Guidelines and protocols

To help our staff stay up to date and informed on latest practice, we issue regular guidance and advice as below:

Shared care agreements

Click here to see the shared care agreement.

Medicine Information Service

The Medicines Information Service is available to healthcare professionals (doctors, nurses, pharmacists, midwives, dentists, dieticians etc.) working in primary and secondary care. For patients across the London boroughs of Kingston, Merton, Richmond, Sutton and Wandsworth the service is available via the Medicines Helpline.

Submitting a Medicines Information Enquiry

If you are a healthcare professional, please use this webform to contact us.If you are a patient, please contact us via the Medicines Helpline.

ADHD Medicines

• Changing from Concerta to Xenidate

Depression and Anxiety

• Citalopram/Escitalopram flowchart
• Depression and anxiety treatment guidelines
• Doxepin withdrawal guidance
• Dosulepin withdrawal guidance & patient leaflet
• Position statement on the prescribing of dosulepin
• Trimipramine withdrawal guidance

Mood Stabilisers

•  Treatment with Mood Stabilisers Guideline

Psychosis

• Administration of Injections Guidance and SOP
• Clozapine acute hospital guide
• GASS and clozapine questionnaire
• Standard information for discharge of clients on depot
• Treatment with antipsychotics
• TWC21m Clozapine Policy

Other Medicines Guidance

• Deprescribing policy
• Drug Dependence Prescribing Policy
• Medicines Formulary policy
• Medicine Stock List for other hospital
• Recommended ongoing physical monitoring of Psychotropic medication for GPs

Other guidelines 

• Holding powers under the mental health act
• Management of common and selected psychiatric emergencies
• Mental health and place of safety
• Safe staffing guidance
• Standardised mini mental state examination
• Understanding psychosis and schizophrenia (BPS guidelines)

NICE guidance

The National Institute for Health and Clinical Excellence (NICE) advises the National Health Service (NHS) regarding treatments that should be made available. You can read their appraisals on the use of medicines which are relevant to the services we provide, here.