Working Together in Primary Care


The Terms of Reference for the Island Medicines Optimisation Committee


The Primary Care Prescribing Committee (PCPC) meets on the third Tuesday of every month. The Clinical Executive has given PCPC decision making authority. Membership includes representatives from primary care and the CCG, it reports to the Clinical Executive and the Primary Care Committee.


The Quality Prescribing Safety Scheme (QPSS) is a quality-based scheme for general practice. The focus is on education, peer review, practice specific action plans and polypharmacy reviews. It is offered to all Isle of Wight GP practices in order to further improve the quality, safety and cost-effectiveness of prescribing in primary care beyond essential services.


The second part of the QPSS is the Quality Innovation Productivity and Prevention (QIPP). The QIPP is composed of two elements:

  • Polypharmacy - Supporting practices to undertake polypharmacy reviews for cohorts of patients stratified as being at most risk of adverse events due to their prescribing regime.
  • Prescribing Action Plans - Individualised prescribing action plans for each practice.
High Cost Drugs

Occasionally there are incidents where a patient requires a drug that is particularly expensive. The IoW CCG has agreed to create a High Cost Drugs Fund, applied to a pre-approved list of items and subject to regular review.

Ltd Clinical Value

The policy supports the decision making process associated with the allocation of resources for prescribing, establishing a framework within the CCG that demonstrates that decision making processes are fair, equitable and legally sound.


Information and resources to help clinicians manage opioids more safely.

shared care button

Links to current Shared Care Agreements


Access Patient Group Directions (PGDs) and Service Specifications

Related pages