Trust guidance – 2026 (July) – Parkinsons Disease Guideline (COMBINED) (Review July 2029).pdf
For those admitted with known Parkinson’s disease:
1. Ensure to prescribe their regular PD medications, ensuring CORRECT:
-
- Drug
- Dose
- Timings
- Formulation (standard VS modified release)
(review patient medications, GP record or last clinic letter for up to date list of medications)
What do you do if the patient can’t swallow?
We will need to work out what alternative routes we could use, for example dispensable via NG or patches, and what dose. For an ED clinical it is most likely beyond us and we may need help! Speak to pharmacy if support required.
CHFT Guideline
Calculate patch dose using trust guideline (hyperlinked above). Combine doses for patient on frequency not available. For example on five times day dosing combine BD an TDS dosing. If you need any assistance calculating the dose, please speak to pharmacy for advice.
NOTE: Most Parkinson’s medications now stocked in ED – Emergency PD medications also available on ward 5 if struggling for supply out of hours.
2. Do not routinely refer for admissions unrelated to their PD
For those with undiagnosed but suspected Parkinsonism:
- Review any medication causes and stop/wean if clinically able
- Refer for outpatient clinic
Inpatient referrals: – – – – – –
May be necessary if admitted due to a complication directly related to their PD
May be necessary if due to side effects of PD medications
May be necessary if their PD/mobility is limiting discharge
May be necessary due to complex issues relating to their PD
If < 70, refer to neurology via MS teams (consultant-to-consultant)
If > 70, refer to a geriatrician (Dr F Bell at Huddersfield, Dr Z Beckett at Calderdale – via communicate ‘referral elderly medicine pool OR EPR request ‘referral to elderly medicine’ )
Outpatient referrals: – – – –
May be necessary if suspecting PD with no formal diagnosis
May be necessary if known PD requiring follow-up or outpatient review
If under neurology, via MS teams
If under geriatrics, EPR referral (Parkinson’s post wd dis)
