Essential Shared Care Agreements (ESCAs) are written agreements between specialist services and general practitioners and allow care, specifically prescribing, to be safely shared between them.

They are individual to a specific drug, detail who is responsible for what aspect of care and when early referral is required back to specialist services. They allow the seamless transfer of prescribing responsibility from the specialist services to general practice.

All ESCAs are agreed by the Trust's Medicines Optimisation Committee whose membership includes representatives from the local Clinical Care Groups (CCG). ESCAs are normally developed for all drugs, which are either specialist in nature, or that have specific monitoring requirements, e.g. a blood test is required at regular intervals.

It has been agreed by the Medicines Optimisation Committee, that where general practice refuses to enter into a shared care agreement for a drug that has been pronounced on by NICE as appropriate for shared care, the clinician should complete the Proforma for ESCA Refused by General Practice in order that the Trust can charge the CCG appropriately.

In order that we do not charge the CCG inappropriately it is essential that, when the service is no longer providing the prescription, the clinician informs us by completing the ESCA Refused by General Practice - Service no longer prescribing  as soon as possible.

The following ESCAs apply to Midlands Partnership NHS Foundation Trust (MPFT). Some of the documents are old SSSFT documents; they still apply to MPFT. They will be updated to reflect our new Trust over time.

Agreements - Shropshire/Telford and Wrekin Prescribing Information Documents (PIDs) & ESCAs

Agreements - Inclusion

E070 Disulfiram

CCN ESCA Standing Operating Procedure

CCN Administration SOP

Refusal of Repeat Prescribing by GP- Letter Templates

Lithium Guidelines and Monitoring Booklets

Lithium Pack Order Form  

Guidelines for the Monitoring of Lithium

When initiating a patient on Lithium please ensure that you provide a Lithium Monitoring Booklet to the patient/service user/carer and discuss with them the monitoring requirements. Copies of the booklet can be obtained by completing the Lithium Pack Order Form

Pharmacy - Information for Professionals Contact Details

Director of Pharmacy and Medicines Optimisation: Andrew Campbell

Tel: 01785 221315 Ext 7128753


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Midlands Partnership NHS Foundation Trust

Trust Headquarters, St. George's Hospital, Corporation Street, Stafford ST16 3SR


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0300 790 7000
(staffed 24 hours a day, every day)

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