Following reports of diamorphine supply problems last month, the Department of Health and Social Care (DHSC) and NHS England (NHSE) have announced that supplies of diamorphine 5mg and 10mg should begin to return to normal from the beginning of September 2018.
To support the market in July and August, a management plan has been put in place: From Sunday 1 July 2018 primary care and drug misuse centres can continue to order diamorphine in line with historical demand. Until September prescribers are asked to reduce prescribing where possible, and to order responsibly during this time.
The following distribution arrangements are in place:
- Alliance Healthcare (only): Diamorphine 5mg and 10mg. No minimum surcharges will be levied
- AAH (only): Morphine 10mg injection (Martindale)
- Usual wholesalers: Diamorphine 30mg injection (Wockhardt), diamorphine 100mg (Accord) and diamorphine 500mg (Accord and Wockhardt).
If diamorphine cannot be accessed, please refer to UKMi clinical guidance on alternative prescribing (ie, morphine).
NHS England: patient information letter
NHS Improvement: Patient safety alert
Alliance Healthcare: 0330 1000 448; e: firstname.lastname@example.org
AAH: 0344 561 8899.