NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Shared Care Protocols

The Prescribing Interface Subcommittee of the Area Drug & Therapeutics Committee (ADTC) co-ordinates the formal management of prescribing issues between primary care and the acute setting including the review, approval and collation of Shared Care Protocols (SCPs). The committee also manages processes to ensure that interface agreements are standardised. The overall aim is to ensure there is clarity and consistency in NHSGGC on the utilisation of medicines and treatments and the associated responsibilities of different healthcare professionals.  The development of agreed shared care protocols for suitable medicines (licensed or in some cases unlicensed/ “off label” use) is one way of achieving this aim. The committee meets quarterly, in March, June, September and December.


Shared care protocols clearly define the roles and responsibilities of clinical staff in each care setting, and require agreement from both acute and primary care before they can be signed off as approved for use. Since most protocols will involve GPs being asked to prescribe specific medicines, then it is sensible for GPs to be involved in the development of the protocol. All medicines included in a shared care protocol that meet the criteria for a “high cost expensive medicine” and are prescribed in accordance with the shared care protocol are automatically accounted for in the “high cost/ expensive medicines list” for budget-setting purposes. No additional action is therefore required by GPs to request funding. For those medicines which are the subject of a shared care protocol but which do not meet the high cost expensive medicines criteria, transfer of prescribing costs will be considered if this is appropriate.


Current approved shared care protocols include four medicines for the treatment of Hepatitis B, and melatonin for sleep disturbance in children.  Several new SCPs are also under development.  SCPs are reviewed every two years to ensure that they are still relevant and fit for purpose. 


Further information including approved SCPs, the standard template, checklist and criteria for shared care, and the submission documentation can be found here.


NHS GGC clinical staff can email any enquires relating to shared care protocols to scp@ggc.scot.nhs.uk


Published 17/12/15