RMOC work programme

Title Submitted Action Committee Committee meeting Further details Expected guidance
Sequential use of biologics 17/09/2018 RMOC work programme topic South

More information coming soon

Sodium docusate 10/09/2018 RMOC work programme topic North

More information coming soon

RMOC determination of shared care suitability for new and existing medicines 21/08/2018 RMOC work programme topic North

More information coming soon

National revision of standardised & quality assured shared care templates through RMOC shared care programme of work 21/08/2018 RMOC work programme topic North

More information coming soon

GLP1 choice in those with CVD 15/08/2018 RMOC work programme topic Midlands and East

More information coming soon

National shared care guidelines for immunosupressants from Tertiary Referral Centres 02/08/2018 RMOC work programme topic North

More information coming soon

Proposal to establish and oversee a national ‘do once’ system for organisational medicines governance 04/07/2018 RMOC work programme topic South

Update published - November 2018


The RMOC system is to endorse and give oversight to a national "do once" system for patient group directions.

PIL explaining Prescribing responsibilities between primary & secondary/tertiary care 22/06/2018 RMOC work programme topic North

More information coming soon

Multi Compartment Compliance Aids 14/06/2018 RMOC work programme topic London

More information coming soon

Primary care monitoring of drugs that fall under specialised comissioning 07/06/2018 RMOC work programme topic North

More information coming soon

Drug decision making for tertiary and super specialist centres 29/05/2018 RMOC work programme topic North

More information coming soon

Prior Approval BlueTeq Standardisation 16/05/2018 RMOC work programme topic South

More information coming soon

Patient Information to explain prescribing responsibilities 14/05/2018 RMOC work programme topic North

More information coming soon

Biosimilar switching programmes – ‘nocebo vs. meaningful differences between products’ 14/05/2018 RMOC work programme topic South

More information coming soon

Cost Comparator Tool to Optimise Best Value Biologic 03/05/2018 RMOC work programme topic South

More information coming soon

Stopping medication 23/04/2018 RMOC work programme topic London

More information coming soon

Prescribing of insulin in frail and elderly who are being managed at home 17/04/2018 RMOC work programme topic Midlands and East

More information coming soon

Learning Disabilities Mortality Review (LeDeR) 10/04/2018 RMOC work programme topic North

More information coming soon

Evidence for the use of heparinised saline for maintaining patency of intravascular catheters 03/04/2018 RMOC work programme topic London 04/07/2018

Update published - July 2018


The RMOC will review the evidence and issue a recommendation for the efficacy of heparinised saline versus normal saline for maintaining the patency of intravascular catheters.

30/11/2018
Sodium Oxybate 14/03/2018 RMOC work programme topic Midlands and East 08/08/2018
NHS England has a commissioning policy for sodium oxybate for narcolepsy in children however there is no similar policy for adults. The RMOC will discuss the issues that arise when children transition to adult services, with the aim to make a recommendation that addresses these issues.
19/09/2018
Evidence based recommendation for use of Botox 13/03/2018 RMOC work programme topic South 27/09/2018

Update published - November 2018


The RMOC will identify a list of indications botulinum toxin A is used in, and assess the level of evidence underpinning these indications. The intention is to provide evidence-based recommendations on use of botulinum toxin A in off-label indications, to support a consistent approach to treatment.

28/06/2019
Shared care agreements 09/03/2018 RMOC work programme topic South 03/05/2018

Update published - November 2018


RMOC South discussed guidance from NHS England (Responsibility for prescribing between Primary & Secondary/Tertiary Care), focusing on how RMOCs can achieve their expectations as set out in section 6 of this guidance. A survey was sent across the South region to identify the types of issues that organisations have with shared care.

Regional availability of rarely used and emergency medicines 25/01/2018 RMOC work programme topic London 01/03/2018

Guidance published - 22nd May 2018


Further work in 2018 will seek to implement this guidance in collaboration with regional procurement pharmacists and other groups.

22/05/2018
Rationalisation of Insulin Products 16/01/2018 RMOC work programme topic Midlands and East 18/04/2018

Guidance published - 22nd June 2018


The RMOC system has now issued guidance to formulary committees and area prescribing committees on issues pertaining to safety considerations when adopting any insulin preparation onto a local formulary.

22/06/2018
STOMP (Stopping over­medication of people with a learning disability) 16/01/2018 RMOC work programme topic North 28/06/2018

Guidance published - 19th November 2018


The STOMP programme was developed as part of the national response to the Winterbourne View Hospital report. It aims to ensure that people with learning difficulties, or autism, or both, are not over-medicated. The North RMOC leads this work as part of the polypharmacy work stream, on behalf of all RMOCs. It has worked with STOMP colleagues to provide a resource pack on the SPS website which can used locally to inform local policies. The RMOC will also work with STOMP colleagues to facilitate the development of prescribing guidance and prescribing indicators that can be utilised locally.

19/11/2018
National standardisation for medicines agreements over the interface (shared care) 16/01/2018 RMOC work programme topic South 03/05/2018

Update published - November 2018


This is a large piece of work which needs an agreed mechanism of delivery to ensure it is addressed appropriately across England. This is currently being discussed within the RMOC governance structure. An update will be provided once a decision is reached.

Shared Care Protocols & Traffic Light Drugs lists 16/01/2018 RMOC work programme topic South

More information coming soon

Antidepressant prescribing in primary/secondary care 16/01/2018 RMOC work programme topic South 03/05/2018

Update published - November 2018


RMOC South is leading on this as part of the Polypharmacy workstream on behalf of all RMOCs. The RMOC will work with clinical specialists to produce a resource pack to publish on the SPS website. It intends to identify signposting opportunities to help health care professionals and practitioners.

Compassionate care and free of charge medicines guidance 15/01/2018 RMOC work programme topic South 30/01/2018

Guidance published - 28th July 2018


The guidance, produced by the Medicines Optimisation Clinical Reference Group and ratified by the RMOC, aims to reduce variation in how organisations and APCs respond to Free of Charge schemes. The guidance is intended to improve consistency of approach taken, particularly in terms of patient safety and regulatory governance.

03/08/2018
Shared care new EL: primary and secondary care responsibilities 15/01/2018 RMOC work programme topic South 30/01/2018
RMOC discussed draft guidance and fed back comments to NHS England.