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

  pdf PACE Index July 2020  

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At present the Lincolnshire Care Provider teams are reviewing and updating all outdated Shared Care Guidelines and the PACEF website will reflect these changes by gradually uploading the new documents as soon as possible.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:

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

Chronic pain and palliative care Ketamine Nov 2018 - 2020 pdf

pdf Policy for Safe and Secure Handling of Medicines and Prescription Stationary pdf

pdf Dementia March 2019 - 2022 V2

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

pdf Dronedarone Nov 2018 - Nov 2020

Hydroxychloroquine Rheumatology Nov 2018-2020 pdf

pdf leflunomide Nov 2018-Nov 2020

pdf Methotrexate Rheumatology Nov 2018 - Nov 2020  

pdf Methotrexate Respiratory March 2019 - 2022

pdf Orthostatic hypotension Midodrine ( Bramox) Nov 2018 - Nov 2020

pdf Sleep disorders in children Melatonin Sept 2019 - 2021

pdf Sulfasalazine in Rheumatology Nov 2018 - Nov 2020


To be approved by PACEF:



Under Service review:

Lanthanum - October 2015 SCG

pdf Mycophenolate mofetil - February 2016 SCG

pdf Mycophenolic acid - February 2016 SCG

pdf Nabilone - February 2016 SCG

Sevelamer - October 2015 SCG

pdf Tacrolimus - February 2016 SCG

pdf 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 http://www.lincolnshirejointformulary.nhs.uk/

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

pdf Infant feeding Formulary for Cows Milk Protein Allergy and Lactose Intolerance

Heart Failure

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

Antimicrobial Prescribing Guidance

pdf Antimicrobial guidelines for adults - Secondary care - January 2019

pdf NICE PHE summary antimicrobial prescribing guidance - Lincolnshire Nov 19

pdf ACEF briefing paper updates to NICE PHE antimicrobial prescribing - Sept 2019

pdf Blue Man Poster 2020

pdf 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:


Pain Management

  pdf Lincolnshire Primary Care pain management guidance - December 2019

  pdf PACEF One Page Guide to Managing Non malignant Chronic Persistent Pain December 2019