A Shared Care Agreement (SCA) is a local guideline that outlines the responsibilities of the specialist and the GP for the prescribing and monitoring of medicines, once a patient is stable on that medicine.
This letter has recently been circulated to all practices in Lincolnshire regarding the current status of Shared Care Agreements.
Below is a list of approved Shared Care Agreements for Lincolnshire:
National Shared Care Protocols
The following shared care protocols are national protocols developed by RMOC and published on the NHS England website. They have been adopted and adapted for local use and approved by PACEF
| Title |
|---|
| Azathioprine and Mercaptopurine SCA |
| Ciclosporin SCA |
| Hydroxychloroquine SCA |
| Leflunomide SCA |
| Sulfasalazine SCA |
| Lokelma v2 |
| Dronedarone v2 |
| Methotrexate SCA |
Local Shared Care Protocols
The following shared care protocols have been produced locally using the national protocol template developed by RMOC. They have been approved by PACEF.
Paediatric Shared Care Protocols
These protocols are only to be used for patients under the care of Lincolnshire based community paediatric services. For those patients under the care of specialist services based outside of Lincolnshire, shared care protocols should be provided by those services. These are not to be used for adult patients
| Title |
|---|
| Dexamfetamine SCA |
| Lisdexamfetamine SCA |
| Atomoxetine SCA |
| Melatonin SCA |
| Methylphenidate SCA |
| Guanfacine SCA |
Renal Shared Care Protocols
These protocols are only to be used for those patients under the care of Lincolnshire based renal services. For those patients under the care of specialist services based outside of Lincolnshire, shared care protocols should be provided by those services
| Title |
|---|
| Sirolimus SCA |
| Calcium Phosphate Binders SCA |
| Cinacalcet SCA |
| Lanthanum SCA |
| Mycophenolic Acid SCA |
| Sevelamer SCA |
| Tacrolimus MR SCA |
| Tacrolimus SCA |
Shared Care Protocols Granted Extensions
Dementia shared care protocol is currently under review. Ketamine SCA to be reviewed in May 2025 PACEF meeting.
Multi-Speciality Shared Care Protocols
The documents below have been agreed by multiple specialities.