Introduction

Our formulary allows patients to access what medications we offer, and links them to relevant patient information that is easy to understand and use. By providing a formulary to our patients we are:

  • Improving patient outcomes by optimising the use of medications
  • Supporting the inclusion of patient factors in decision making about medicines
  • Improving local care pathways
  • Improving collaboration between clinicians and commissioners
  • Improving quality by reducing inappropriate variations in clinical care
  • Improving quality through access to cost-effective medicines
  • Supporting the supply arrangements of medicines across a local health economy
  • Supporting financial management and expenditure on medicines
  • Supporting prescribers to follow guidance published by professional regulatory bodies in relation to medicines and prescribing

Each patient has the right to drugs and treatments that have been recommended by NICE (National Institute of Clinical Excellence) for use in the NHS, provided your doctor says they are clinically appropriate for you.

The Constitution states: “You have a right to expect local decisions on funding of other drugs and treatments to be made rationally following a proper consolidation of the evidence. If we decide not to provide or fund a medication that you and your doctor feel would be right for you, then we will explain this decision to you.”

Rationale for medications included in the formulary

The medications listed in the formulary are chosen based on effectiveness, clinical appropriateness, rationale for use, cost and guidelines. Sometimes the Trust may restrict use of a medication due to lack of evidence. Reasons will be provided as to why a medication you may wish to have could not be provided to you within the Trust.

How to use the formulary

Each medication will be listed alphabetically in the formulary. The second column will have next a list of all the indications the medication can be used for: e.g. olanzapine is not only licensed to treat schizophrenia but also treats other conditions.

The third column will link the medication to the appropriate patient information leaflet on the choice and medication website. This patient information leaflet will give you the necessary information that you need to know, such as side effects, how to take it etc. The fourth column of the Formulary directs you towards the relevant NICE recommendations on the medication, or condition it is used to treat.