| Formulary Chapter 18: Wound Care - Full Chapter
|
| Notes: |
Refer to Local Guidelines & Resources:
- County Durham & Darlington Tissue Viability Team Tel: 0191 5692970
- Northumbria Tissue Viability Service: 01670 859 030
- NuTH Tissue Viability Service: service1@nhs.net
- South Tyneside & Sunderland Tissue Viability Team: 0191 2831432
|
|
| Details... |
| 18.01 |
Basic wound contact dressings |
|
|
| 18.01.01 |
Low adherence dressings |
|
|
Atrauman
|
Formulary
|
|
|
|
N/A Ultra® (Silicone-coated)
|
Formulary
|
|
|
|
Paraffin Gauze Dressing BP Sterile (Paranet®)
|
Formulary
|
|
|
|
| 18.01.02 |
Absorbent dressings |
|
|
| 18.01.02 |
For lightly exuding wounds |
|
|
Cosmopor E®
|
Formulary
|
Absorbent Perforated Dressing with Adhesive Border
|
|
|
Melolin®
(UNDER REVIEW)
|
 Restricted
|
Absorbent, Perforated Plastic Film Faced, Dressing
|
|
|
Solvaline N®
(UNDER REVIEW)
|
Restricted
|
Absorbent, Perforated Plastic Film Faced, Dressing
|
|
|
| 18.01.02 |
For moderately to heavily exuding wounds |
|
|
Zetuvit® E
(Sterile)
|
First Choice
|
Absorbent Cellulose Dressing with Fluid Repellent Backing
|
|
|
Eclyspe® adherent
|
Formulary
|
Soft silicone wound contact layer with absorbent pad and film-backing
- Specialist initiation only
|
|
|
| 18.01.02 |
For heavily exuding wounds |
|
|
Zetuvit Plus®
|
First Choice
|
Super absorbent cellulose primary dressing
|
|
|
KerraMax® Care
|
Second Choice
|
Super absorbent cellulose primary dressing
|
|
|
| 18.02 |
Advanced wound dressings |
|
|
| 18.02.01 |
Hydrogel dressings |
|
|
| 18.02.01 |
Hydrogel application (amorphous) |
|
|
ActivHeal® Hydrogel
|
Formulary
|
|
|
|
| 18.02.01 |
Hydrogel sheet dressings |
|
|
| 18.02.01.01 |
Sodium hyaluronate dressings |
|
|
| 18.02.02 |
Vapour-permeable films and membranes |
|
|
| 18.02.02 |
Vapour-permeable Adhesive Film Dressing (Semi-permeable Adhesive Dressing) |
|
|
| 18.02.02 |
Vapour-permeable Adhesive Film Dressing with absorbent pad |
|
|
Opsite® Post-Op
|
First Choice
|
|
|
|
Hydrofilm® Plus
|
Formulary
|
|
|
|
Tegaderm® with pad
(UNDER REVIEW)
|
Formulary
|
|
|
|
| 18.02.02 |
For intravenous and subcutaneous catheter sites |
|
|
Tegaderm Film
|
Restricted
|
- IV/sc dressing and podiatry use only
|
|
|
| 18.02.03 |
Soft polymer dressings |
|
|
| 18.02.03 |
Without absorbent pad |
|
|
Adaptic® Touch
(Sterile)
|
Formulary
|
Non-adherent soft silicone wound Contact Dressing
|
|
|
Kendall Telfa Clear®
|
Formulary
|
Clear non-adherent wound contact layer
|
|
|
Urgotul®
|
Formulary
|
Non-adherent soft polymer wound contact dressing
|
|
|
| 18.02.03 |
With absorbent pad |
|
|
Allevyn® Gentle
(Sterile)
|
Formulary
|
Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing
|
|
|
Allevyn® Gentle Border
|
Formulary
|
Silicone gel wound contact dressing, with polyurethane foam film backing
|
|
|
Allevyn® Life
|
Formulary
|
Soft silicone wound contact dressing, with central mesh screen, polyurethane foam film backing and adhesive border
|
|
|
Biatain® Silicone
|
Formulary
|
Silicone gel wound contact dressing, with polyurethane foam film backing
|
|
|
Biatain® Silicone Lite
|
Formulary
|
Silicone gel wound contact dressing, with polyurethane foam film backing
|
|
|
Mepilex® Border
|
Formulary
|
Absorbent soft silicone dressing with polyurethane foam and adhesive border
|
|
|
Mepilex® Border Post-op
|
Formulary
|
|
|
|
Mepilex® ST
(Previously Mepilex®)
|
Formulary
|
Absorbent soft silicone dressing with polyurethane foam film backing
|
|
|
Allevyn® Gentle Border Lite
|
Restricted
|
Silicone gel wound contact dressing, with polyurethane foam film backing
|
|
|
Mepilex® Border lite
|
Restricted
|
Thin absorbent soft silicone dressing with polyurethane foam and adhesive border
|
|
|
| 18.02.03 |
Bio-cellulose dressings |
|
|
| 18.02.04 |
Hydrocolloid dressings |
|
|
| 18.02.04 |
Without adhesive border |
|
|
DuoDERM® Extra Thin
|
Formulary
|
Semi-permeable hydrocolloid dressing
|
|
|
| 18.02.04 |
With adhesive border |
|
|
| 18.02.04 |
Hydrocolloid-fibrous dressings |
|
|
Aquacel® Extra
|
Formulary
|
Soft sterile non-woven pad containing hydrocolloid fibres.
- Provides greater tensile strength compared to aquacel
|
|
|
Aquacel® Foam
(UNDER REVIEW)
|
Formulary
|
Soft non-woven pad containing hydrocolloid-fibres with foam layer, without adhesive border
|
|
|
Aquacel® Foam Border
(UNDER REVIEW)
|
Formulary
|
Soft non-woven pad containing hydrocolloid-fibres with foam layer, with adhesive border
|
|
|
Aquacel® Surgical cover dressing
|
Formulary
|
- Not to be prescribed on FP10
|
|
|
| 18.02.04 |
Polyurethane matrix dressing |
|
|
| 18.02.05 |
Foam dressings |
|
|
| 18.02.05 |
For lightly exuding wounds |
|
|
| 18.02.05 |
For lightly to moderately exuding wounds |
|
|
| 18.02.05 |
For moderately to heavily exuding wounds |
|
|
Allevyn® Adhesive
(UNDER REVIEW)
|
Formulary
|
Polyurethane Foam Film Dressing with Adhesive Border
|
|
|
ActivHeal Foam
(UNDER REVIEW)
|
Formulary
|
Polyurethane Foam Film Dressing without Adhesive Border
|
|
|
| 18.02.06 |
Alginate dressings |
|
|
ActivHeal® Alginate
(UNDER REVIEW)
|
Formulary
|
Calcium sodium alginate dressing
|
|
|
ActivHeal® Aquafiber
(UNDER REVIEW)
|
Formulary
|
Non-woven, calcium sodium alginate dressing
|
|
|
Meglisorb®
(UNDER REVIEW)
|
Formulary
|
Calcium sodium alginate fibre, highly absorbent, gelling dressing, non-woven
|
|
|
Sorbsan ® Ribbon
(40cm with 12.5cm probe)
|
Formulary
|
Calcium alginate fibre, highly absorbent
|
|
|
| 18.02.07 |
Capillary-action dressings |
|
|
DrawTex®
|
Formulary
|
Super absorbent hydroconductive dressing with absorbent, cross-action structures of viscose, polyester and cotton
|
|
|
| 18.02.08 |
Odour absorbent dressings |
|
|
| 18.03 |
Antimicrobial dressings |
|
|
| 18.03.01 |
Honey |
|
|
| 18.03.01 |
Sheet dressing |
|
|
Algivon®
|
Restricted
|
Absorbent, non-adherent calcium alginate dressing impregnated with medical grade manuka honey
|
|
|
| 18.03.01 |
Honey-based topical application |
|
|
L-Mesitran® Ointment
|
Restricted
|
Medical grade honey
- Specialist tissue viability nurse use or recommendation only
|
|
|
L-Mesitran® Ointment S
|
Restricted
|
Medical grade honey
- Specialist tissue viability nurse use or recommendation only
|
|
|
| 18.03.02 |
Iodine |
|
|
Iodoflex®
|
Formulary
|
Iodine 0.9% as cadexomer-iodine in a paste basis with gauze backing
|
|
|
Iodosorb® Ointment
|
Formulary
|
Iodine 0.9% as cadexomer-iodine in an ointment basis
|
|
|
Povitulle®
|
Formulary
|
Knitted viscose primary dressing impregnated with povidone-iodine ointment
- First choice in primary care
|
|
|
Inadine®
|
Alternatives
|
Knitted viscose primary dressing impregnated with povidone-iodine ointment
|
|
|
| 18.03.03 |
Silver |
|
|
| 18.03.03 |
Low adherence dressings |
|
|
Acticoat® Flex 3
|
Restricted
|
Conformable antimicrobial barrier dressing consisting of polyester core between low adherent silver-coated high density polyethylene mesh.
- Specialist initiation only
|
|
|
Acticoat® Flex 7
(UNDER REVIEW)
|
Restricted
|
Conformable antimicrobial barrier dressing consisting of polyester core between low adherent silver-coated high density polyethylene mesh.
- Specialist initiation only
|
|
|
| 18.03.03 |
With charcoal |
|
|
Actisorb Silver 220
|
Formulary
|
Knitted fabric of activated charcoal with one-way stretch, with silver residues, within spun-bound nylon sleeve
|
|
|
| 18.03.03 |
Soft polymer dressings |
|
|
| 18.03.03 |
Hydrocolloid dressings |
|
|
Aquacel® Ag Extra
|
Formulary
|
|
|
|
| 18.03.03 |
Foam dressings |
|
|
| 18.03.03 |
Alginate dressings |
|
|
Tegaderm® Alginate Ag
|
Formulary
|
Calcium alginate and carboxymethylcellulose dressing with silver
|
|
|
Askina® Calgitrol 15g Paste
|
Restricted
|
|
|
|
| 18.03.04 |
Other antimicrobials |
|
|
Flaminal ® Hydro Gel
|
Formulary
|
Alginate with glucose oxidase and lactoperoxidase, for lightly to moderately exuding wounds
|
|
|
Flaminal® Forte Gel
|
Formulary
|
Alginate with glucose oxidase and lactoperoxidase, for moderately to heavily exuding wounds
|
|
|
Kendall® AMD Antimicrobial Foam
|
Formulary
|
- 5cm x 5cm and 8.8cm x 7.5cm only
|
|
|
Kendall® AMD Foam Discs
|
Formulary
|
|
|
|
Prontosan® Wound Irrigation Solution
|
Formulary
|
Aqueous solution containing betaine surfactant and polihexanide
|
|
|
Prontosan® Wound Gel 30ml
|
Restricted
|
Hydrogel containing betaine surfactant and polihexanide
|
|
|
| 18.04 |
Specialised dressings |
|
|
| 18.04.01 |
Protease-modulating matrix dressings |
|
|
| 18.04.02 |
Silicone keloid dressings |
|
|
| 18.04.02 |
Silicone sheets |
|
|
Mepiform®
|
Restricted
|
Silicone gel sheet
- Burns Team and scar clinic initiation only
|
|
|
Scar FX®
|
Restricted
|
Silicone gel sheet
- Burns Team and scar clinic initiation only
|
|
|
Silgel®
|
Restricted
|
Silicone gel sheet
- Burns Team and scar clinic initiation only
|
|
|
| 18.04.02 |
Silicone gel |
|
|
Dermatix® 15g Gel
|
Restricted
|
Silicone gel
- Burns Team and scar clinic initiation only
|
|
|
Kelo-Cote® 15g Gel
|
Restricted
|
Silicone gel
- Burns Team and scar clinic initiation only
|
|
|
| 18.05 |
Adjunct dressings and appliances |
|
|
Eakin® Wound Pouches
(Pelican Manager)
|
Formulary
|
|
|
|
UCS® Debridement
|
Formulary
|
|
|
|
Debrisoft®
|
Restricted
|
Polyester fibres with bound edges and knitted outer surface coated with polyacrylate
- Specialist initiation only
|
|
|
| 18.05.01 |
Gauze and tissue |
|
|
| 18.05.01 |
Surgical absorbents |
|
|
| 18.05.01 |
Cotton |
|
|
| 18.05.01 |
Lint |
|
|
| 18.05.01 |
Pads |
|
|
| 18.05.02 |
Wound drainage pouches |
|
|
| 18.05.03 |
Physical debridement pads |
|
|
| 18.06 |
Complex adjunct therapies |
|
|
| 18.06.01 |
Topical negative pressure therapy |
|
|
ActiV.A.C.®
(KCI)
|
Formulary
|
|
|
|
PICO® Single Use NPWT System
|
Formulary
|
|
|
|
Renasys® Go
(Smith & Nephew)
|
Formulary
|
|
|
|
V.A.C.® Dressing
(KCI)
|
Formulary
|
|
|
|
| 18.06.01 |
Vacuum assisted closure products |
|
|
| 18.06.01 |
Wound drainage collection devices |
|
|
| 18.06.01 |
Accessories |
|
|
| 18.07 |
Wound care accessories |
|
|
| 18.07.01 |
Dressing packs |
|
|
Polyfield ® Nitrile Patient Pack
|
First Choice
|
Contains powder-free nitrile gloves, laminate sheet, non-woven swabs, towel, polythene disposable bag, apron
|
|
|
Dressit®
|
Second Choice
|
Contains vitrex gloves, large apron, disposable bag, paper towel, soft swabs, absorbent pad and sterile field.
|
|
|
Nurse It® Dressing Pack
(Sterile)
|
Formulary
|
Contains latex-free, powder-free nitrile gloves, sterile laminated paper sheet, large apron, non-woven swabs, paper towel, disposable bag, compartmented tray, disposable forceps, paper measuring tape
|
|
|
Softdrape® Universal Dressing Pack
|
Formulary
|
Latex free; includes Vitrex gloves
|
|
|
Sterile Gloves
|
Formulary
|
|
|
|
| 18.07.02 |
Woven and fabric swabs |
|
|
Non-woven Fabric Swab
|
Formulary
|
Non-woven fabric folded 4-ply
|
|
|
Appeel® Single Use Wipes
|
Restricted
|
|
|
|
| 18.07.03 |
Surgical adhesive tapes |
|
|
| 18.07.03 |
Permeable adhesive tapes |
|
|
Hypafix®
|
Formulary
|
Permeable, Apertured Non-Woven Synthetic Adhesive Tape, BP 1988
|
|
|
Mefix®
(UNDER REVIEW)
|
Formulary
|
Permeable, Apertured Non-Woven Synthetic Adhesive Tape, BP 1988
|
|
|
Scanpor®
|
Formulary
|
Permeable Non-woven Synthetic Adhesive Tape, BP 1988
|
|
|
Transpore®
|
Formulary
|
Permeable Non-woven Synthetic Adhesive Tape, BP 1988
|
|
|
| 18.07.03 |
Occlusive adhesive tapes |
|
|
| 18.07.04 |
Adhesive dressings |
|
|
| 18.07.04 |
Vapour permeable adhesive dressings |
|
|
| 18.07.05 |
Skin closure dressings |
|
|
| 18.07.05 |
Skin closure strips, sterile |
|
|
| 18.08 |
Bandages |
|
|
| 18.08.01 |
Non-extensible bandages |
|
|
| 18.08.02 |
Light-weight conforming bandages |
|
|
Hospilite®
|
Formulary
|
Cotton, Polyamide and Elastane Bandage
|
|
|
Actiwrap® Latex-free Bandage
|
Formulary
|
Polyamide and Cellulose Contour Bandage, BP 1988
|
|
|
K-Band®
|
Formulary
|
Knitted Polyamide and Cellulose Contour Bandage, BP 1988
|
|
|
| 18.08.03 |
Tubular bandages and garments |
|
|
| 18.08.03 |
Elasticated |
|
|
Elasticated Tubular Bandages BP 1993 (Comfigrip®)
|
Formulary
|
|
|
|
Elasticated Viscose Stockinette (Clinifast® range)
|
Formulary
|
|
|
|
Elasticated Viscose Stockinette (Comfifast® range)
|
Formulary
|
|
|
|
| 18.08.03 |
Non-elasticated |
|
|
Cotton Stockinette Bleached BP 1988 (Comfi-gauz® )
|
Formulary
|
|
|
|
| 18.08.03 |
Silk Clothing |
|
|
| 18.08.04 |
Support bandages |
|
|
Knitted Elastomer and Viscose Bandage (K- Lite®)
|
Formulary
|
|
|
|
| 18.08.05 |
Adhesive bandages |
|
|
| 18.08.06 |
Cohesive bandages |
|
|
| 18.08.06 |
Cohesive extensible bandages |
|
|
| 18.08.07 |
Compression bandages |
|
|
| 18.08.07 |
High compression bandage |
|
|
| 18.08.07 |
Short stretch compression bandage |
|
|
Short Stretch Compression Bandages
|
Formulary
|
|
|
|
Coban® 2 Comfort Foam Layer
|
Formulary
|
- Used in lymphoedema
- Specialist use
|
|
|
Coban® 2 Compression Layer
|
Formulary
|
- Used in lymphoedema
- Specialist use
|
|
|
| 18.08.07 |
Sub-compression wadding bandage |
|
|
Sub-compression wadding bandage
|
Formulary
|
- Profore®
- Flexi-Ban®
- FormFlex natural (not on FP10)
|
|
|
| 18.08.08 |
Multi-layer compression bandaging |
|
|
| 18.08.08 |
Four layer systems |
|
|
Four layer systems
|
Formulary
|
- Profore® Kit
- Profore® Lite Kit
|
|
|
| 18.08.08 |
Two layer systems |
|
|
AndoFlex® TLC
|
Restricted
|
|
|
|
Coban® 2 Layer
|
Restricted
|
|
|
|
Coban® 2 Layer Lite
|
Restricted
|
|
|
|
Juxta CURES®
|
Restricted
|
|
|
|
AndoFlex® UBZ
|
Restricted
|
|
|
|
| 18.08.09 |
Medicated bandages |
|
|
Zinc Paste and Ichthammol Bandage, BP 1993 (Ichthopaste® )
|
Formulary
|
|
|
|
Zinc Paste Bandage, BP 1993 (Viscopaste® PB7)
|
Formulary
|
|
|
|
| 18.08.09 |
Medicated stocking |
|
|
| 18.09 |
Compression hosiery and garments |
|
|
| 18.09.01 |
Graduated compression hosiery |
|
|
Activa® hosiery
|
Formulary
|
|
|
|
Medi® hosiery
(UNDER REVIEW)
|
Formulary
|
|
|
|
Actilymph®
|
Formulary
|
|
|
|
Altiform® Hosiery
|
Formulary
|
|
|
|
Altipress®
(UNDER REVIEW)
|
Formulary
|
|
|
|
| 18.09.01 |
Accessories |
|
|
| 18.09.01 |
Suspender |
|
|
| 18.09.01 |
Anklets |
|
|
| 18.09.01 |
Knee caps |
|
|
| 18.09.02 |
Lymphoedema garments |
|
|
|
|
| 18.10 |
Other Wound Products |
|
|
 |
Other wound products not listed in BNF, but on Drug Tariff or available from NHS Supply Chain |
|
Acti-glide®
|
Formulary
|
|
|
|
Kerraped®
|
Formulary
|
|
|
|
Kerrapro® Pressure Reducing Pads
|
Formulary
|
|
|
|
Seal Tight® Wound Care Protector
|
Formulary
|
|
|
|
Limbo® Waterproof Protector
|
Formulary
|
|
|
|
Medi Derma® S
(Barrier Cream)
|
Formulary
|
|
|
|
Medi Derma® S
(Barrier Film)
|
Formulary
|
- 1ml applicator
- 3ml applicator
- 50ml aerosol
- 30ml pump spray
|
|
|
| 18.11 |
Skin cleansers and promotion of wound healing |
|
|
| 18.11.01 |
Skin cleansers and antiseptics |
|
|
Sodium chloride 0.9%
(Sterile)
|
Formulary
|
- Irrippod® (20mL & 100ml sachets)
- Miniversol® (45ml)
|
|
|
| 18.11.07 |
Preparations for promotion of wound healing |
|
|
Sterile Larvae (Biobag®)
|
Restricted
|
|
|
|
Sterile Larvae (Larvae 300®)
|
Restricted
|
|
|
|
| .... |
| Non Formulary Items |
Silk garments
|
Non Formulary
|
- Silk Garments are classified as BLACK - not approved.
|
|
|
| |
Key |
|
|
|
|
Cytotoxic Drug
|
|
|
Controlled Drug
|
|
High Cost Medicine
|
|
NHS England |
|
Homecare |
|
CCG |
|
Traffic Light Status Information
| Status |
Description |
|
Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment.
In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.
For all RED drugs automatically added to the formulary in response to a positive NICE TA: Prescribers need to ensure that local Trust new drug governance procedures and pharmacy processes are followed before any prescribing. |
|
Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement.
The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber.
If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care. |
|
Drugs normally recommended or initiated by a specialist (hospital or GP with an extended role https://www.rcgp.org.uk/gpwer), but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case. Provision of additional information, or an information leaflet, may be appropriate in some cases to facilitate continuing treatment by GPs. |
|
Drugs where prescribing by GPs is appropriate. Can be initiated and prescribed in all care settings, and if appropriate, discontinued without recourse to secondary care. |
|
NOT APPROVED: Drugs that have been considered by NTAG or the NENC ICB Medicines Subcommittee (or other approved body) and are not approved for prescribing within the North East and North Cumbria. |
|
UNDER REVIEW: drugs whose current formulary status or RAG status is currently under review. |
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NOT REVIEWED: Drugs that haven not been reviewed yet. This usually means that an application is in progress. These drugs are not normally considered appropriate for prescribing in the North East and North Cumbria until such time that a decision is taken on their formulary status. |
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