancy risk and this is documented on an Annual Risk Acknowledgement Form (ARAF) by the specialists and patient.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • April 23rd, 2021
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of subcutaneous denosumab injections for postmenopausal women with osteoporosis can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist. If a specialist asks the GP to prescribe and administer denosumab injection, the GP should reply to this request as soon as practicable.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • July 3rd, 2019
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of sodium clodronate for the management of osteolytic lesions, hypercalcaemia and bone pain associated with multiple myeloma or breast cancer can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA):Effective Shared Care Agreement (Esca) • July 18th, 2024
Specialist responsibilities• Patients who are being transferred to adult services need to be reviewed by the specialist adult teams as per the trust internal governance process and to confirm that the current treatment is suitable and in line with the Bsol IMOC formulary• Assess the patient and provide diagnosis. Ensure the diagnosis is within scope of this shared care protocol (section 1) and communicated to primary care.• Use a shared decision making approach; discuss the benefits and risks of the treatment with the patient and/or their carer and provide the appropriate counselling, to enable the patient to reach an informed decision. Obtain and document consent. Provide an appropriate patient information leaflet.• Ensure the patient and/or their carer understands that treatment may be stopped if they do not attend for monitoring and treatment review• Assess for contraindications and cautions and interactions.• Conduct required baseline investigations and initial monitoring (see sec
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • March 10th, 2022
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of melatonin in REM sleep behaviour disorder or circadian rhythm sleep-wake disorder in adults (off label indications) can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel competent to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of ulipristal acetate (Esmya) for pre-operative treatment of moderate to severe symptoms of uterine fibroids can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • April 3rd, 2020
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing lacosamide as adjunctive therapy in the treatment of partial-onset seizures with or without secondary generalisation in patients with epilepsy aged 16 years and older can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel competent to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of ibandronic acid 50 mg for the prevention of skeletal events in metastatic breast cancer can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Eastbourne, Hailsham and Seaford CCG Hastings and Rother CCGEffective Shared Care Agreement (Esca) • February 19th, 2018
Effective Shared Care Agreement (ESCA) Drug Name: SULFASALAZINE EN TABLETS Indication/s Covered: Chronic inflammatory conditions in adults as defined below
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • March 14th, 2017
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of midodrine for the management of severe orthostatic hypotension due to autonomic dysfunction when corrective factors have been ruled out and other forms of treatment are inadequate can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of selegiline hydrochloride for parkinson's disease can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • March 23rd, 2020
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of lithium can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel competent to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • September 21st, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of eslicarbazepine acetate for epileptic seizures can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are not obliged to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • July 1st, 2019
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of Fiasp® can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
EFFECTIVE SHARED CARE AGREEMENT (ESCA) – PART B DRUG NAME: Liothyronine INDICATION/S COVERED: Treatment Resistant Severe Depression in Adults Coastal West Sussex traffic light system classification: Amber To be read in conjunction with PART A - CWS...Effective Shared Care Agreement (Esca) • October 12th, 2020
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • April 3rd, 2020
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of rufinamide for epileptic seizures can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel competent to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of azathioprine or mercaptopurine for inflammatory bowel disease refractory to 5ASA treatment and/or steroid dependent can be shared between the specialist and general practitioner (GP). You are invited to participate; however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
EFFECTIVE SHARED CARE AGREEMENT (ESCA)Effective Shared Care Agreement (Esca) • February 9th, 2021
This information sheet does not replace the Summary of Product Characteristics (SPC), which should be read in conjunction with this guidance. Prescribers should also refer to the appropriate paragraph in the current edition of the BNF.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of azathioprine for rheumatoid arthritis or psoriatic arthritis can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
EFFECTIVE SHARED CARE AGREEMENT (ESCA) – PART B DRUG NAME: METHOTREXATE INDICATION/S COVERED: For Rheumatology and Dermotology Coastal West Sussex traffic light system classification: Amber To be read in conjunction with PART A - CWS ESCA Core...Effective Shared Care Agreement (Esca) • December 19th, 2021
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of methotrexate in active Crohn’s disease despite repeated attempts to treat with steroids, 5 ASAs and azathioprine or 6-mercaptopurine can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
EFFECTIVE SHARED CARE AGREEMENT (ESCA) – PART B DRUG NAME: LEFLUNOMIDE INDICATION/S COVERED: Active rheumatoid arthritis or active psoriatic arthritis in adults Coastal West Sussex traffic light system classification: Amber To be read in conjunction...Effective Shared Care Agreement (Esca) • August 7th, 2023
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of denosumab for the treatment of postmenopausal osteoporosis can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of lithium can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
EFFECTIVE SHARED CARE AGREEMENT (ESCA) – PART BEffective Shared Care Agreement (Esca) • February 9th, 2021
EFFECTIVE SHARED CARE AGREEMENT (ESCA) – PART B DRUG NAME: SULFASALAZINE INDICATION/S COVERED: Active rheumatoid arthritis Coastal West Sussex traffic light system classification: Amber To be read in conjunction with PART A - CWS ESCA Core...Effective Shared Care Agreement (Esca) • January 21st, 2023
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of rufinamide for epileptic seizures can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • December 30th, 2019
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of methotrexate in active Crohn’s disease despite repeated attempts to treat with steroids, 5 ASAs and azathioprine or 6-mercaptopurine can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel competent to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA) Drug Name: RILUZOLE 50MG TABLETS / RILUZOLE ORAL SOLUTION 5mg/5mL Indication/s Covered: Amyotrophic lateral sclerosis in adults as defined belowEffective Shared Care Agreement (Esca) • February 19th, 2018
Specialist drugs - These are drugs where the need for specialist input has been identified. A specialist is not necessarily a consultant, rather a practitioner with specialist skills e.g. GP with Specialist Interest, Community Psychiatric nurse, Tissue Viability nurse.
Effective Shared Care Agreement (ESCA)Effective Shared Care Agreement (Esca) • August 3rd, 2015
This shared care agreement outlines suggested ways in which the responsibilities for managing the prescribing of apomorphine for Parkinson's disease can be shared between the specialist and general practitioner (GP). You are invited to participate however, if you do not feel confident to undertake this role, then you are under no obligation to do so. In such an event, the total clinical responsibility for the patient for the diagnosed condition remains with the specialist.
Effective Shared Care Agreement (ESCA) Drug Name: SODIUM OXYBATE (Schedule 2 (CD)) Indication/s Covered: Treatment of narcolepsy with cataplexy in adult patientsEffective Shared Care Agreement (Esca) • July 20th, 2020
Specialist drugs - These are drugs where the need for specialist input has been identified. A specialist is not necessarily a consultant but can be any practitioner with the relevant professional skills working within a specialist service.
