Click Here to go to Index
The Wound Care Formulary is available for all practitioners prescribing and/or applying wound care products throughout Blackburn with Darwen Care Trust Plus, East Lancashire Teaching PCT and East Lancashire Hospitals Trust. There are some variations between acute and primary care provision of products dependent upon appropriateness and availability.
The formulary has been devised by a panel of practitioners from across East Lancashire, who have specialist knowledge and expertise in wound care management. It aims to provide a clinically effective, appropriate and cost effective choice of products to manage the vast majority of wounds and will be evaluated and updated on an annual basis to reflect innovations in practice and new, evaluated products.
Notes for Use
The following must be noted:
- Each practitioner is responsible for ensuring access to and usage of the most recent version of the formulary which can be found on the Medicines Management Board Website at www.elmmb.nhs.uk.
- The formulary should be used in conjunction with the current East Lancashire Wound Care Guidelines and not in isolation and should not replace sound clinical judgement. Practitioners with specialist wound care knowledge in each Trust should be referred to if necessary.
- Compression systems should only be applied by practitioners trained in their application. Maintenance hosiery can be prescribed in any size including made to measure.
- Dressing packs should not be prescribed in primary care (except for use in nursing homes) in East Lancashire as they are no longer considered clinically or cost effective. Appropriate alternatives are listed within this document and should be ordered via stores or NHS Logistics.
Specialist products listed should only be used following discussion with/assessment by designated wound care specialists.
- It is expected that the vast majority of wound care products will be selected from this formulary. Should a product be required which is not listed, the rationale for this must be supplied in writing on the exception form (which can be found on the Primary Care Formulary page). This will aid in the updating process of the formulary. Within secondary care requests for non-formulary dressings should also be authorised by the ward sister alongside completing an exception form.
- New products may be evaluated through the Wound Care Formulary Group, who as a sub-group of the Medicines Management Board (formerly Drug & Therapeutics Committee) will assess the evidence available, and evaluate wound care products. New products will only be added to the Joint Wound Care Formulary following a positive recommendation from the Wound Care Group, and endorsement by the Medicines Management Board. Products which are not on the formulary should not be used routinely, but only in exceptional circumstances.
- Antimicrobial products should only be used where an increased risk of infection or clinical signs of infection are apparent. Once an infection has resolved, treatment with an antimicrobial dressing should be stopped.
Instructions for Use
- The formulary contains algorithms to aid choice of product for certain circumstances.
- Once a product has been chosen from the formulary, select the most appropriate size and type (e.g. border, non-adhesive, etc) for the wound. Prescribers should only order a quantity that is clinically required, rather than prescribing whole packs for ease of use.
Joint Wound Care Formulary - Index
Primary Care: Key to Ordering
Key is colour coded on the main formulary page.
FP10 & Stores
Tissue Viability Service only
Secondary Care: Key to Use
Key is colour coded on main formulary page.
Trained staff - Can be chosen by all trained staff against the algorithm
Experienced staff - Can be chosen by experienced staff nominated by ward & department managers
Specialist advice - Should only be used when specialist advice has been given
NB. Products may have more than one ordering/use code against them for differing sizes etc. See main formulary pages for specific details.
All material in this section is aimed at health professionals, but is information currently held within the public domain. Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or contact NHS Direct on 0845 46 47