Lipids Protocols

The following protocols can help with improving management of lipid modification:

Protocol Name	Trigger	Action	Automatic Trigger Limited To
Lipid Lowering Safety Check	Manual trigger from lipid templates	Checks indication, dosage, interactions, contraindications, lipid targets, baseline tests have been performed, prompts user to complete the Lipid Lowering Checklist	N/A
Individual Statin Initiation e.g. Lipid Lowering – Atorvastatin Initiation	Triggers with new prescription of a particular statin	Runs the Lipid Lowering Safety Check Above	GP Units Practices who have requested to use lipid system
Lipid Lowering – Statin Safety – Clarithro/erythro	Triggers if erythromycin or clarithromycin prescribed in patients taking atorvastatin or simvastatin	Displays warning	Practices who have requested to use lipid system
Lipid Lowering – Cholesterol Target	Manual trigger from Lipid Lowering template Runs as part of the Lipid Lowering Safety Check if no lipid target recorded	Will calculate a non-HDL cholesterol target based on 60% of the most recent non-HDL cholesterol result (50% of latest LDL-C for patients with FH)	Practices who have requested to use lipid system
Statin ADR Coding Prompt	Triggers if an S1 adverse reaction is recorded in a patient who does not have a Snomed code for a statin ADR	Prompts the user to record Snomed code – this ensures that such patients are accurately exception reported for some QoF indicators	Practices who have requested to use lipid system
Statin Cessation Coding Prompt	Triggers if a statin is removed from repeat prescription where there is no clear record of an exception code such as adverse reaction or statin declined	Prompts the user to record a reason for statin cessation. The prompt will not trigger if an alternative statin is added to the repeat list before the first one is removed e.g. when increasing the dose.	Practices who have requested to use lipid system

To request activation of the lipid system at your unit email NECSU.CDRC@nhs.net Once activated, any components can be deactivated locally if no longer required.