Lincolnshire Prescribing and Clinical Effectiveness Forum (PACEF)

Lincolnshire Prescribing and Clinical Effectiveness Forum (PACEF) is a strategic advisory network.

PACEF has the responsibility for ensuring the cost-effective use of medicines and other healthcare interventions and their functional integration into healthcare delivery across Lincolnshire.

Representation on the group is comprised of leading professionals from each of the Lincolnshire Clinical Commissioning Groups, the local Acute Trusts (United Lincolnshire Hospitals Trust and Lincolnshire Partnership Foundation Trust), Lincolnshire Community Health Services and Lincolnshire County Council.


PACE Index

PACE Index September 2019

Current PACE Bulletins - 2019

View previous PACE Bulletins

View previous PACE Shorts

Shared Care

At present the Lincolnshire Care Provider teams are reviewing and updating all outdated Shared Care Guidelines and the PACEF website will reflect these changes by gradually uploading the new documents as soon as possible. We are sorry for any inconvenience due to this matter.

Current Shared Care Guidances:

ADHD with letters Sept 2019-2022                                                                                               
Azathioprine Marcaptopurine for Management of Inflammatory Bowel Disease Sept 2019 - Sept 2022

Chronic pain and palliative care Ketamine Nov 2018 - 2020

Safe and Secure Handling of Medicines March 2017 - March 2019

Dementia March 2019 - 2022 V2

Dermatology (azathiopine, ciclosporin, methotrexate) Nov 2018 - Nov 2020

Dronedarone Nov 2018 - Nov 2020

Hydroxychloroquine Rheumatology Nov 2018-2020

leflunomide Nov 2018-Nov 2020

Melatonin Nov 2018 - 2020

Methotrexate Rheumatology Nov 2018 - Nov 2020

Methotrexate Respiratory March 2019 - 2022

Orthostatic hypotension Midodrine ( Bramox) Nov 2018 - Nov 2020

Sleep disorders in children Melatonin Sept 2019 - 2021

Sulfasalazine in Rheumatology Nov 2018 - Nov 2020


To be approved by PACEF:



Under Service review:

Lanthanum - October 2015 SCG

Mycophenolate mofetil - February 2016 SCG

Mycophenolic acid - February 2016 SCG

Nabilone - February 2016 SCG

Sevelamer - October 2015 SCG

Tacrolimus - February 2016 SCG

Tacrolimus Advagraf - February 2016 SCG

Traffic Light List

The traffic light list  has moved and is now  incorporated into the Lincolnshire Joint Formulary.

Please click on the link

The formulary site has the advantages of being fully searchable, lists all traffic light drugs ( RED/RED,RED, AMBER 1 and 2 and GREEN),  contains  additional prescribing advice  and  links to shared care protocols and PACE bulletins where appropriate.

PACEF Guidance

Non-Formulary (Red Red) medicine prescribing

Red/Red  Product recommendation list - currently under review

Infant Feeding Formulary

Infant feeding Formulary for Cows Milk Protein Allergy and Lactose Intolerance

Heart Failure

Clinical Guidance for the Diagnosis and management of Heart Failure Lincolnshire 2015 

Antibacterial Prescribing Guidance

NICE PHE summary-antimicrobial-prescribing-guidance Feb 19

Blue Man poster 2018

SEPSIS poster 2018

Lincolnshire Joint Formulary

All of the Lincolnshire CCGs, Acute Trusts and Lincolnshire Community Health Services operate a single joint formulary that can be accessed from: