Below you can find Prescribing guidelines and their review dates
Acne Clinical Guideline - Treatment Guideline for Primary Care (Sheffield) - January 2026
Actinic Keratosis - July 2025
- Sun Protection Leaflet - July 2025
- Skin Cancer Leaflet - July 2025
Alcohol relapse prevention: Prescribing guideline for continuing alcohol relapse prevention medication in primary care - April 2022
Angina: treatment algorithm for stable angina - Review date extended to March 2023
Anticoagulant monitoring service standard operating procedure – September 2026
Antiplatelets in the prevention and treatment of cardiovascular disease - February 2028
Asthma guidelines - On publication of BTS/NICE guideline
- Maintenance and reliever therapy (MART) for asthma – important practice point re licensed products
- Greener Inhaler Guide - October 2025
Asthma Right Care (ARC) addressing SABA over-reliance in Sheffield
ARC presentation by Lead Respiratory Pharmacist SCCG
Link to the embedded video from the above presentation; Preventable Asthma Attacks
- Additional tools
Atrial Fibrillation - Anticoagulation for Stroke Prevention in Atrial Fibrillation - August 2023 (under review)
- DOAC National Procurement Programme - Sheffield CCG/APG Position Statement
- Edoxaban quick reference prescribing guide for stroke prevention in non-valvular atrial fibrillation - January 2024
- Anticoagulation for non-valvular atrial fibrillation (NVAF) following NHSE DOAC commissioning recommendations. UKCPA/PCPA/PCCS, published July 2022
- NHS England DOAC Infographic - to support the national initiative to expand use of DOACs and improve AF-related outcomes, in line with NICE NG196 and the national procurement programme.
For additional information see PrescQIPP Bulletin 282: Anticoagulation
Bariatrics - A guideline for the nutritional supplementation and blood monitoring of Sheffield bariatric surgery patients - December 2021 - Under review
- Dapagliflozin in HFrEF in patients with and without diabetes mellitus: guidance for primary care - January 2025
Clostridioides difficile: Good Practice Points - November 2023
Continence (Sheffield Integrated Continence Service Adult Formulary) - Review date extended to June 2024
COPD treatment algorithm - October 2027
- Greener Inhaler Guide - October 2025
- Guidance on managing a COPD exacerbation in the Care Home setting - review May 2027
- Spacer Guidance for Care Homes - review May 2027
COPD Inhaled corticosteroid withdrawal protocol - February 2021
Cows’ milk protein allergy (CMPA) or lactose intolerance guidelines - November 2025
Diabetes - Guidelines relating to Diabetes management
- Blood Glucose Testing Strips
- Prescribing guidance in the self-monitoring of blood glucose (SMBG) - Review date extended to March 2021
- Algorithm for SMBG - Review date extended to March 2021
- BGTS formulary choice - July 2025
- Blood Pressure Management in adults with Diabetes - July 2020 - Under review awaiting new NICE guidance
- Dexcom ONE - Sheffield position statement for use in adults - November 2025
- Freestyle Libre - Position Statement for Prescribing of Freestyle Libre 2- January 2023
- Ramadan: Managing diabetes during Ramadan
- Ramadan & Type 2 Diabetes - Patient Information Leaflet
- STH Guidelines for Detection and Management of Blood Glucose Levels in Patients During the Last Few Months and Days of Life
DOAC National Procurement Programme - Sheffield CCG/APG Position Statement. See also additional resources under Atrial Fibrillation - Anticoagulation for Stroke Prevention
Dysphagia: links to a set of Specialist Pharmacy Service guidance on using medicines safely and effectively in patients with swallowing difficulties - April 2023
Fosfomycin – Product Information - June 2025
Gender Dysphoria - primary care guidance from SHSC on the prescribing and monitoring of hormone treatments
- To locate the guidelines, scroll down and click on ‘information for GPs’. The Trans woman prescribing guidelines and the Trans man prescribing guidelines can be found on this page.
- The Royal College of Nursing have issued guidance to support the care of transgender patients, please find the guidance here
- The General Medical Council (GMC) issued guidance for doctors treating transgender patients, which outlined responsibilities in relation to prescribing/continued monitoring, which can be accessed via: http://www.gmc-uk.org/guidance/ethical_guidance/28859.asp
Gluten Free: Summary of recommendations for gluten free prescribing - April 2022
- For information to support a gluten free diet and a leaflet to explain the recent prescribing recommendations to patients, see embedded links
Hypertension: See NICE hypertension guidelines for primary hypertension. For secondary prevention: stroke and TIA see Sheffield primary care guideline; otherwise refer to discharge information/clinic letter where relevant. For primary and secondary prevention in patients with diabetes, see following links:
Hypertension - Blood Pressure Management in adults with Diabetes - July 2020 Note: recommendations for Type 2 diabetes have been superseded by the interim update September 2020 - review June 2021
Ibandronic acid in post-menopausal women with breast cancer – guideline - July 2019.
Immunoglobulin: home therapy booklet for GPs - December 2022
Influenza
- Sheffield In-season Influenza outbreak protocol for care homes
- Sheffield Out of season Influenza outbreak protocol for care homes
Liothyronine Q&A - September 2021
Lipid Modification
- Lipid optimisation for the primary prevention of cardiovascular disease in adults - July 2026
- Lipid optimisation for the secondary prevention of cardiovascular disease in adults - July 2026
- Raised Triglycerides Flowchart - July 2026
- Lipid Modification for the primary prevention of CVD in Younger Adults with Type 2 Diabetes - February 2025
Living With and Beyond Cancer
- LWABC Leaflet for patients (Link)
Malnutrition and oral nutritional supplement prescribing
- Pathway for the management of nutritionally at risk (adults) - July 2025
- Assessing underlying cause of malnutrition and treatment options - September 2025
- Eating well with a small appetite - Review date extended to May 2021
- Meal plan to support eating with a small appetite - February 2025
- Referral to the Dietitian - Review date extended to May 2023
- TTO – discharge medication oral nutritional supplement prescribing - July 2025
- ACBS criteria including advise for substance misusers - September 2025
- Nutrition in End of Life Care - Leaflet for carers - review November 2025
Food Based Nutrition Support
- Aymes Shake instructions for use - February 2025
- Aymes Shake recipes -February 2025
- Fortifying food - February 2025
- Nourishing drinks - February 2025
- Milk free nourishing drinks - February 2025
- Nourishing soups - February 2025
- Supplement drinks - supporting your food - February 2025
- Food based alternatives to ONS- Pictorial guides
- Drinks and snacks -December 2026
- Desserts - December 2026
- Nutritional supplements available over the counter - July 2025
Medication loading doses: Preventing fatalities from medication loading doses. Under review, please contact emily.parsons9@nhs.net
MRSA - Guidance for Sheffield CCG and Primary Care - Review date September 2022
Oral Anti-Cancer Medicines: Guidance to Support the Prescribing, Dispensing and Administration of Oral Anti-Cancer Medicines in Primary Care. Under review, please contact emily.parsons9@nhs.net
Oral Health - a guide for GPs - Review date extended to January 2021
Oral Health - a guide for dental practitioners - Review date extended to January 2021
Oral thrush: Prescribing for oral thrush in babies and prescribing for surface and ductal thrush in lactating women - September 2025
Pain Management
- Chronic non-malignant pain
- Chronic non-malignant pain in adults - September 2021
- Opioid tapering resource - June 2025
- Opioid prescription agreement - September 2021
- Taking opioids for pain - patient information leaflet (Faculty of Pain Management)
- Patient leaflet opioids and chronic pain - May 2026
- Patient resources to help with chronic pain - May 2022
- Neuropathic pain
- Gabapentinoids
- Gabapentinoid (pregabalin and gabapentin): De-prescribing guidance for non-cancer pain in adults in primary care – July 2027
- Gabapentin for the treatment of nerve pain - patient information leaflet
- Pregabalin for the treatment of nerve pain - patient information leaflet
- How to stop gabapentin safely when used for treating nerve pain - patient information leaflet
- How to stop pregabalin safely when used for treating nerve pain - patient information leaflet
- Oxycodone
- Oxycodone - Guidance for the Use of Oxycodone - November 2027
- Nefopam: Sheffield APG Position Statement on Nefopam - November 2026
- Transdermal opioid patches
- Transdermal opioid patches: Guidelines on the use of transdermal fentanyl and buprenorphine in a primary care setting - June 2026
- Fentanyl patches MHRA patient information leaflet
- Fentanyl patches MHRA patient information leaflet (large print)
- Opioid patches patient information leaflet - June 2026
Palliative Care
- Sheffield Palliative Care Formulary - (5th edition) review date December 2022
- EOLC algorithms document (Guidance for Medicines Management of Adult Patients in the Last Few Days of Life) November 2024
- STH Guidelines for Detection and Management of Blood Glucose Levels in Patients During the Last Few Months and Days of Life
- BD BODYGUARD T Syringe Pump Protocol
- T34 Ambulatory Syringe Pump Community Administered Medication Record Pink Card
- How to: Complete the Community Administered Medication Record Pink Card
- List of Palliative Care Pharmacies - (Amended December 2021) Covid-19 Note:- Pharmacy opening times are subject to change. Please check with the pharmacy
- Palliative Care Pharmacies - Stock List - 24/04/2020
- Opioid conversion chart
- Sub-cut Fluid Service (Community)
- Specialist Palliative Medicines Management in the Community - A Framework for Shared Care - November 2022
Proton Pump Inhibitors and H2 Antagonist prescribing in children - Prescribing and Administration of Oral/Enteral Proton Pump Inhibitors (PPIs) and H2 Antagonists - August 2027
Proton Pump Inhibitors (PPIs): Long term safety and gastroprotection* - September 2024
*You need to log into PrescQIPP to access this resource. To register see link
- Appendix 1 - Flow chart: Proton Pump Inhibitors – Advisory guidance on PPI prescribing in adults
- Appendix 2 - Flow chart: Gastroscopy
- Appendix 3 - Managing hypomagnesaemia during PPI therapy - good practice guide
Prucalopride (Resolor®) – Advice for GPs when prescribed after consultation with Chronic Constipation Clinic - March 2024
- The American website http://www.crediblemeds.org/ has regularly updated lists of medicines which cause prolongation of the QT Interval
Respiratory Devices
- IMT - Prescribing Inspiratory Muscle Trainer (IMT) Pressure Threshold Devices - September 2027
- OPEP - Prescribing Oscillating Positive Expiratory Pressure (OPEP) Devices - September 2027
Self-care guidance - Prepared October 2018; review date extended to October 2023
- Professional resources to support self-care
- Patient resources to support self-care (also see links to NHS.uk within each monograph in guidance)
Sildenafil - Generic Sildenafil Guideline - Review date extended to June 2022
Special medicines: Guidance on prescribing specials - July 2020
Steroid Emergency Card – Guide for Primary Care - September 2026
Stop List - Prepared November 2017
Stroke & TIA - Sheffield Primary Care Guidelines for Stroke and Transient Ischaemic Attack: - February 2022
Vitamin D
- Adults
- Guidance: Optimising vitamin D for adult bone health - Review date extended to August 2023
- Algorithm: Summary management algorithm – vitamin D in adults - Review date extended to August 2023
- Advice on Vitamin D requesting in adults - February 2023
- Children
- Guidance: Guidelines for management of children with suspected vitamin D deficiency in a primary care setting - March 2027
- Algorithm: Summary management algorithm – For children who present with suspected vitamin D deficiency - March 2027
- Pregnancy and breastfeeding
- Guidance: A Healthy Start - Folic acid and vitamin D supplementation in pregnancy and breastfeeding - March 2027
- Algorithm: Vitamin D Pregnancy algorithm - March 2027
- The Sheffield Extended Healthy Start Scheme - March 2027
- Vitamin D information leaflet resources
- Vitamin D pregnancy leaflet
- Vitamin D information leaflet for patients To print in a leaflet format go to the printer properties - print on both sides - flip on short edge
- Vitamin D information leaflet for patients - Easy read
- Vitamin D information leaflet for patients - Easy read Arabic
- Vitamin D information leaflet for patients - Easy read Punjabi
- Vitamin D information leaflet for patients - Easy read Slovak
- Vitamin D information leaflet for patients - Easy read Somali
- Vitamin D information leaflet for patients - Easy read Urdu