This Committee includes key representatives from NHS organisations across South East London and provides advice and recommendations on important medicines related issues locally. PDF Managing Compliance Aids in Primary Care Guidance for GP Practices Or click the cross in the top right corner to close this box. The team works as integral members of multi-professional teams and groups to ensure safe, high quality and cost-effective use of medicines to optimise outcomes for patient care. Employed in Primary Care direct from graduation in 2004, Ruth worked for North Bradford PCT where she facilitated compliance with the patient safety and clinical governance requirements of the new community pharmacy national contract in all pharmacies across the PCT whist undertaking PG Dip in Prescribing Management in Primary Care in a development role to become a Prescribing Adviser. Email: Please click on the link below or under Further Information 'Online Patient Access' on the right. Liverpool. The Oaks Family Practice - How to order your repeat medications from stream The borough has a population of 296,000 [2021 Census] and is made up of nine neighbourhoods: Horwich/Blackrod, Central/Great Lever, Deane/Rumworth, Farnworth/Kearsley, Breightmet/Little Lever, Crompton/Halliwell, Chorley Roads, Turton and Westhoughton. Information leaflets for primary care prescribers, New Consultation: GM guidance on long-term azithromycin in adults with chronic respiratory disease, New consultation: draft hypertension pathway, Please use front sheet and sub-committee summary report template, Please use submission forms available for the. PDF Essex County Council Medicines Standards for Providers 2 Dr Daljit Saroya Consultant Anaesthetist and Chair of MO . Developed by Bristol, North Somerset and South Gloucestershire CCG Medicines Management Team in collaboration with Avon Local Pharmaceutical Committee, North Bristol NHS Trust, University Hospitals Bristol NHS Foundation Trust and Weston Area Health NHS Trust. This links in with all the work 3D Medical Centre Address: 200-202 Deane Road Bolton Lancashire BL3 5DP Tel: 01204463246 Email: ssp-3d.medical@nhs.net Patients on long-term medication can order repeat prescriptions in a number of ways: Your prescription can be sent directly to the chemist that you nominate. In line with Bolton CCG's policies, the practice work with NHS Bolton CCG Medicines Management Optimisation Team to reduce NHS waste. This website uses cookies so that we can provide you with the best user experience possible. We offer full hospital services, supported by colleagues from The Christie and Wythenshawe and by a team of specialist nurses which provides a seven-day service to both inpatients and outpatients, as well as home visits as required. PDF NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting Part of this work involves changes to medications, this might simply be a change from capsules to tablets or an alternative brand. 2023 Greater Manchester Integrated Care Partnership, Industrial Action (strikes) - information for residents. The video below shows what can be expected from the eight week programme of exercise, relaxation and information sessions. Health Innovation Manchester strengthens medicines optimisation work ]-E]GHtMU)=R=X$W5tjk/b2%']rdibF{0nWeDpMCr9V;3&582mO;WS^=~79vNnYH4ji*B)"& i$B Bolton | Greater Manchester Integrated Care Partnership Click here for some of our best practice guidance and some useful links that Care Homes may find useful. Greater Manchester Medicines Management Group Minutes of the meeting held on Thursday 8th September 2022, 1- 3pm . The initial 7.1 QIPP plan is set out in able 4 Tbelow and will be achieved through commissioning plans, risk management and medicines optimisation. Telephone: 0151 295 3633. Industrial action by nurses is taking place at some NHS hospitals this weekend. Any comments or improvements please do not hesitate to contact the team on 01992-566144 or email weccg.medicinesoptimisationteam@nhs.net . You can change your non-essential cookie choice at any time by using the Change non-essential cookie choice button. PDF MEDICINES MANAGEMENT GUIDE TO PRESCRIBING Section 2 - Prescribing Make recommendations to ensure that the most appropriate choice of clinically and cost effective medicines are used to meet the needs of the GM population. shared care arrangement with the patient's specialist team, and the patient would be required to attend HOMM Bolton CCG CCG MO leads and GMMMG Digital subgroup Luvjit Kandula (LK) Chair - Communit y Pharmacy . View key price changes in the drug tariff. 3 0 obj The aim of the Greater Manchester Medicines Management Group (GMMMG) is to support the commissioning of patient orientated outcomes and packages of care, by viewing medicines and treatments as an investment in improving health and wellbeing rather than a cost. Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings. Medicines Management Newsletters. x]]6}7,JbIu>t ]_~%J$)gMu"E/Ot:\~>~x~q/z|pu}{8]>?UOy!u-*/'O=}"Ee5g,d_mv fW:O.~~{OlW@_Nw_tJ:oJn+N. LYz*c=sf OeZUhQV5{w)g\,[l6lX^:nYq56M+o#{x8~eogN^5_VV#eMm oW/Y^YT]wm_HmWk;}>uK_Zx'o3"w}T.nZo'#hOID/RBiLfw#cvni\_UU*1)[uy/] *rK9)+}$;+65Kw@=0Vkn5}vFj_e2D/z~;>B!~jW+\[ScPreO%2,=\{+bxr~7#DQN"r-!GiP,wi|O/IV{FC&(sCe&Yj6pF3=w_G9Ru=`|Sm!k.["KnhZaD_*bZ>kEy 83 followers 82 connections. Welcome to GMMMG - GMMMG We also offer Pulmonary Rehabilitation for patients with COPD which is an exercise programme which research shows to be beneficial. Ahead of this transition, this report reflects on the crucial role and functions that CCGs' medicines optimisation teams currently deliver in the existing healthcare architecture to improve patient care. Our respiratory service provides inpatient and outpatient services to all patients with respiratory disease, including chronic obstructive pulmonary disease (COPD), asthma, tuberculosis and lung cancer. PDF The role and functions of CCG medicines optimisation teams Chronic obstructive pulmonary disease (COPD). To read more on why the changes are happening. {{AN]j~ ba~v KM/{`%%h&!>4?kKKe\F3ZX"jRK/{Oz$DO~KQs!&*;;RFLD'*bUu*qdZB2UU1hS6q6S$s&. To learn about how we use Cookies please see our, Manchester Academic Health Science Centre, NIHR Applied Research Collaboration Greater Manchester, Public and Community Involvement and Engagement, Use the following links to quickly navigate to sections of the website. The service is based at: Old Swan Walk-in Centre. Support and engage with the public, patients, commissioners and clinicians to reduce the inappropriate use of medicines. <>>> Chris will be supporting the rollout of SMASH medication safety dashboard across GM. This website use a combination of essential and non-essential cookies to give you the best on-site experience. Medicines Management - Coventry & Warwickshire CCG prescribing immunosuppressants, please inform the CCG Medicines Management team Renal or other organ transplant by tertiary centre other than above - Amber drug with shared care guideline. To learn about how we use Cookies please see our Cookie Policyand Privacy Policy. Vaccine centres across Greater Manchester, including selected GP surgeries and local pharmacies, will begin giving spring jabs on Monday April 17 and will do so until the end of June. =y+DZm|^n/@^mX567vs#Iee 6q\;*60|f>_1Xrj&pXBF:Q9dRt4?w4j > &.K(jJ@, Bi %R D(id The team cares for adults with all types of respiratory illness and disease including: The team of specialist respiratory nurses and physiotherapist provide hospital at home, home visits, management, home oxygen assessments and review, pulmonary rehabilitation and specialist clinics. Useful templates. Approved by BNSSG DTC July 2018. Project and Medicines Manager - NHS Bolton CCG - LinkedIn Contact NHS 111 to direct you to the best place to get help for your symptoms. If you are already registered with the new system click here, Prescription (per item): 9.65 from 1 April 2019, 12-month prepayment certificate (PPC): 111.60. Respiratory - Bolton NHS FT Support GM organisations to identify unwarranted variation locally, promoting quality improvement with better utilisation of data and analytics and sharing of best practice between organisations. Patients who are very unwell may require specialised care in the hospital. The pharmacists will also be able to offer their insights across other HInM projects involving medication or community pharmacy, such as our Hepatitis C elimination project and our COPD programme. L13 2GA. GPs - NHS Bolton CCG - NHS Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. The borough has a population of 296,000 [2021 Census] and is made up of nine neighbourhoods: Horwich/Blackrod, Central/Great Lever, Deane/Rumworth, Farnworth/Kearsley, Breightmet/Little Lever, Crompton/Halliwell, Chorley Roads, Turton and Westhoughton. ECC Medicines Management Standards 2022-2025 - 2 - Contents Page 1. Sorry, we couldnt find the page youre looking for.This site is under construction at the moment and we may still be building it. VIXKit-G=7RL]{p]wUMY{kH <> Chris said: I wanted to work on the project as medication safety in primary care is something I have a passion for. Our role is to work in conjunction with GPs caring for patients who are in a care home setting by providing support and best practice guidance to Care Homes. These charges apply in England only. It was stated that the CCG Medicines Management Team (MMT) had been in contact with the Hackney Recovery Service to inform them of the new guidance. (CCGs) have led medicines optimisation efforts at the local level. We offer full hospital services, supported by colleagues from The Christie and Wythenshawe and by a team of specialist nurses . Her roles have been varied covering medicines optimisation, medicines safety, guideline and clinical pathway development, care homes service development, safeguarding investigation and education and service redesign, as well as being actively involved in clinical patient medication review and a source of medicines information for clinicians, patients and the public. Oversee a Greater Manchester Joint formulary, manage the introduction of new drugs, define safe prescribing practices and work with other stakeholders to facilitate the development and implementation of evidence based treatment pathways. Please allow two full working days between requesting and collecting your medication. I have seen lots of avoidable harm with prescribed medicines in both primary and secondary that could have been prevented if a pharmacist or other healthcare professional had reviewed the patient. Fiona Noden, Chief Executive, Bolton NHS Foundation Trust. The aim of MOPB is to promote rational evidence-based and cost-effective prescribing within West Essex health economy. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %PDF-1.5 PDF Greater Manchester Medicines Management Group Ruth is also Chair of Healthwatch Warrington, working to put the service user and the public at the centre of all policies and services. The three new appointments to the HInM team will be able to offer their experience and expertise of working as a pharmacist within the local health and care system to support the development of projects to improve medicines safety and optimisation. The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Greater Manchester Medicines Management Group Minutes of the meeting held on Thursday 10th November 2022, 1-3pm (1-2pm) . district nurse, dietician. Management Tameside & Glossop CCG CCG MO leads . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); By continuing to browse or clicking accept you agree to the storing of cookies on your device to enhance your site experience and for analytical purposes. Greater Manchester and Novartis are transforming health through industry collaboration. Choose what cookies you allow us to use. Please contact the consultants secretaries for any enquiries. J~HX:Gq 4JQ. J(FB)iMPa J?~IQ2>$twuK(s!&B\QFtLb!6lRD,[Qb):fEUwWZDCU- UGKi@KRF7qbIh%'N)LlBH: V16iata@|IBGak1B0F\\ G~wbQ/\ ocCZ:78/U'7dJ,4cjJaj0)Z@~#P0~2W=PC}K*)R:{ZiPY*Zlx.#. 6.2 Safety of medicines in pregnancy QI project The medicines management team led by Sam Morris and Steve Moore have commenced a QI project on "safety of medicines in pregnancy". endobj Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). 1 0 obj PDF Greater Manchester Medicines Management Group <>/Metadata 1178 0 R/ViewerPreferences 1179 0 R>> I would want as many patients as possible to benefit from this intervention and to use data we have available in new ways to make medicines use as safe as possible.. If you have a medicines optimisation query contact the NHS South East London CCG switchboard using our contact form or by calling 020 8176 5330 and asking for the . Health Innovation Manchester has appointed three new pharmacists to support work to improve medicines safety and optimisation within Greater Manchester and East Cheshire. Respiratory. JZ endobj 3 0 obj In Northern Ireland, Scotland and Wales prescriptions are free of charge. }'r 'DJr]F|8,{'8N=gs oGVO(g]fuQz zmm$2}T6b7mK'h^>%kcb[6c,mXTVfh!Y/[K=kkjky MOb#_/'B~?x4/roO=~;!4d7Cu{Et#rF_J+m#YTeA.{h Ap0nn@ fPY$wY_S/2c ~?F&Sr->?w ~gWZ~wm %d\V]gbB7Lcm7]e1:Q[*TJ35OjM Patients are not seen at this site. For review July 2020. You can, Information about the doctors surgery opening hours, appointments, online prescriptions, health information and much more, The surgery address and telephone numbers. There is further information about prescription exemptions and fees on the NHS website. endobj 1 With acknowledgement to Mid Essex CCG Medicines Management Team . i.p'UVw@}5J 725Y+9vlA71bs764n{6na6QB;lh=XZ#Vq_D$FPF=qMrfyB;d&@T$g!25N813*[T5s$? By continuing to browse or clicking accept you agree to the storing of cookies on your device to enhance your site experience and for analytical purposes. zhg UYj13Z\a(Nk#%:7BW{{oVjtV[D7M opVF\ K`ZxIR/_Dlb!SbY3=0hZb.nt :9L,vM^4hHTSZ]${(C]T9"&urmat#_VU^UmfMRfejw`z&.hbKrO;%v\yUjOU[j*{ E3yJy\j2+Br&hQsBJp_6jQ^jP@gJkjRq]URo76As)U|eOEb5/68"x EZ}rI9NybGLdh e=Q;NYmR]y=Lx'$DBQ`vm'c{if/Jhk1_L+#oH_HjCO$Qc-L/"zU5aB=]!='Eb1 * endobj Since then she has worked in commissioning organisations and/or GP practices in Bolton, Leeds, Liverpool and Rotherham as well as in community pharmacies across South and West Yorkshire and Eastern Cheshire. Chris Haigh, Head of Medicines Optimisation at NHS Bolton Clinical Commissioning Group (CCG) Chris will be supporting the rollout of SMASH medication safety dashboard across GM. Email: cwccg.contactus@nhs.net. If you would like more information about the planned industrial action, please click the link below. Bolton CCG MO leads and GMMMG Digital subgroup Luvjit Kandul a (LK) Chair - Commun ity Pharmac y Provider . philip scott - Chief Information Officer - Bolton NHS - LinkedIn All the up-to-date information on new service plans and ways to have your say, straight to your inbox? No matter how busy our Emergency Department is, the most seriously ill and injured patients will always be seen immediately. NHS Halton CCG Medicines Management. Or click the cross in the top right corner to close this box. It has lots to offer: beautiful countryside close to the West Pennine Moors, historic buildings, The Octagon Theatre, Albert Halls Bolton, countryside parks, and a world-class museum and art gallery that includes an Egyptology gallery. Report this profile Report Report. Please contact your local CCG Medicines Management team formulary pharmacist or chief pharmacist at your acute trust, if you wish to make a submission. ing team GMMMG support Dan Newsom e (DN) Principal pharmacist RDTC GMMMG support . <> %PDF-1.7 Experience Project and Medicines Manager NHS Bolton CCG . "To Dip or not To Dip". If you will have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a PPC. . ICS are tasked with enabling system working, collaboration and integration. 4 0 obj <> He has previously led a team of practice pharmacists in Salford in a direct patient facing role and led a proactive care homes pilot in West London by reviewing . j}*,2DfN1b eeh\P_zt C$ZLjJ^$=9 z\V2:dt3_9E2Gmp9\ 9aJT?T^OmyOWI#oke LKZM[yv*qm@#]97A6pT7d*G3VC7,"E|&, ian3pt&;a3bf Crystal Close. PDF City and Hackney Clinical Commissioning Group Homerton University These are some of the changes that the practice is currently implementing. You can be referred for a medication review by your GP or community health professional e.g. Consultant, Intensive Care and Respiratory Medicine. stream Area Prescribing Committee (APC) and Local Formulary. gmicb-bol.communications@nhs.net, Place-based lead: We work in partnership with GPs, care home staff, health professionals and multi-agencies regarding medicines management related issues or queries. The MMR vaccine is the best defence against measles, mumps and rubella. endobj The MMT PDF Minutes of the Prescribing and Medicines Management - Somerset CCG %PDF-1.7 n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. Developments include the creation of the Bolton Health and Care Partnership which has brought teams closer together to deliver and to plan and buy health and care services. Patients will always be contacted by the Medicines Management Optimisation Team prior to any changes and these changes have been approved by your GP.Prescription Changes 2017, Copyright 2006 - 2023 My Surgery Website | Edit | Staff Home | Site Map | Accessibility | Cookie Policy, We use cookies to improve user experience. Medicines Management Team - Warrington CCG 2 0 obj Handling Medicines 2.1 Handling medicines - additional points 2.2 The Mental Capacity Act 2.3 The Equality Act 2.4 Controlled Drugs 4 5 7 7 7 3. k2)H&p|Q'01jc6FcF)0]5tR+\P:&'"::e leBP0"e?PE&GP1lqyw(F>V]y3gZf)eq7_mRB l+oe4RI[ V|VXpjAv=4OLL|9XT,XpYUQ2+-cz[qyI] 8.)d}eGz@ZoB6dBA"\=~+ t#`bmF-C`W3ZZ"^evhkwUU?yw=x.h:[TMR=uml|'8[b+:5ce)ioNTYd*1E3XQr7wkX-W> Other famous Boltonians include steeplejack Fred Dibnah, Olympian Jason Kenny, comedian Peter Kay, presenters Vernon Kay and Sara Cox, and footballer Alan Ball who was the youngest member of the England 1966 World Cup-winning team. PDF Medicines management in Sefton NHS Clinical Commissioners has sought to capture the scale of their contribution in our report The Role and Functions of CCG Medicines Optimisation Teams. The transition to 'system working', embodied by the development of integrated care systems (ICSs) Medicines Management Team - Halton CCG <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.2 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> A Warrington Contraceptive Formulary 2017 ( pdf, 109 KB ) (493 downloads) Popular. You will need to allow longer if you are ordering through your pharmacy. DL[Lp!-5@"B1t2v(RbLY{1seZq0^Ks%OJ9qv?nl([K1z 6p|SRy%I@U}A TH@gAx5*'S~pvk;.xCp`+/(3I:v/;bt`i)>UlaN 7BLjRR V/Ja:Q~Xf1--.}t2@'XbF46_Yz0)}>8~*Cay!Klj^ZM ZM[Kzi5C=k+%zCXJe:-kTU`5TrZ1? qZs8AN! Warrington Meds Management in Care Homes Policy Procedures April 2019 ( pdf, 1.17 MB ) (1132 downloads) Popular. The team is available Monday to Friday between 9am and 5pm. Join to view profile NHS Bolton CCG. 4 0 obj About Sefton Medicines Management Team NHS South Sefton CCG and NHS Southport and Formby CCG employ a joint medicines management team comprising of pharmacists, pharmacy technicians and a data analyst. <>/Metadata 1121 0 R/ViewerPreferences 1122 0 R>> The role and functions of the CCG medicines optimisation teams Lipid (Cholesterol) Optimisation Pilot - Halton. evidence. The CCG will need to deliver a QIPP programme of m in 201/198. Back Submit. The formulary also contains useful links to local and national guidance. Our vision is to make Greater Manchester the safest, most effective place to receive medicines and treatments. An audit tool that searches the GP Practice computer system and identifies patients who are being prescribed medicines that are commonly and consistently associated with medication errors and allow actions to be taken to reduce this risk. Contact NHS 111 to direct you to the best place to get help for your symptoms. Check your child is up to date with their vaccinations by looking in your childs red book or contacting your GP if you need to catch up. endobj 3 0 obj 2023 Greater Manchester Integrated Care Partnership, Industrial Action (strikes) - information for residents. endobj The Care Homes Support Team is part of the Medicines Management Team. 15 Sep 2020. pdf. stream As Deputy Chief Pharmacist at Warrington and Halton Teaching Hospital NHSFT, she has extensive experience of implementing TCAM and understands the wider perspective of the health economy, having previously worked as Head of Medicines Management in Halton and St Helens. Crompton Health Centre 501 Crompton Way Bolton, BL1 8UP Tel: 01204 463111 endobj The only Greater Manchester-wide awards which recognises the exemplary contributions from our whole health and care workforce has announced its 2023 shortlisted nominations and the stories are as inspirational as ever. The team provides expert, specialist advice, information and training to management, staff and patients to promote the safe, effective and high quality prescribing, administration and management of medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication. Its more important than ever to build on these developments and ensure everyone has equal access to the the activities and support that will help them to lead a healthier life for longer, no matter where they live in the borough. Warrington pen needle formulary ( pdf, 242 KB ) (438 downloads) Popular. This role allows Ruth to work in partnership with the services in Warrington to move towards a patient safety culture and patient safety system where the voice of the patient is heard from ward to board. Christopher Haigh - Head of Medicines Optimisation and - LinkedIn All the up-to-date information on new service plans and ways to have your say, straight to your inbox? The IRONMAN UK triathlon attracts competitors from around the world and Ironkids is the worlds largest fun run. % The aim of the Greater Manchester Medicines Management Group (GMMMG) is to support the commissioning of patient orientated outcomes and packages of care, by viewing medicines and treatments as an investment in improving health and wellbeing rather than a cost. 4 0 obj Medicines Optimisation - Strategic and Operational Delivery Management, Delivery and Developmentof Practice Based Clinical Pharmacists Primary Care Network Support and Development Independent Prescriber Clinical Knowledge in General and Specialist Areas<br>Guideline and Pathway Creation . Bolton has a long history of working in partnership to integrate health and social care services with the shared aim of improving the health and wellbeing of all residents. 1 Halton MMT Medicines and Prescribing - Advice and Guidance. x][~7p,e)iK9q!_o"EH] JUEX}w}8'mAGf_? The GMMMG work plan is facilitated and supported by the Regional Drug & Therapeutics Centre in Newcastle and the Greater Manchester Joint Commissioning Team. He has previously led a team of practice pharmacists in Salford in a direct patient facing role and led a proactive care homes pilot in West London by reviewing patients in care and residential homes. 22zN3xyflB$35+Vuj:23mXbzx?}j4`yic?lwVdz'|qu_X5 GPt_N=h\;Krpm~Dnvsh3dKy 9[4M&X0AynA n-8kZ!A?AMi?}4Lg.a'w,T*#x5]1q]M0\g[&wL^Eokh^NHZVa8oS%Tv9$wJ*of+rLd)CZtVUQi_T" t-?99k#6$?Fo;6_Z&rR9 1 0 obj Introduction 3 2. <> 1 0 obj <> PDF The systematisation of medicines optimisation - NHS Confederation This means that every time you visit this website you will need to enable or disable cookies again. The team is well established and has been in place for a number of years being in Sefton Primary Care Trust (PCT) prior to the CCGs. Ensuring resources available in the NHS are being used in a cost-effective manner. GPs are expected to continue supplies until repatriation occurs, no dates yet confirmed by NHS England Set high quality standards; monitor and report against standards with the aim of to reducing unwarranted clinical variation. Bolton is known for its friendly and welcoming people and its proud industrial heritage. Medicines Management community service provided by Mersey Care The Team consists of Pharmacists and Pharmacy Technicians who specialise in care homes medicines management best practice; if you require any support or have any medicines management issues relating to care homes please contact us via: Tel: 024 7632 4399 If youre looking for something else, try Contacting us. Yorkshire CCG Medicines Optimisation Team for their contribution . An experienced clinical pharmacist in both primary and secondary care as a commissioner and provider role. Working to improve the safety of medication administration primarily in care homes for the elderly, reducing avoidable harm and improving experience of care. Greater Manchester Medicines Management Group Minutes of the meeting held on Thursday 13th May 2021 1- 3 pm . 15 Sep 2020. pdf. Bolton FT Stockport FT GM Chief pharmacists A (PaB) (PaB) Charlotte Skitterall (CS) PDF Greater Manchester Medicines Management Group - GMMMG Clinical Guidelines and Prescribing Formularies - West Essex CCG <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>