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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.04  Expand sub section  Oral nutrition
 note 

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

Prescribers should seek advice from the UHNM Dietetics Department should they require any further information, tel. no. 01782 676030.

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.
Altraplen Compact 
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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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Aymes®Complete
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Aymes®Shake

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Calogen® 
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Calogen® Extra 
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Ensure®Compact

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Ensure®Plus
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Ensure®Plus Juce

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Ensure®Shake

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Ensure® Plus Advance

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Ensure® Plus Fibre 
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Ensure® TwoCal 
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Foodlink Complete®

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Foodlink Complete® with Fibre

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Fortisip® 2kcal

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Fortisip® Compact Fibre

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Fortisip® Compact Protein

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Fortisip® Extra 
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Fresubin® 2kcal Creme

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Fresubin® 3.2kcal Drink

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Fresubin® Thickened
(Level 2)
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Fresubin® Thickened
(Level 3)
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Fresubin® 5kcal Shot

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Nutilis® Complete Crčme
(Level 3)
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Nutilis® Complete Drink
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Nutilis® Fruit  (Level 4)
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Nutricrem 
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Pro-Cal® Shot

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Pro-Cal® Powder 
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ProSource ® TF

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ProSource® Jelly 
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ProSource® Liquid 
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ProSource® Plus 
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Scandishake® Mix

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Vitasavoury® Soup 
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09.04.01  Expand sub section  Foods for special diets
09.04.02  Expand sub section  Enteral nutrition
 ....
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note Notes
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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
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SMC
Scottish Medicines Consortium
Cytotoxic Drug
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Controlled Drug
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NHS England
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CCG
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High Cost Drug Approval System

Traffic Light Status Information

Status Description

Red

Medicines that can only be prescribed within Secondary Care. Examples of medicines which fall into this category are: Certain new medicines and new indications for older medicines where there is at present no experience of use in Primary Care. Medicines or dressings not available or prescribable in Primary Care. Where a medicine has been classified as Amber E, but an approved shared-care guideline is not yet available   

Amber

Medicines which can be prescribed within Secondary Care, but are only suitable for prescribing in Primary Care after specialist referral. There is no need for approved shared care guidelines for medicines in this category. This replaces Amber 2 on the North Staffs Formulary.   

Amber E

Medicines which can be prescribed within Secondary Care, but are only considered suitable for prescribing in Primary Care under an approved shared-care agreement (ESCA) or Rationale for Initiation, Continuation and Discontinuation (RICaD). This replaces Amber 1 on the North Staffs Formulary  

Green

Medicines which can be prescribed in either Primary or Secondary Care.  

Grey

These medicines have been reviewed by the New Medicines Committee and the Area Prescribing Committee and found not to be suitable for inclusion in the Joint Formulary. Inadequate or weak evidence for efficacy No clearly defined local need Lack of long term safety data No perceived benefit over established formulary alternatives Prescribers can consider these medicines where formulary alternatives are unsuitable, ineffective or not tolerated.  

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