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Spotlight, October 2026

Published
Topics: Monthly digest

A digest of NHS Specialist Pharmacy Service support for professionals working in all areas of the healthcare system for October 2026.

Events

SPS is going to the Quality Assurance and Technical Services Symposium

Bringing together NHS experts and regulators covering topics of quality assurance, quality control, good manufacturing practice and regulatory expectations.

Creating a neighbourhood warfarin clinic in community pharmacy

Commissioning, implementation and impact of a neighbourhood warfarin clinic developed via the Community Pharmacy Independent Prescribing Pathfinder Programme

Capacity planning in pharmacy aseptic services

An SPS Quality Assurance (QA) bite size learning event on capacity management in pharmacy aseptic services.

Safe use of medicines in mental health: a whole-system approach

Exploring medication safety challenges for people with mental health conditions and how partnership working can improve safety across the system.

Guidance

New and updated articles published during October 2026

Horizon Scanning

Restricted to NHS: Annual medicines planning publication, Prescribing Outlook

Our annual output ‘PO’ supports managed entry and budget planning for new medicines, new indications and medicines with loss of exclusivity in the NHS.

Medicines Procurement

Preparing to use denosumab 60mg biosimilar

Biosimilars of denosumab 60mg (Prolia) are available. We offer general information and implementation advice.

Preparing to use denosumab 120mg biosimilar

Biosimilars of denosumab 120mg (Xgeva) are available. We offer general information and implementation advice.

Preparing to use omalizumab biosimilar

Find information to support planning, implementation and use of omalizumab biosimilars in NHS services.

The licence and supporting evidence for omalizumab biosimilar

Find information on Adcomfo and Omlyclo biosimilars, including indications, formulations, supporting evidence and differences.

Aseptic Services

Understanding acute CAR-T cell therapy toxicities in adults

Guidance on the management of acute side effects in adults receiving licensed CAR-T cell therapy products.

Diagnosis and management of cytokine release syndrome (CRS)

Guidance on the management of CRS in adult patients receiving licensed CAR-T cell products.

Diagnosis and management of ICANS

Guidance on the management of immune effector cell-associated neurotoxicity syndrome (ICANS) in adults receiving licensed CAR-T cell products.

Medications for treating CRS and ICANS

Guidance on which medications to use when treating CRS and ICANS.

Medication Safety

Medication Safety Across The System (MSATS)

Medication Safety Across The System (MSATS) is an approach to supporting the safe use of medicines through inspiring, sharing and promoting good practice.

Managing the risks of using liquid oral phenobarbital

Reduce harm by minimising confusion between phenobarbital oral liquid formulations and raising awareness of ethanol content, especially in neonates and children

Medication Safety Update

A resource collating the latest medication safety communications and publications to inform, support and inspire medication safety improvements.

Medicines Governance

Managing Controlled Drugs (CD) waste

Legislation and regulation governing the waste management of controlled drugs (CDs).

Managing sharps contaminated with pharmaceutical waste

Classification of sharps contaminated with pharmaceutical waste and guidance on the appropriate disposal containers to use.

Patient Group Directions

New and updated versions of national PGD templates published during October 2026.

Aciclovir for shingles

SPS PGD template for supply of aciclovir for shingles in specified patient groups.

Amoxicillin for otitis media

SPS PGD template for the supply of amoxicillin for otitis media.

Clarithromycin for impetigo

SPS PGD template for the supply of clarithromycin for widespread impetigo in penicillin allergy.

Clarithromycin for infected insect bites or stings

SPS PGD template for supply of clarithromycin for infected insect bites or stings in penicillin allergy.

Clarithromycin for otitis media

SPS PGD template for the supply of clarithromycin for otitis media in those with a penicillin allergy.

Clarithromycin for sinusitis

SPS PGD template for the supply of clarithromycin for sinusitis in penicillin allergy and where an intranasal steroid is unsuitable or ineffective.

Clarithromycin for sore throat

SPS PGD template for the supply of clarithromycin for sore throat in those with a penicillin allergy.

Doxycycline for sinusitis

SPS PGD template for the supply of doxycycline for sinusitis in penicillin allergy and where an intranasal steroid is unsuitable or ineffective.

Erythromycin for impetigo

SPS PGD template for the supply of erythromycin for widespread impetigo in both penicillin allergy and pregnancy.

Erythromycin for infected insect bites or stings

SPS PGD template for supply of erythromycin for infected insect bites or stings in both penicillin allergy and pregnancy.

Erythromycin for otitis media

SPS PGD template for the supply of erythromycin for otitis media in both penicillin allergy and pregnancy.

Erythromycin for sinusitis

SPS PGD template for the supply of erythromycin for sinusitis in both penicillin allergy and pregnancy, where an intranasal steroid is unsuitable or ineffective

Erythromycin for sore throat

SPS PGD template for the supply of erythromycin for sore throat in both penicillin allergy and pregnancy.

Flucloxacillin for impetigo

SPS PGD template for the supply of flucloxacillin for widespread impetigo.

Flucloxacillin for infected insect bites or stings

SPS PGD template for supply of flucloxacillin for infected insect bites or stings.

Fluticasone furoate nasal spray for sinusitis

SPS PGD template for the supply of fluticasone furoate nasal spray for sinusitis.

Fusidic acid 2% cream for impetigo

SPS PGD template for the supply of fusidic acid 2% cream for localised impetigo.

Hydrogen peroxide 1% cream for impetigo

SPS protocol template (registered pharmacists and in a registered pharmacy) and PGD template for the supply of hydrogen peroxide 1% cream for localised impetigo

Mometasone furoate monohydrate nasal spray for sinusitis

SPS PGD template for the supply of mometasone furorate monohydrate nasal spray for sinusitis.

Otigo (phenazone with lidocaine) ear drops for otitis media

SPS PGD template for the supply of Otigo (phenazone with lidocaine) ear drops for symptomatic relief of pain due to otitis media.

Penicillin V (phenoxymethylpenicillin) for sinusitis

SPS PGD template for the supply of penicillin V (phenoxymethylpenicillin) where an intranasal steroid is unsuitable or ineffective.

Penicillin V (phenoxymethylpenicillin) for sore throat

SPS PGD template for the supply of penicillin V (phenoxymethylpenicillin) for sore throat.

Valaciclovir for shingles

SPS PGD template for supply of valaciclovir for shingles in specified patient groups.

Shortages

Medicines Supply Tool

Latest information on supply issues, actions to take, alternatives to use, and expected resolution dates. Content provided by DHSC and MVA team, NHS England.