The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC. The Kerraped boots fill in for the vulnerable foot of the patients suffering from lymphedema, have neuropathic foot ulcers or the ones with bulky bandages on the foot who cannot wear their regular footwear. As a general rule, herbal products are poorly standardised, will have no evidence of efficacy (but will have a placebo effect), have unknown side effects and interactions, give false hope and cost money. There is no such thing as 'Alternative medicine'. Something either works or it doesn't. If any 'alternative medicine' is shown to work they become 'medicines'. Search for "Sharpsafe" or "Sharpsguard" on GP computer systems and ensure correct lid colour is selected.

Approved for use on PICU for use as a post-filter replacement fluid for children receiving Continuous Renal Replacement Therapy (CRRT) Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.Available in a variety of sizes to accommodate bulky dressings, bandages and swelling (refer to size guide) Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. Our offerings include Absorbent Dressings, designed to manage exudate and promote healing, Alginate Dressings, made from seaweed extract, to absorb wound exudate, Charcoal Dressings, which effectively draw out impurities and promote healing, Film Dressings, which provide a protective barrier against bacteria and other external factors, Foam Dressings, ideal for highly exudating wounds, Honey Dressings, known for their antibacterial properties, Hydrocolloid Dressings, which provide a moist wound environment, Hydrogel Dressings, for soothing and cooling relief, Iodine Dressings, for wound antisepsis, Scar Dressings, to reduce the appearance of scars, and Silver Dressings, which have antimicrobial properties. Sharps bins are provided free of charge to patients in Nottingham and Nottinghamshire on prescription. 1 litre bins are usually prescribed, but larger bins can be prescribed for those on long term injections (to allow less frequent collections) or multiple injections (where larger volume of waste is produced).

Summary of the evidence for cranberry juice as UTI prevention. Bottom line: It might work for some women, but they would need to consume such a large quantity that this may make it unacceptable as a remedy. Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation. Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has a working experience and knowledge within a speciality areaThe Kerraped boots are designed in a way that they provide maximum comfort to your foot. These shoes can be worn on either of the foot as a replacement for your regular footwear. The boot has many benefits aside from being a comfortable and light footwear which allows you to reduce pressure on an injured or bandaged foot. Only to be prescribed if there is no alternative (such as a slipper or larger shoe) or if wounds are very heavily leaking and would ruin the patients footwear.

A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Microbiologistandgastroenterology recommendation only approved in accordance withNICE Interventional Procedures Guidancefor the treatment of recurrent Clostridium difficile infection . Approved in accordance with HST13 for treating familial chylomicronaemia syndrome at a commissioned specialist centre. Nottingham CountyCouncil clinical waste collection service(links to individual district/borough councils)NUH: Approved by NHS England for specialist centre use only, in accordance with NICE HST14 for treating lipodystrophy. NUH to refer patients to specialist centre (Addenbrooke's).