The Surrey Heartlands Integrated Care System Area Prescribing Committee agreed the reviewed and updated Psoriatic Arthritis pathway.

The Surrey Heartlands integrated care system Area Prescribing Committee (APC) approve guselkumab as an option for treating active psoriatic arthritis in adults whose disease has not responded well enough to disease-modifying antirheumatic drugs (DMARDs) or who cannot tolerate them, in line with NICE TA815.  Please see the current treatment pathway below.

Guselkumab for this indication will be considered as RED on the traffic light status (treatment should be initiated and continued by specialist clinicians).

Primary care prescribers should be aware that their patient is receiving this medicine and ensure that this is recorded on the patient’s medication screen as a hospital-only drug in line with guidance on the PAD. This will also alert the prescriber to potential side effects and interactions with other medicines prescribed in primary care. It will also ensure that GP records, which are accessed by other healthcare providers, are a true and accurate reflection of the patient’s medication.