Shaping better health
REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Adult Joint Formulary

16. Palliative Care Chapter

First line drugs Second line drugs Specialist drugs Secondary care drugs
Recommended in both primary and secondary care Alternatives (often in specific conditions) in both primary and secondary care Where a specialist input is needed (see introduction for definition) Prescribing principally within secondary care only


  • There is information at the beginning of the BNF on prescribing in palliative care and Avon Somerset & Wiltshire Cancer Services (ASWCS) Palliative Care Network Handbook for advice on clinical management.
  • Several recommendations in this chapter involve the use of medications outside of their product license i.e. ‘off-label'. This increases the prescriber's responsibility. Please contact Pharmacy for further information.
  • Information about the availability of medications at Community Pharmacies within the BNSSG area is available here
  • Community palliative care anticipatory prescribing drug chart here