Report : Traffic light status report 18/09/2019 02:01:56
Section Name Number of items
Green Green  724
Amber Amber  625
Red Red  684
Black Black  427
Unknown Unknown  90
Birmingham, Sandwell, Solihull and environs APC Formulary

 Traffic Light Status Information

Status Description
  Prescribing in children

The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.

 Green Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  
 Amber Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   
 Red Medicines for initiation and maintenance prescribing by Specialists only  
 Black Non-formulary medicines- medicines not recommended for routine primary care prescribing.  
 Grey Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.