Update - Clinical commissioning policies

NHS Central East Integrated Care Board (ICB) was formed on 1 April 2026 and is the successor ICB to NHS Bedfordshire, Luton and Milton Keynes ICB, NHS Cambridgeshire & Peterborough ICB and the Hertfordshire part of NHS Hertfordshire and West Essex ICB. NHS Central East ICB had transferred to it the property, rights and liabilities of the predecessor organisations. The actions and decisions of the predecessor organisation, including relevant clinical commissioning policies, relevant prescribing decisions and recommendations and relevant clinical pathways continue in effect. There are differences in places between some clinical commissioning policies, prescribing recommendations and pathways, from the predecessor ICBs. 

Clinical policies transferred to NHS Central East ICB from each of the relevant predecessor ICBs remain applicable to each part of the population for who they were originally created. These different policies will continue to apply to the relevant populations unless or until any new policy is adopted by the NHS Central East ICB (after public involvement if required). 

We are in the process of developing a new NHS Central East ICB website for clinical commissioning policies, pathways and prescribing information. During this transition period, clinicians, providers, patients and the public can continue to access all legacy policies, prescribing recommendations, and pathways via the legacy ICB websites. Where legacy policies, are superseded by new NHS Central East ICB policies, this will be clearly indicated on the relevant legacy policy and published on the new Central East website in advance of implementation.   

If you have any questions or concerns do continue to contact your local teams at the following legacy ICBs:

NHS Hertfordshire and West Essex ICB                           

NHS Bedfordshire, Luton and Milton Keynes ICB       

NHS Cambridgeshire & Peterborough ICB                            

Information for Patients

Sometimes shortages of medicines can happen. There are many reasons why pharmacies and dispensing doctor practices are not always able to get certain medicines. This may include when manufacturers of medicines can have problems with making the medicine, transporting the medicines or there are problems with sourcing the ingredients needed to make the medicines. Sometimes when lots of people are suddenly prescribed a medicine this can use up all the supply. There are a few things you can do to help:

  • Order any medicines you need from your GP practice in good time (but no more than seven days before it is due).
  • Only order medicines that you need. If you have unused medicines in your cupboard, please use these first (remember to check the expiry date) and please do not order extra medicines.
  • If there is a medication shortage with your nominated pharmacy, please ensure you try other pharmacies to fulfil your prescription before asking your GP for an alternative. This is because different pharmacies use a range of wholesalers and distributors.

Current Medication Shortages (information for Health Care Professionals)

Here you'll find the latest information on manufacturing problems impacting the supply of products to community pharmacy and also for links to useful medicine stock information pages.

Localised medication shortage information: 

If the medication you are looking for is not listed above, National Medication Shortages Information is available on SPS website (SPS - Specialist Pharmacy Service – The first stop for professional medicines advice). Healthcare Professional registration and log in is required to view.

Serious Shortage Protocols (SSPs)

SSPs enable community pharmacists to supply certain medicines in accordance with a protocol against a prescription, without needing to return the original prescription to the prescriber to get the prescription changed or amended. Please see here for all current authorised SSPs. 

MIMS on-line drug shortages tracker

MIMS recently launched an on-line drug shortages tracker, which clinicians can access to find out information on current shortages and recently resolved issues. The tracker also suggests possible alternatives where appropriate. Users will need to register and log in to view, registration is free for GPs and nurses.

Price concessions

The list of the latest price concessions granted by the Department of Health and Social Care (DHSC) can be found on the Pharmaceutical Services Negotiating Committee (PSNC) website.

Medicine Recalls

The Medicines and Healthcare products Regulatory Agency have a list of alerts, recalls and safety information about medicines and medical devices on their website.