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Spotlight, November 2025

Published
Topics: Monthly digest

A digest of NHS Specialist Pharmacy Service support for professionals working in all areas of the healthcare system for November 2025.

Events

Primary care discussions: Hypertension care in community pharmacy

A community pharmacist, GP, and primary care team share how blood pressure management has strengthened Access and Recovery services and improved patient care.

Latest developments in Health and Justice Medicines Optimisation

Sharing the latest developments in Health and Justice medicines optimisation and pharmacy services.

Biosimilar and key generic medicines – December 2025 update

An update about biosimilar and key generic medicines to support system planning and mobilisation.

Standard operating procedures in pharmacy technical services

An SPS Quality Assurance (QA) bite size learning event on Standard Operating Procedures as part of the quality management system.

Guidance

New and updated articles published to the website during November 2025.

New guidance

Polypharmacy and structured medication review explainer videos

These animated videos explain the 7 steps of structured medication review, using a person-centred approach to managing polypharmacy

The licence and supporting evidence for denosumab 60mg biosimilars

Denosumab 60mg biosimilars are licensed. Learn about indications, formulations, supporting evidence and differences.

Ensuring the safe use of amphotericin B injection

Amphotericin B liposomal products and Fungizone are not interchangeable. Take action to prevent death caused by inadvertent mis-selection

Deriving and assessing stability data for medicines

Advice about undertaking stability studies and assessing the suitability of published studies

Ex-Vivo Non-GMO Gene Therapy Medicinal Products – Pharmacy Institutional Readiness Guidance

This document outlines key areas for focus of pharmacy expertise prior to an organisation implementing Ex-Vivo Non-Genetically Modified Organism Gene Therapies.

In-Vivo Non-GMO Gene Therapy Medicinal Products – Pharmacy Institutional Readiness Guidance

This document outlines key areas for focus of pharmacy expertise prior to an organisation implementing In-Vivo Non-Genetically Modified Organism Gene Therapies.

Updated guidance

Preparing to use denosumab 60mg biosimilar

Biosimilars of denosumab 60mg (Prolia) are expected soon. We offer general information and implementation advice.

Preparing to use denosumab 120mg biosimilar

Biosimilars of denosumab 120mg (Xgeva) are expected soon. We offer general information and implementation advice.

The licence and supporting evidence for omalizumab biosimilar

We highlight evidence for licensed omalizumab biosimilar(s) and differences between the biosimilar(s) and the reference product (Xolair).

The licence and supporting evidence for ranibizumab biosimilars

Four licensed ranibizumab biosimilars are available: Byooviz, Ongavia, Rimmyrah and Ximluci. Learn about the licensed indications and supporting evidence

Preparing to use ranibizumab biosimilar

Ranibizumab biosimilar needs planning. Ensure you are familiar with the area and then develop an implementation plan working with the multidisciplinary team

Restricted to NHS: The licence and supporting evidence for aflibercept biosimilars

Aflibercept 2mg biosimilars Afqlir, Eydenzelt, Yesafili and Vgenfli are expected in December 2025 for NHS use. Learn about supporting evidence and differences.

Anticoagulant suggestions for adults with swallowing difficulties

A range of oral anticoagulant formulations are suitable for adults with swallowing difficulties.

Publications

Medication Safety Update

A resource collating the latest medication safety communications and publications to inform, support and inspire medication safety improvements.

New Medicines News

New Medicines News is produced by the SPS Horizon Scanning Service. It highlights recent new product launches and significant medicines regulatory changes.

Restricted to NHS: New Product Evaluations

A list of new product evaluations that are freely available to NHS staff.

PGDs

The following updated PGD and protocol templates have been published in advance to allow organisations to undertake local governance processes in a timely manner.

Ceftriaxone intramuscular injection for Neisseria gonorrhoeae

SPS PGD template for administering ceftriaxone injection (with lidocaine) by IM injection for treating uncomplicated Neisseria gonorrhoeae infection.

Ulipristal acetate 30mg tablets for emergency contraception

SPS PGD template for the supply and/or administration of ulipristal acetate 30mg tablet for emergency contraception.

Folic acid 5mg tablets for use during pregnancy

SPS PGD template for the supply of folic acid 5mg tablets to reduce risk of neural tube defect or compensate for increased folate demand during pregnancy.

Doxycycline for use within sexual health services

SPS PGD template for supply of doxycycline for the treatment of uncomplicated genital chlamydia trachomatis, LGV and non-gonococcal/non-specific urethritis.

Azithromycin (oral) for use within sexual health services

SPS PGD template for supply of azithromycin for uncomplicated genital Chlamydia trachomatis, non-gonococcal/non-specific urethritis; Mycoplasma genitalium.

Emtricitabine and tenofovir disoproxil (TD) tablets as PrEP

SPS PGD template for the supply of emtricitabine and tenofovir disoproxil (TD) tablets as Pre-Exposure Prophylaxis (PrEP) for the prevention of HIV infection.

Intrathecal risk assessments

The following intrathecal risk assessments have been reviewed and updated.

Diamorphine hydrochloride: informing intrathecal risk assessment

Diamorphine products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Etoposide: informing intrathecal risk assessment

Etoposide products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Gentamicin: informing intrathecal risk assessment

Gentamicin products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Rituximab: informing intrathecal risk assessment

Rituximab products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Thiotepa: informing intrathecal risk assessment

Thiotepa products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration

Shortages

Prescribing available medicines to treat ADHD

The availability of medicines used to treat Attention Deficit Hyperactivity Disorder (ADHD) varies currently. Supply content is maintained regularly by DHSC.

Prescribing available HRT products

Hormone Replacement Therapy availability varies currently. Check for available products and keep up-to-date. Supply content is maintained regularly by DHSC.

Medicines Supply Tool

Latest information on supply issues, actions to take, alternatives to use, and expected resolution dates. Content provided by DHSC and MVA team, NHS England.