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Work in progress

Click on the links or scroll down the page for information about work currently in progress by category. Please note that information summarised on this page is subject to change. 


Open consultations

We produce prescribing guidance and other medicines resources to help patients and healthcare professionals in Wales make sure that medicines are used effectively and appropriately. When we produce these resources, we think it's important that people who might be affected by them have a chance to tell us their views. 

We ask patients and carers, patient organisations, prescribers and other healthcare professionals to comment on the resources we're developing. We'd like your views on the resources we're currently working on, listed below. You don't need to comment on the whole document; only on parts that seem relevant to you.

We don't have any consultations open at the moment but please check back here regularly for updates.

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Medicines appraisals

Patients, carers and patient organisations - please see our New medicines needing your views page for answers to some questions you might have about making a submission.

Clinical experts - please see our Clinical expert opinion for medicine appraisals page for background information.

We'd like to receive your submission before the stated deadline (so we can prepare the meeting papers). But we'll still try to include any that arrive late.

Medicine name: lacosamide (Vimpat®)

Reference number: 4698

Indication: Adjunctive therapy in the treatment of partial-onset seizures with or without secondary generalisation in children from 2 years of age < 4 years of age with epilepsy

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: 14/09/2022

Medicine name: rituximab (MabThera®) 

Reference number: 3192

Indication: For the treatment of moderate to severe pemphigus vulgaris

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

Submission deadline: 05/05/2022

AWMSG meeting date: 14/09/2022

Medicine name: dupilumab (Dupixent®)

Reference number: 4017

Indication: Indicated in children 6 to 11 years old as add-on maintenance treatment for severe asthma with type 2 inflammation characterised by raised blood eosinophils and/or raised fraction of exhaled nitric oxide (FeNO) who are inadequately controlled with medium to high dose inhaled corticosteroids (ICS) plus another medicinal product for maintenance treatment

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: 14/09/2022

Medicine name: hydrocortisone MR (Efmody®)

Reference number: 3017

Indication: Treatment of congenital adrenal hyperplasia (CAH) in adolescents aged 12 years and over and adults.

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

Submission deadline: 15/01/2022

AWMSG meeting date: 14/09/2022

Medicine name: insulin degludec (Tresiba®)

Reference number: 5196

Indication: Treatment of diabetes mellitus in adolescents and children from the age of 1 year

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: 14/09/2022

Medicine name: ferric maltol (Feraccru®)

Reference number: 5116

Indication: Treatment of iron deficiency in adults.

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

Submission deadline: TBC

AWMSG meeting date: 18/10/2022

Medicine name: migalastat (Galafold®)

Reference number: 4268

Indication: Long-term treatment of  adolescents aged 12-15 years with a confirmed diagnosis of Fabry disease (α-galactosidase A deficiency) and who have an amenable mutation

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: 18/10/2022

Medicine name: bedaquiline (Sirturo®)

Reference number: 4860

Indication: For use as part of an appropriate combination regimen for pulmonary multidrug‑resistant tuberculosis (MDR‑TB) in paediatric patients (5 years to less than 12 years of age and weighing at least 15 kg) when an effective treatment regimen cannot otherwise be composed for reasons of resistance or tolerability.

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: TBC

Medicine name: ambrisentan (Volibris®)

Reference number: 4819

Indication: Treatment of PAH in adolescents and children (aged 8 to less than 18 years) of WHO Functional Class (FC) II to III including use in combination treatment. Efficacy has been shown in IPAH, familial, corrected congenital and in PAH associated with connective tissue disease.

Patient and carer submission: Download form or submit online

Patient organisation submission: Download form or submit online

Clinical experts submission: Download form

AWMSG meeting date: 18/10/2022

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Medicines optimisation projects

Title: All Wales chronic pain resources

Status: Consultation completed

Remit: Guidelines and resources developed to provide evidence based, prudently-driven guidance for the pharmacological management of chronic pain in Wales. In addition, quick reference guides, patient information leaflets, audit resources and educational materials will also be developed.

Estimated publication date: September-November 2022

Title: Value based prescribing - biological medicines for severe uncontrolled asthma

Status: Consultation completed

Remit: This paper set out the strategic approach for the value based prescribing programme, providing an overview to the background and a structure for the proposed work to progress (now published). Also provided was an initial therapeutic area proposed for inclusion within the programme; biological medicines for severe uncontrolled asthma (still in development). 

Estimated publication date: September-November 2022

Title: All Wales Guidance for Prescribing Intervals (2022 update)

Status: Consultation completed

Remit: This document is an update to the 2013 All Wales Review and Guidance for Prescribing Intervals.  The guidance stated that a 28-day prescribing interval was broadly recommended for repeat prescribing. A Welsh Government commissioned review of dispensing volumes in community pharmacies across Wales, undertaken by the Welsh Institute for Health and Social Care (WIHSC) concluded that, on balance, there would be benefit to patients, GP practices and community pharmacies if prescribing intervals were extended. 

Estimated publication date: September-November 2022

Title: Polypharmacy review – guidance for prescribing (2022 update)

Status: Consultation completed

Remit: This will update and replace the existing ‘Polypharmacy: Guidance for prescribing’ document. The intention of this revision has been to focus the guidance on the groups of medicines commonly prescribed in the elderly population that may require review.

Estimated publication date: September-November 2022

Title: Understanding unlicensed medicines

Status: Consultation anticipated September-October 2022

Remit: This will provide guidance for prescribers across primary and secondary care settings, including clarification around what the different types of unlicensed medicines are, understanding responsibilities throughout the different stages of the prescribing journey and key steps to be taken when prescribing unlicensed medicines and transferring care of relevant patients.

Estimated publication date: December 2022-February 2023

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One Wales Medicine assessments

One Wales Medicine new assessment

Medicine name: vonicog alfa (Veyvondi®)

Reference number: OW19

Indication: Treatment of bleeding during surgery in paediatric patients with Von Willebrand disease.

Patient organisation/patient/carer submission: Submit your response by email to awttc@wales.nhs.uk

Clinical experts submission: Submit your response by email to awttc@wales.nhs.uk

Submission deadline: 05/08/2022

OWMAG date: September 2022

One Wales Medicine new assessment

Medicine name: abiraterone acetate (Zytiga®)

Reference number: OW20

Indication: Treatment of non-metastatic hormone-sensitive prostate cancer at high risk of progression

Patient organisation/patient/carer submission: Submit your response by email to awttc@wales.nhs.uk

Clinical experts submission: Submit your response by email to awttc@wales.nhs.uk

Submission deadline: 05/08/2022

OWMAG date: September 2022

One Wales Medicine new assessment

Medicine name: infliximab

Reference number: OW21

Indication: Treatment of patients with Immune Checkpoint Inhibitor (ICI) induced grade 3-4 colitis, where symptoms have not responded to first line immunosuppression with corticosteroids.

Patient organisation/patient/carer submission: Submit your response by email to awttc@wales.nhs.uk

Clinical experts submission: Submit your response by email to awttc@wales.nhs.uk

Submission deadline: 05/10/2022

OWMAG date: November 2022

One Wales Medicine new assessment

Medicine name: vedolizumab (Entyvio®)

Reference number: OW22

Indication: Treatment of patients with Immune Checkpoint Inhibitor (ICI) induced grade 3-4 colitis, where symptoms have not responded to first line immunosuppression with corticosteroids and/or other immunosuppressant drugs like infliximab.

Patient organisation/patient/carer submission: Submit your response by email to awttc@wales.nhs.uk

Clinical experts submission: Submit your response by email to awttc@wales.nhs.uk

Submission deadline: 05/10/2022

OWMAG date: November 2022

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Policies, strategies and other publications

 

Title: AWMSG annual report 2022-2023

Summary: Review of the activities and achievements of the All Wales Medicine Strategy Group (AWMSG) between April 2021 and March 2022.

Estimated publication date: September 2023

View previous AWMSG annual reports

Title: IPFR annual report 2021-2022

Summary: Review of Individual Patient Funding Request activity in Wales between April 2021 and March 2022. 

Estimated publication date: September 2022

View previous IPFR annual reports

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