Lancashire and South Cumbria
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All Pathways and Guidance
Antihistamine: Position Statement
Antipsychotics: second generation long-acting injection (LAI) antipsychotics
Asthma Treatment Guideline for Children aged (11 and under)
Asthma Treatment Guidelines for Adults (Aged 12 and over)
Atrial Fibrillation: Pathway for the prevention of stroke and systemic embolism in AF in the absence of valvular heart disease
Axial Spondyloarthritis: High Cost Drugs Commissioning Pathway
Bariatric surgery guidelines for prescribing of vitamins and nutritional supplements: Position Statement
Biosimilars policy statement
Branded Generics: Position Statement
Camouflaging Products: Position Statement
Colistimethate for nebulisation: Prescribing Information Sheet
Constipation: Primary Care Pathways
COPD Desktop Guideline
Degarelix: Prescribing Information Sheet
Dementia: Management of Behavioural and Psychological Symptoms of Dementia - Primary Care Summary Document
Dementia: Management of Behavioural and Psychological Symptoms of Dementia in Primary and Secondary Care
Dementia: Prescribing Information Sheet
Denosumab: Position Statement
Diabetes - Choice of Safety Pen Needles and Lancets
Diabetes - Pen Needles/Lancets
Diabetes - Position Statement Safety Needles and Safety Lancets
Diabetes -GLP-1 Agreement form (updated Jan 26)
Diabetes Guideline for antihyperglycaemic therapy in adults with type 2 diabetes
Diabetes: Recommended meters, strips and devices
Diabetes: Type 2 diabetes self management plan
Dosulepin: Guidelines for Primary Care
DXA scan prescribing information sheet
E-Cigarettes: Position Statement
Erectile Dysfunction Guideline
Eye: LSC Community Urgent Eye Service (CUES)
Fentanyl patch application guidance for patients - adults only
Fluoride High Strength Toothpastes: Position Statement
Gabapentinoid (pregabalin and gabapentin):De-prescribing guidance for non-cancer pain in adults in primary care
Gender incongruence: NHSE guidance to primary care about unregulated providers who supply hormone medications to children and young people for gender incongruence
Gluten-Free food products: Position Statement
Good prescribing in primary care guidance document July 2025 (Updated December 2025)
Gout Prescribing Guidance
Guidelines for the prescribing of Agomelatine
Headache Management Guideline For Adults
HidraWear: Position Statement
Hydroxychloroquine: Prescribing Information Sheet
Hypertension in Adults: Diagnosis and Management
Inclisiran for treating primary hypercholesterolaemia or mixed dyslipidaemia: Position Statement
Inflammatory Bowel Disease: High Cost Drugs Commissioning Pathway
Insomnia in Adults
Insulin Safety (Six Steps) – for Community Settings
Insulin Toujeo: Information Sheet and Good Practice Guide
Items which should not routinely be prescribed in primary care: policy guidance
Ivabradine: Prescribing Information Sheet
Juvenile Idiopathic Arthritis in adult patients: Position statement for biological agents
Lancashire and South Cumbria Infant Feeding Network - Diagnosis and Management of Milk Allergy and Intolerance Guideline
Levetiracetam (Keppra®) prescribing: bioequivalence and antiepileptic drugs: Position Statement
Linezolid: Prescribing Information Sheet
Lipid Management Pathway for Primary Prevention of Cardiovascular Disease (CVD)
Lipid Management: Pathway for Secondary Prevention of Cardiovascular Disease (CVD)
Lithium Side Effects Rating Scale (LiSERS)
LSC Statin Intolerance Pathway
LSCMMG: Melatonin Pathway (Children)
Mesalazine: Prescribing Information Sheet
Morphine (High dose) prescribing for chronic non-cancer pain: Position Statement
Neuropathic Pain: Primary Care Management
Opioid reduction: best interests opioid reduction position statement
OpioId treatment: patient-prescriber opioid treatment agreement
Opthalmology Macular Pathways
Oral Nutritional Supplements in Primary Care
Osteoporosis: Secondary fracture prevention patient treatment pathway
Over The Counter (OTC) Items That Should Not Be Routinely Prescribed In Primary Care Policy
Overactive bladder in female adults
Palliative Care Clinical Practice Summary
See more information under chapter 21 'Palliative Care Formulary'.
Paracetamol – prescribing weight-adjusted paracetamol in adults in the community
PKU (Phlexy-Vit) Prescribing of multivitamins and phenylalanine-free amino acid substitutes for adults and children
Position Statement on Prescribing Shower Protection Pouches
POSITION STATEMENT: Monitored dosage systems (MDS) and seven-day prescriptions
Prescribing: requests from out of area
Private prescribing: patients presenting at an NHS GP practice following a private episode of care
Proton pump inhibitor (PPI): Primary Care Review Pathway
Psoriasis in adults: LSCMMG Biologic and High Cost Drug Commissioning Pathway
Psoriasis: primary care guidance document
Psoriatic Arthritis: High Cost Drugs Commissioning Pathway
Recurrent Urinary Tract Infection: LSCMMG Treatment Pathway (Adults)
Renal: Enhanced Supportive Kidney Care Guideline
Restless Legs Syndrome in Adults in Primary Care
Rheumatoid Arthritis: High Cost Drugs Commissioning Pathway
Riluzole: Patient Information
Scabies operational clinical pathway
Somatropin: Prescribing Information Leaflet
Stoma and continence Products Prescription Management guide
Tapentadol MR position statement
Tirzepatide for Type 2 Diabetes position statement
Tirzepatide: LSC ICB specialist weight management support in Lancashire and South Cumbria (June 2025)
Topiramate (Topamax) - Update for Primary Care: New Pregnancy Prevention Programme
Trans female gender dysphoria: Prescribing information sheet
Trans male gender dysphoria: Prescribing information sheet
UNDER REVIEW Pain: Assessing suitability for strong opioid use
Vaginal devices for female urinary stress incontinence