Shared Care Guidelines

MKPAG is working together with appropriate specialists to produce Shared Care Guidlines for prescribing.

Shared Care Guidelines are local policies to enable GPs to pick up the prescribing and monitoring of medicines/treatments in primary care in agreement with the initiating specialist

By providing such supporting information, MKPAG is not expecting general practitioners to take on prescribing of these drugs, but to provide information to support them if they wish to do so. It must be remembered that the clinician who prescribes a drug legally assumes clinical responsibility for that drug and the consequences of its use. For this reason, no prescriber has an obligation to take on prescribing unless they feel clinically competent to do so.

Useful resources:

Responsibility for prescribing between Primary & Secondary / Tertiary Care. (Published by NHSE, January 2018)


Shared Care Guidelines Template (April 2015)


Local Shared-Care Guidelines 


  1) Apomorphine Shared Care Guideline  (June 2016)

  2) Aripiprazole and Paliperidone Long Acting Injection (LAI) February 2017

  3) Azathioprine and Mercaptopurine Therapy in Inflammatory Bowel Disease (IBD) July 2016

  4) Denosumab Shared Care Guideline (September 2017)

  5) Lithium Shared Care Guideline (October 2016)

  6) Methotrexate Therapy in Inflammatory Bowel Disease (IBD) July 2016

  7) Tapentadol Shared Care Guideline (July 2016)

  8) Ulipristal Acetate (Esmya) Shared Care Guideline (November 2016)



Last updated by: Dupe Fagbenro on 08-06-2018 14:33