Further information regarding Diamorphine Shortage (mainly applicable for Secondary Care prescribing) Unfortunately Accord have advised that there has been a further delay to their resupply date for diamorphine 5mg and 10mg injection and they are now expecting stock to be available during the week commencing 10th September. Wockhardt’s position remains unchanged, so please can all hospitals continue with current management plans as per previous communications in email chain below until the middle of September. There have been no changes to the supply position for the alternatives, so please refer to below communication for information about this. We will communicate further information about the recovery plan in early September.
Green -Medicines suitable for routine use within primary care and Secondary care
Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies
Amber- Medicines suitable to be prescribed in primary care after specialist /Consultant recommendation or initiation.
A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust Medicines and Therapeutic Committee and approved by the Area Prescribing Committee.
Red-Hospital initiation and continuation only
AMBER SHARE CARE PROTOCOL- Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised
To be supplied from the appropriate commissioned provider.
GREEN 2- to be prescribed by primary care only
GREY- NON FORMULARY (As agreed by Area Prescribing Committee)