Welcome to Tower Hamlets Extended Hours Hubs update and information page.
Here you will find all the recent clinical and non-clinical updates and information's. 

Updated: 13th April 2018 

​Prescription Forms & Fraud
https://cfa.nhs.uk/resources/downloads/guidance/Management%20and%20control%20of%20prescription%20forms_v1.0%20March%202018.pdf

New HPA guidance re HPV vaccination
https://www.gov.uk/government/publications/hpv-vaccination-for-msm-guidance-for-health-professionals

​Lyme Disease – new NICE guidance
https://www.nice.org.uk/guidance/ng95
 
Adults with LD – New NICE guidance
https://www.nice.org.uk/guidance/ng96
 
Updated: 12th April 2018 
​
NICE Guidance Emergency and Acute Care for over 16 year olds
https://www.nice.org.uk/guidance/ng94

Marvelon   SPC has been updated with information on hepatitis C virus (HCV) and risk of elevated ALT due to HCV combination regimens co-administered with ethinylestradiol products. Concomitant use with ombitasvir/paritaprevir/ritonavir and dasabuvir is contraindicated. 
https://www.medicines.org.uk/emc/product/1359/smpc
 
Fentanyl   SPC now adds detail that fentanyl is metabolised by CYP3A4 and that caution should be used when prescribing for patients taking CYP3A4 inducers (e.g. phenytoin) and inhibitors (e.g. itraconazole).
https://www.medicines.org.uk/emc/product/6432/smpc
 
NICE guidance on treatment of Otitis Media
https://www.nice.org.uk/guidance/ng91

Increase in scarlet fever notifications - information from Public Health England
http://www.gpcaregroup.org/uploads/9/4/3/5/94359953/increase_in_scarlet_fever_cases_in_london.pdf

Updated: 22nd March 2018 

Guidance on Prescribing Responsibilities between Primary& Secondary Care
https://www.england.nhs.uk/wp-content/uploads/2018/03/responsibility-prescribing-between-primary-secondary-care-v2.pdf
 
Prednisolone in people with systemic sclerosis
https://www.medicines.org.uk/emc/product/7650/smpc
 
Changes to Augmentin SPC to include systemic eosinophilia and systemic symptoms as potential adverse reaction
https://www.medicines.org.uk/emc/product/280/smpc
 
Ulipristol and monitoring LFTs
https://www.gov.uk/drug-safety-update/esmya-ulipristal-acetate-for-uterine-fibroids-do-not-initiate-or-re-start-treatment-monitor-liver-function-in-current-and-recent-users
 
Addition of intestinal obstruction to adverse reactions for dulaglutide
https://www.medicines.org.uk/emc/product/8246/smpc
 
New Guidance on the assessment and management of heavy menstrual bleeding
https://www.nice.org.uk/guidance/ng88

Updated: 28th Feb 2018

Simvastatin
https://www.medicines.org.uk/emc/product/7787/smpc
 
Bupronorphine Patches
https://www.medicines.org.uk/emc/product/7372/smpc
 
Clarithromycin in patients with heart disease
https://www.fda.gov/Drugs/DrugSafety/ucm597289.htm
 
Concomitant use of ACE inhibitor with sacubitril/valsartan contraindicated
https://www.medicines.org.uk/emc/product/2760/smpc

Updated: 15th Feb 2018

Norethisterone 5mg
https://www.medicines.org.uk/emc/product/1717/smpc
 
Norethisterone 350mcg
https://www.medicines.org.uk/emc/product/1146/smpc
 
SIGN Migraine guideline
http://www.sign.ac.uk/assets/sign155.pdf

Updated: 13th Feb 2018
​ 
For Uterine Fibroids: Monitor Liver Function In Current And Recent Users; Do Not Initiate Treatment In New Users Or Those Between Treatment Courses
https://www.cas.dh.gov.uk/ViewAndAcknowledgment/viewAlert.aspx?AlertID=102706

We hope you will enjoy working for the Care Group and provide us with feedback whenever you feel there are services or staff experiences we could improve on. You can email us your feedback on thgpcg.pmafadmin@nhs.net