Shared care agreements are developed when sophisticated or complex treatments that were initiated in secondary care are then to be prescribed by a GP. The shared care agreements are written by hospital specialist but approved for use by commissioners. The shared care agreement sets out the process that needs to be followed for the GP to take on prescribing responsibility; it details the responsibilities of the specialist, the GP and the patient to ensure that the medication can be prescribed safely.
A hospital consultant requesting a GP to prescribe a medicine for an individual named patient with a Wolverhampton formulary status of “shared care” should provide a copy of the appropriate shared care agreement. If this document is not provided, the GP should not consider prescribing the medication until the shared care document is received for inclusion in the patient record.
All shared care agreements have an expiry date that relates to when the clinical information contained within the document must be reviewed. Once signed the shared care agreement between the consultant, the GP and the patient has no end date while the patient continues to take the medicine. Prescribers are however advised to check the shared care section of the Medicines website for current monitoring details if the shared care agreement in the patient’s notes is past its review date.
Please note we are currently undergoing a review of all RWT shared care agreements. In the meantime please use those listed below.