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In Scotland, a newly licensed medicine is routinely available in a health board only after it has been:
All medicines accepted by SMC are available in Scotland, but may not be considered ‘routinely available’ within NHS Greater Glasgow and Clyde (NHSGGC) or another health board because of available services and preferences for alternative medicines.
‘Routinely available’ means that a medicine can be prescribed by the appropriately qualified person within a health board.
As with each health board, NHS Greater has an ADTC. The ADTC is responsible for advising the health board on all aspects of the use of medicines.
Medicines routinely available within a health board are usually included in the local formulary. The GGC Formulary is a list of medicines for use in the health board that has been agreed by ADTC in consultation with local clinical experts. It offers a choice of medicines for healthcare professionals to prescribe for common medical conditions. The GGC Formulary can help improve safety as prescribers are likely to become more familiar with the medicines in it and also helps make sure that standards of care are consistent across NHSGGC.
How does the NHSGGC decide which new medicines to make routinely available for patients?
The ADTC in a health board will consider national and local guidance before deciding whether to make a new medicine routinely available.
What national guidance does the ADTC consider?
In the table linked to this Formulary Update, national guidance usually refers to SMC advice. Links to SMC advice for individual medicines are also included in the table.
In some cases, other agencies may also provide guidance on how medicines should be used. For example, Healthcare Improvement Scotland issues alerts to advise if National Institute for Health and Care Excellence Multiple Technology Appraisals (NICE MTAs) are applicable in Scotland.
What local guidance does the ADTC consider?
Advice from local clinical experts who would be expected to prescribe a particular medicine, where that service is available in a health board.
Why is a particular medicine not routinely available in my health board?
What happens if a particular medicine is not routinely available in my health board?
If a medicine is not routinely available and included on the GGC Formulary and there are no suitable alternatives, a healthcare professional can request to prescribe a medicine that is not on the Formulary if they think you will benefit from using it. NHS Greater Glasgow and Clyde have procedures in place to consider requests when a healthcare professional feels a medicine that is not on the formulary would be right for a particular patient.
The table linked within this Formulary Update lists NHSGGC decisions on new medicines from the related meeting.
If you need more information on medicines decisions in NHS Greater Glasgow and Clyde, please email the GGC Formulary Team via email@example.com