north west london primary care wound care formulary ......formulary 2020/21 v0.8 clinical lead:...

Clinical Lead: Vanessa Andraea

North West London Primary Care Wound Care

Formulary 2020/21

V0.8


Date

Version

Comments sought from

Comments

28.08.2019 0.1 Vanessa Andraea, Agnes

Collarte, Meena Sethi

Incorporating Hounslow and

Brent options

05.09.2019 0.2 Fatima Kamara Incorporation of inner borough

options

25.09.2019 0.3 Agnes Collarte Updated list following outcome

of the meeting

18.10.2019 0.4 Elaine Nevin Incorporation of Hounslow

options

06.11.2019 0.5 Vanessa Andraea Updated list following outcome

of meeting

11.12.2019 0.6 Vanessa Andraea Incorporation of Ealing Options

28.02.2020 0.7 Vanessa Andraea Reviewed and edited per price

point

10.06.2020 0.8

Agnes Collarte Incorporating Hillingdon Options


Contents Alginate dressings (flat sheet) .............................................................................................................................................................................. 6

Alginate Dressing (gel) ........................................................................................................................................................................................ 6

Hydrocolloid dressings........................................................................................................................................................................................ 6

Hydrofibre dressing / Cavity dressings.................................................................................................................................................................. 7

Hydrogels (SHEETS) ............................................................................................................................................................................................ 7

Hydrogel (liquid gel) ........................................................................................................................................................................................... 8

Low adherance .................................................................................................................................................................................................. 8

Odour absorbent ............................................................................................................................................................................................... 9

Moderate-High dressings Foam Adhesive border ............................................................................................................................................... 9

Superabsorbent................................................................................................................................................................................................11

Absorbent Foam dressing without Adhesive border ...............................................................................................................................................12

Absorbent Perforated (dressing with pad) ............................................................................................................................................................12

Vapour-permeable (without an absorbent pad)...................................................................................................................................14

Anti-microbial Honey (in a Non Adherent Dressing) ...............................................................................................................................................14

Anti-microbial Honey (liquid gel) .........................................................................................................................................................................14

Anti-microbial Honey (hydrogel and absorbent pad) ..............................................................................................................................................15

Anti-microbial Honey in a Sheet (with alginate) .....................................................................................................................................................15

Antimicrobial (liquid hydrogel)............................................................................................................................................................................15

Anti-microbial Iodine.........................................................................................................................................................................................15

Anti-microbial Silver ..........................................................................................................................................................................................16


Antimicrobial Other dressing ..............................................................................................................................................................................17

Other Dressing .................................................................................................................................................................................................17

Bandage (Undercast Padding) .............................................................................................................................................................................17

Bandages (Non-compression) .............................................................................................................................................................................17

Stockinettes .....................................................................................................................................................................................................18

Adhesive Tape ..................................................................................................................................................................................................19

Barrier Products ...............................................................................................................................................................................................19

Dressing Packs..................................................................................................................................................................................................20

Emollients........................................................................................................................................................................................................20

Irrigation (with antimicrobial) .............................................................................................................................................................................20

Irrigation (without antimicrobial) ........................................................................................................................................................................20

Surgical Tape....................................................................................................................................................................................................21

Stockings .........................................................................................................................................................................................................21

Adjustable Compression Garment .......................................................................................................................................................................22

Short stretch compression bandages ..................................................................................................................................................................24

Paste Bandage..................................................................................................................................................................................................25


Category

Product Size Price Pack sizes Notes

Alginate dressings (flat sheet)

1st Line Activheal Alginate 5cm x 5cm 10cm x10cm 10cm x 20cm

£0.59 £1.15 £2.83

2nd Line Suprasorb A (Calcium alginate dressing)

5cm x 5 cm 10cm x 10cm

£0.64 £1.26

10 10

Alginate Dressing (gel)

3rd Line Flaminal forte gel 15gm 7.79 2 Contains Antimicrobial Enzymes Wear time: up to 3 days - requires secondary dressing

Flaminal Hydro gel 15gm 7.79 2

Hydrocolloid

dressings

1st Line Askina Biofilm Transparent 10 cm × 10 cm 20cm x 20cm

£1.10 £3.25

10 5

do not use on Diabetic foot ulceration. Do not use in presence of anaerobic infection

2nd Line Comfeel Plus Transparent 5x7cm 10x10cm 15x15cm 15x20cm

£0.67 £1.28 £3.35 £3.40


3rd Line Duoderm - extra thin 7.5cm x 7.5cm 10cm x 10cm 15cm x 15cm 5cm x 10cm 9cm x 15cm 9cm x 25cm 9cm x 35cm

£0.82 £1.36 £2.93 £0.78 £1.81 £2.90 £4.05

5 10 10 10 10 10 10

Hydrofibre dressing / Cavity dressings

1st Line Kerracel 5cm x 5cm 10cm x 10cm 15cm x 15cm 2.5cm x45cm

£0.60 £1.44 £2.71 £1.90

5 5

Note: Kerracel ribbon only comes in 2cm width: Clinicians can stretch the kerracel to reduce the width or cut accordingly

2nd Line Aquacel ribbon 1 cm x 45 cm 2cm x 45cm

£1.89 £2.52

5 5

3rd Line Aquacel Extra 5cm x 5cm 10cm x 10cm 15cm x 15cm

£1.03 £2.45 £4.61

5 5

Hydrogels (SHEETS)

1st Line Kerralite cool 6cm x 6cm 8.5cm x 12cm 18cm x 12.5cm

£1.77 £2.61 £3.77

5 5 5

2nd Line ActiForm cool 6cm x 6cm 8.5cm x 12cm 18cm x 12.5cm

£1.79 £2.64 £3.82

5 5 5


Hydrogel (liquid gel)

3rd Line Activheal Hydrogel 8gm 15g

1.23 £1.41

3

4th Line Purilon Gel 15gm 2.33 2 Unsuitable for: Surgical implantation, third degree burns, infected or heavily exudating wounds. Do not place on intact skin

1st Line Atrauman 5 cm × 5 cm 7.5 cm × 10cm 10 cm × 20 cm 20cm x 30cm

£0.35 £0.36 £0.81 £2.23

10, 50 10, 50 30 10

Wear time: can be left in place for 7 days. Fragile skin, skin tears, laceration, leg ulcers

Low adherance

2nd Line Silflex 5cm x 7cm 8cm x 10cm 12cm x 15cm 20cm x 30cm

£1.13 £2.32 £4.67 £12.02

10 10 10 10

Silicone dressing

3rd Line Profore contact layer WL 14cm x 20cm £0.33

4th Line NA Ultra 9.5cm x 9.5cm 19cm x 9.5cm

£0.34 £0.64

5th line Adaptic touch 7.6cm x 11cm 12.7x15cm

2.25 2.25

5


Odour absorbent

1st Line CliniSorb 10 cm × 10 cm 10 cm x 20 cm 15 cm x 25 cm

£1.94 £2.58 £4.15

10 10 10

Charcoal dressing are not indicated for dry wounds

2nd Line Zorflex

5cm x 5cm 10cm x10cm 10cm x20cm

£0.98 £2.35 £4.50

With antimicrobial Remains effective for 7days

Moderate-High dressings Foam Adhesive border

1st Line Kliniderm Foam Silicone Border

7.5cm x 7.5cm 10cm x 10cm 12.5cm x 12.5cm 15cm x 15cm 10cm x 20cm 15cm x 20cm (sacrum) 18cm x 18cm

£1.18 £1.63 £2.33 £3.95 £3.20 £5.00 £3.90

5 5 5 5 5 5 5

Note: for low - moderate level of exudate


2nd Line Biatain Silicone Adhesive 7.5x7.5cm 10x10cm 12.5x12.5cm 15x15cm 17.5x17.5cm 18x18cm (heel) 15x19cm (small sacral) 25x25cm (large sacral) 10x20cm

£1.47 £2.16 £2.65 £3.93 £5.22 £5.50 £3.99 £5.75 £2.73

Can be used as primary dressing up to a 2cm cavity.

3rd Line Aquacel Foam Lite Adhesive 8cm x 8cm 10cm x 10cm 12.5cm x 12.5cm 17.5cm x 17.5cm

£1.42 £2.20 £2.72 £5.45

For Low Level Exudate

4th Line Urgotol Absorb Border 6.5cm x 10cm 8cm x 8cm 8cm x 15cm 10cm x 10cm 10cm x 25cm 13cm x 13cm 15cm x 20cm

£1.48 £1.38 £2.44 £1.98 £3.67 £2.45 £3.98

Note: for low - moderate level of exudate


Superabsorbent

1st Line Zetuvit E (non sterile/ sterile) 10cm x 10cm 10cm x 20cm 20cm x 20cm 20cm x 40cm

£0.07 £0.09 £0.15 £0.28

50 50 50 30

2nd Line Kliniderm superabsorbant 10cm x 10cm 10cm x 15cm 20cm x 20cm 20cm x 30cm

£0.49 £0.69 £0.99 £1.49

50 10 15 10

3rd Line Kerramax care 5cm x 5cm 10cm x 10cm 10cm x 22cm 13.5cm x 15.5cm 20cm x 22cm 20cm x 30cm

£1.01 £1.31 £1.71 £1.55 £3.02 £3.45

4th Line Zetuvit Plus 10cm x 10cm 10cm x 20cm 15cm x 20cm 20cm x 25cm 20cm x 40cm

£0.83 £1.15 £1.32 £1.80 £2.79

5th Line Xupad 10cm x 12cm 10cm x 20cm

£0.15 £0.17

Do not use on arterial bleeds or heavily bleeding wounds. Cannot use under bandage. Contains chlorhexidine. Please check allergy status.


Absorbent Foam dressing without Adhesive border

1st Line Biatain Non-adhesive 5cm x 7cm 10cm x 10cm 15cm x 15cm 10cm x 20cm

£1.34 £2.44 £4.50 £4.03

Do not use with oxidizing agents such as hypochlorite or peroxide. Do not cover foams with occlusive dressings

2nd Line Urgotul Absorb 6cm x 6cm 10cm x 10cm 15cm x 20cm

£1.21 £2.38 £4.20

Note: Primary dressing low -moderate exudate

3rd Line Advasorb 5cm x 5cm 7.5cm x 7.5cm 10cm x 10cm 12.5cm x 12.5cm 10cm x 20cm 15cm x 15cm 20cm x 20cm

£0.66 £0.80 £1.10 £1.62 £3.42 £2.14 £3.82

10 10 10 10 10 10 10

Absorbent Perforated (dressing with pad)

1st line PremierPore 5cm x 7cm 10cm x 10cm 10cm x 15cm 10cm x 20cm 10cm x 25cm 10cm x 30cm 10cm x 35cm

£0.05 £0.12 £0.18 £0.32 £0.36 £0.45 £0.52

50 50 50 50 50 50 50


2nd line Adpore Dressings 7cm x 8cm 10cm x10cm 10cm x 15cm 10cm x 20cm 10cm x 25cm 10cm x 30cm 10cm x 35cm

£0.08 £0.10 £0.16 £0.30 £0.34 £0.42 £0.50

55 40 40 30 30 30 30

3rd Line Adpore Ultra 7cm x 8cm 10cm x10cm 10cm x15cm 10cm x20cm 10cm x25cm 10cm x30cm

£0.12 £0.14 £0.22 £0.33 £0.35 £0.52

55 40 40 30 30 30

4th line Clearpore 6cm x 7cm 6cm x 10cm 10cm x 10cm 15cm x 10cm 20cm x 10cm 25cm x 10cm

£0.12 £0.15 £0.20 £0.24 £0.36 £0.40

5th Line Mepore 7cm x 8cm 10cm x 11cm

0.11 0.22

5 5

Wear time: Up to 3 days

6th Line Mepore film and pad 4cm x 5cm 7cm x 5cm 9cm x 15cm

0.24 0.24 0.92

3 3 3

Wear time: up to 5 days


Vapour-permeable (without an absorbent pad)

1st Line Clear film 6cm x 7cm 10cm x 12cm 12cm x 12cm 15cm x 20cm 20cm x 30cm

£0.25 £0.55 £0.62 £1.15 £1.95

50 50 50 50 50 50

2nd Line Leukomed T 7.2cm x 5cm 10cmx 12.5cm

0.39 1.05

50 Excessive exudates may accumulate under film causing maceration. Not suitable for deep, infected or heavily exuding wounds.

Anti-microbial Honey

(in a Non Adherent Dressing)

1st Line Actillite 5x5cm 10cm x10cm

0.71 1.23

2 2

Do not use in patients with a known sensitivity to bee venom, bee products, bee stings or essential oils e.g. tea tree oil, or any of the materials used in the dressings.

2nd Line Medihoney Tulle dressing 5cm x5cm 10cm x10cm

1.71 £3.00

2

Anti-microbial Honey

(liquid gel)

1st Line Activon tube 25gm £2.77 1 Useful on sinus wounds that cannot be packed and for wounds that are critically colonised or have known gross contamination

2nd Line Medihoney Antibacterial Wound Gel

10gm 20gm

2.71 4.05

1 1


Anti-microbial Honey (hydrogel and absorbent pad)

1st Line Medihoney HCS 6cm x 6cm 11cm x11cm

2.26 £4.50

3

2nd Line Medihoney HCS Adhesive Surgical Border

75c x 20cm £3.07 3

Anti-microbial Honey in a Sheet (with

alginate)

1st Line Algivon 5cm x 5cm 10cm x 10cm

£2.48 £4.25

5 5

For Low- Moderate Exudate

2nd Line Algivon Plus 5 x 5cm 10 x 10cm

2.45 £4.2

5 5

For moderate exudate

3rd Line Medihoney Antibacterial Honey Apinate

5cm x 5cm 10cm x 10cm 2.0cm x 30cm (rope)

2.01 £3.41 £4.23

3

Antimicrobial (liquid

hydrogel)

1st Line Prontosan Gel x 50gm 11.99 1

2nd Line Octenilin Wound Gel 20ml 4.78 1

Anti-microbial Iodine

1st Line Inadine 5cm x 5cm 9.5cm x9.5cm

0.28 0.49


2nd Line Iodoflex paste 5g 10g 17g

£4.19 £8.37 £13.25

5 iodoflex note: Please do not use with sensitivity to any of products ingredients, children, pregnant or lactating women or those with thyroid disorders or renal impairment ; Note: Do not use on dry black necrotic tissue

3rd Line Iodosorb paste 5gm 4.62 1 Do not use more than 50g per single application or more than 150g per week. Maximum duration up to 3 months in any single course of treatment.

Anti-microbial Silver

1st Line Aquacel Ag + Extra 5cm x 5cm 10cm x 10cm 15cm x 15cm 4cm x 10cm 4cm x 20cm

£2,00 £4.77 £8.99 £2.91 £3.79

10 10 5 10 10

2nd Line Aquacel Ag + Ribbon 1cm x 45cm 2cm x 45cm

£3.14 £4.80

5 5

3rd Line Acticoat Flex 3 dressing 5cm x 5cm 10cm x 10cm 10cm x 20cm

£3.60 £8.80 £13.75

Acticoat FLex 3 = please make a note " effective for a minimum of 3 days

4th Line Actisorb Silver 220 6.5cm x 9.5cm 10.5cm x 10.5cm

£1.66 £2.60


Antimicrobial Other dressing

1st Line Cutimed Sorbact Swab 4cm x 6cm (11cm x 6cm unfolded) 7cm x 9cm (17cm x 20cm unfolded)

£1.68 £2.80

Do not use in combination with ointment and creamas the binding effect is impaired

Other Dressing

1st Line UrgoClean Pad 6cm x 6cm 10cm x 10cm 20cm x 15cm

£0.97 £2.16 £4.06

Desloughing dressing Note: For Non Infected Sloughy Wounds

Bandage (Undercast Padding)

1st Line Ksoft 10cm x 3.5m 0.46 12 For application under compression or support bandaging & reshaping limb. Sub compression bandage wadding. Use to shape limb and pad out bony prominences. Also aids exudate absorption.

2nd Line Flexiban 10cm x3.5m 0.47 12 Newly added. Some staff is allergic to the fluff of the Ksoft

Bandages (Non-

compression)

1st line K band 5 cm x 4 m 7cm x 4m 10cm x 4m 15cm x 4m

£0.21 £0.26 £0.29 £0.50

1 1 1 1


2nd line CliniLite Bandage 5cm x 4.5m 7.5cm x 4.5cm 10cm x 4.5cm 15cm x 4.5cm

£0.45 £0.62 £0.81 £1.18

1 1 1 1

3rd Line Klite 10cm x 4.5 1.02 3 Type 2 light support bandage, to secure K Soft and provide a base for compression layers

4th line Mollelast bandage (toe/ finger bandage)

4cm x 4m £0.31

Stockinettes

1st line Comfifast Red Line Comfifast Green Line Comfifast Blue Line Comfifast Yellow Line Comfifast Beige Line

3.5cm x 1m 5cm x 1m 5cm x 3m 5cm x 5m 7.5cm x 1m 7.5cm x 5m 10.75cm x 1m 10.75cm x 5m 17.5cm x 1m

£0.56 £0.58 £1.62 £2.81 £0.77 £3.74 £1.20 £6.04 £1.83

For use in retention of primary dressings. The stockinette range is safe to use where compression is contra-indicated. Should only be used under compression in patients who have been identified as being allergic to polyester and viscose.

2nd line Acti-Fast 2-way stretch stockinette

3.5cm 5cm 7.5cm 10.75cm 17.5cm 20cm

£0.56 £0.58/£1.62/£2.81 £0.77/£2.13/£3.74 £1.20/£3.49/£6.04 £1.83 £3.20/£16.15

1m 1m/3m/5m 1m/3m/5m 1m/3m/5m 1m 1m/5m


3rd line CliniFast 3.5cm 5cm 7.5cm 10.75cm 17.5cm

£0.57 £0.59/£1.64/£2.84 £0.78/£2.15/£3.78 £1.20/£3.49/£6.04 £1.83

1m 1m/3m/5m 1m/3m/5m 1m/3m/5m 1m

4th Line Eesiban Ribbed Stockinette 7.5cm x 0.5m (1) 10cm x 0.5m

0.95 1.05

1m

Adhesive Tape

1st line Chemifix 2.5cm x 5m 5cm × 5m 10cm × 5m 2.5cm × 10m 5cm × 10m 10cm × 10m

£0.90 £1.25 £2.10 £1.00 £1.40 £2.10

1 1 1 1 1 1

2nd line Hypafix 5cm x 5m 10cm x 5m 5cm x 10m 10cm x 10m

£1.47 £2.47 £2.73 £4.76

Barrier Products

1st Line Cutimed Protect Barrier Film Spray

28ml £5.79 1 do not use on infected skin i.e. fungal infection. The films usually last for approximately 72 hours

2nd Line Proshield Plus Skin Protectant 115gm £9.94 1

3rd Line Cavilon Durable barrier Cream 28g £3.98 1 Do not use on infected skin


4th Line Cavilon No sting Barrier Film Foam applicator

1ml 3ml

5.79 4.05

5 Do not use on infected skin

5th line Medi Derma Pro 115gm 15.99 1 for Moisture Associated Skin Damage management. Use for 1 day

Dressing Packs

1st line Polyfield Nitrile Patient Pack Small, medium, large

£0.52 10

2nd line Nurse it S, M, L 10

Emollients

1st Line Hydrous ointment 500g 4.89 1

2nd Line Cetomacrogol ointment 500g 4.89 1

Irrigation (with

antimicrobial)

1st line Octenilin Solition 350ml bottle £4.60 1

2nd Line Prontosan Solution 350mls 4.9 1

Irrigation (without antimicrobial)

1st Line Clinipods 20ml £4.80 25 /box

2nd Line Irripods 20ml £5.90 25/box

3rd Line Sal-e-pod 20mls £4.80 25/box


Surgical Tape

1st Line Scanpor 2.5cm x 5m 5cm x 5m

£0.68 £1.18

2nd Line Micropore 1.25cm x 5m 2.5cm x 5m 5cm x 5m

£0.62 £0.92 £1.63

Stockings

1st Line Activa Liner or Activa Class 1 (below knee)

Small Ankle (19.5 – 25.5cm) Calf (30.5 – 37.5cm)

£7.73 4 Activa Liner and Activa Class 1. Note: Patient prescribed up to17mmHg hosiery without full Vascular assessment should have a diagnosis, no signs of limb ischemia, good limb shape/size (WUKBPS, 2016)

Medium Ankle (21.5 – 27.5cm) Calf (33 – 40cm)

£7.73 4

Large Ankle (23.5 – 29.5cm) Calf (35.5 – 42.5cm)

£7.73 4

XLarge Ankle (22.5 – 31.5cm) Calf (38 - 45cm)

£7.73 4


Adjustable Compression Garment

1st Line Juxta cures compression wraps

Short, Standard, Long

£156.20 1 to last up to 6 months

Juxta fit compression wraps Lower Legging 28cm, S, M, L, XL, XXL Lower Legging 36cm S, M, L, XL, XXL Lower Legging Extra Wide Calf 28cm M, L, XL Lower Legging Extra Wide Calf 36cm M, L, XL S, M, L S, M, L

£136.90 £136.90 £132.66 £132.66 £38.33 £38.33

1 to last up to 12 months


Juxta lite compression wraps Available as Short and Long. Small, Medium, Large, Extra Large, Extra Extra Large Available as Short Extra Wide and Long Extra Wide. Medium, Large, Extra Large

£97.72 1 to last up to 6 months

Juxtalite also provides below the knee compression, and is suitable where there is no oedema and for the prevention of recurrence. Guaranteed for up to 6 months for leg ulcer prevention or maintenance post healing. They can be applied by the patient themselves, carers and clinicians. Better patient concordance with compression.

2nd Line Ready Wrap (Foot) (black / beige)

S, M, L, XL £36.02 4

Ready Wrap Calf Length (above the ankle – below knee): 1.) up to 30cm; 2.) up to 35cm (black /beige)

Small Ankle (18 – 23cm) Calf (28 – 38cm)

£86.39 4 Preferred against Juxta garment -easy use for patient -there was no further skin damage to the patient skin

Medium Ankle (20 – 28cm) Calf (33 – 43cm)

£86.39 4 Note: to determine the length size, measure above the ankle bone up to 2 finger below the knee

Large Ankle (25 – 33cm) Calf (38 - 48cm)

£86.39 4


XLarge Ankle (30 – 38cm) Calf (43 – 58cm)

£86.39 4

Ready Wrap Thigh (black / beige)

S, M, L, XL, XXL £96.55 4

Short stretch compression bandages

1st line Actico 8cm x 6m 10cm x 6m 12cm x 6m

£3.31 £3.43 £4.38

1 1 1

Note: Requires K-soft/ Flexiban wool Padding

2nd line Comprilan 10cm x 5m 12cm x5m

£3.44 £4.19

2 Requirs K-Soft /Flexiban wool padding. It can be wash up to 50 times (we could save good amount of money). To make a note i.e. only if there is no suspected infection MRSA, staph or the exudate is contained within the secondary dressing (to prevent cross infection).

3rd line Urgo-K-two 18-25cm (8cm) 18-25cm (10cm) 18-25cm (12cm) 25-32cm (8cm) 25-32cm (10cm) 25-32cm (12cm)

£7.77 £8.24 £10.39 £8.45 £9.00 £11.35

1 1 1 1 1 1

This is a two layer compression bandage kit


Paste Bandage

1st Line Ichthopaste 7.5cm x 6 m £3.78 6 patch test for skin sensitivity for 4 days before use -please refer to packet insert for application technique

2nd Line Viscopaste PB7 7.5cm x 6 m £3.74 6

north west london primary care wound care formulary ......formulary 2020/21 v0.8 clinical lead:...

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