You can view all medicines management procedures by visiting the Policies and Procedures section of YourSpace and selecting Trust Wide (for aligned procedures) or the relevant former Division from the drop-down bar, and search with the relevant key word.
If a procedure cannot be found for a former Division, check that this has not been superseded by a Trust wide policy/procedure.
Former divisional procedures may also be found on:
- SharePoint - Local / Secure / LD (now known as Secure Care and Mental Health Care)
- SIRS - Community Division Services (now known as Community Care)
A list of Trust Wide procedure can be found on the Trust Wide Medicines Related Policies and Procedure tab below.
The policies and procedures listed below are available here.
Trust Wide procedures
MMP01 Safe Management of Controlled Drugs
MMP02 Safe Management of Unidentifiable and Suspected Illicit Substances
MMP03 Administration of Discretionary Medicines
MMP04 Overt and Covert Administration of Medicines in Food/Drink (Inpatients)
MMP05 Self Administration Scheme (SAM Scheme) - expected June 2023
MMP06 Transport, Transfer and Collection of Medicines - expected July 2023
MMP07 Medicines Reconciliation for Inpatients
MMP07a Medicines Reconciliation for Patients in the Community
MMP08 Administration of Medicines (inc. Self Administration of Medicines)
MMP09 Safe Use of Injectable Medicines
MMP10 Management of Community Prescriptions - expected Oct 2023
MMP11 Discharge Medicines Services (DMS)
MMP12 Use of Buprenorphine Injection (Buvidal)
MMP13 Non Medical Prescribing within the Anticoagulation Service
MMP14 Zuclopenthixol Acetate Guidelines and Procedure
MMP15 Administration of the Covid-19 and Seasonal Influenza Vaccination to Trust Inpatients
MMP16 Alcohol Detoxification - expected July 2023
MMP17 Medicines Management in Special Schools
MMP18 Safe Prescribing of Established Methadone / Buprenorphine
MMP19 Transcribing of Medicines in Approved Services
MMP20 Management of Buccal Midazolam
MMP21 Rapid Tranquillisation - expected Dec 2023
MMP22 Take-Home Naloxone (Addictions Services) - expected June 2023
MMP23 Safe Use of Valproate - expected June 2023
MMP24 Safe Use of Clozapine - expected June 2023
MMP25 Patient's Own Drugs
MMP26 High Dose Antipsychotic Therapy (HDAT) - expected June 2023
MMP27 Management of Medicines Errors - expected July 2023
MMP28 Management of Thickening Agents in SALT Teams for Assessment
MMP29 Management of Anticoagulation Therapy - expected June 2023
MMP30
MMP31 Transfer of Inpatient Medicines Records
MMP32 Medicines Management at Huyton CoRe and Cluster
MMP33 Ordering, Receipt and Storage of Medicines - expected July 2023
MMP34 Handling and Management of Covid-19 and Influenza Vaccines in and within the Trust
MMP35 Medicines Management in the IV Therapy Team - expected June 2023
MMP36 Medicines Management in GP Support Services
MMP37 Management of Anticipatory Medicines for End of Life Care in Community Childrens Nursing Team
MMP38 Safe Use of Opioids
MMP39 Use of Unlicensed / Off-label Medicines
MMP40 Administration via a Nasogastric Tube - expected June 2023
MMP41 Medicines Management in Knowsley Treatment Rooms
MMP42 Prescribing (Inpatients)
MMP43 Safe Use of Potassium Permanganate
MMP44 Medicines Management at Wavertree Bungalow - expected May 2023
MMP45 Administration of Medicines by Health Care Support Workers
Trust Wide Policies
SD12 Safe and Secure Medicines
SD12A Covid-19 Vaccine Handling and Management
SD11 Rapid Tranquillisation
MCT08 Controlled Drugs
MM05 Non Medical Prescribing
SD50 Patient Group Directions
The procedures below are service specific and are applicable to the Medicines Management Team only:
- MMT01 Controlled Drugs Audit Procedure
- MMT02 Safe and Secure Medicines Audit Procedure
- MMT03 Annual Leave Procedure
- Business Continuity Procedures
The procedures below are applicable to the Medicines Management Department only and can be found on the S: drive > 'Pharmacy' Folder:
- MMD03 Supply of Clozapine Procedure
- MMD04 VBM Procedure
- MMD06 Transport and Delivery of Medicines Procedure
EPMA User Guides / Procedures can be found here on the Medicines Management EPMA intranet page.
- Community Clozapine Titration Team Documents
- Pre-Dispensed Clozapine Quarantine Reconciliation Record
- This template may be used by Clozapine Clinics / Health & Wellbeing Clinics
- Risk assessment for insulin administration by HCSWs
- To be completed by the register nurse/registered practitioner who will take responsibility for delegation of the task
- Agreement form to consent to administration of insulin
- The registered nurse/registered practitioner must obtain informed consent (see Appendix 3) to the delegation of the task from the person receiving care, or where that person does not have the capacity to give consent, the principles of the Mental Capacity Act (2005) should be followed as set out in the Consent to Treatment Policy (2015) and Mental Capacity Act (2005).
- Medicines Reconciliation Inpatients Form
- Record of Delivery (single patient use form) - to be used when delivering medication / FP10s directly to a patient (i.e. not to a Trust site) or a community pharmacy to provide an accurate audit trail of receipt of the medication / FP10. This should be uploaded to the patient's electronic record.
- Missing, Lost & Stolen NHS Prescription(s) Notification Form & Flow Chart - guidance and form to be followed in the instance of a missing, lost or stolen NHS prescription
- Discharge Medicines Service Poster
- Drug Approval Request Form
Training declaration forms related to Medicines Management internal training can be found here.
- Medicines Related Policy and Procedure Update May 2023
- Medicines Related Policy and Procedure Update April 2023
- Medicines Related Policy and Procedure Update March 2023 (2)
- Medicines Related Policy and Procedure Update March 2023 (1)
- Medicines Related Policy and Procedure Update February 2023 (1)
- Click here for the MMP08 Administration of Medicines visual training aid
- Medicines Related Policy and Procedure Update January 2023 (2)
- Medicines Related Policy and Procedure Update January 2023 (1)
- Medicines Related Policy and Procedure Update December 2022
- Medicines Related Policy and Procedure Update November 2022
- Click here for the MMP04 Overt and Covert Medicines visual training aid
- Medicines Related Policy and Procedure Update October 2022
- Medicines Related Policy and Procedure Update September 2022
- Click here for the MMP07 Medicines Reconciliation visual training aid
- Medicines Related Policy and Procedure Update July 2022
- Click here for the MMP19 Transcribing visual training aid
- MMP01 Controlled Drugs Summary June 2022
- Click here for the visual training aid
- Medicines Related Policy and Procedure Update June 2022
- MMP02 Unidentifiable Substances Summary June 2022
- Click here for the visual training aid
- Medicines Related Policy and Procedure Update April 2022
- Medicines Related Policy and Procedure Update February 2022