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Supplementary prescribing by pharmacists

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Presentation on theme: "Supplementary prescribing by pharmacists"— Presentation transcript:

1 Supplementary prescribing by pharmacists
What it will mean in practice? Gul Root Principal Pharmaceutical Officer Public Health and Community Services Department of Health Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

2 Supplementary prescribing
Improve patient experience - better access to care - better quality of care - improved patient safety Patient safety is paramount Increased and flexible use of professional skills Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

3 Background Crown Report: recommended extension of prescribing
2 categories of prescriber: Independent and Dependent ( supplementary) Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

4 Definitions Independent Prescriber
responsible for the initial clinical assessment and preparation of a plan for the clinical management of an individual patient Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

5 Definitions Supplementary Prescriber can take responsibility for the
management of a patient who has been assessed by the IP Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

6 Supplementary prescribing
Issues: Voluntary partnership Doctor/pharmacist/patient Level of delegation will depend on: professional relationship skills/expertise of pharmacists Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

7 Clinical management plan
Format Templates Joint plan Annual review - at least Involvement of the patient Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

8 Issues access to patient’s records
separation of prescribing/dispensing recording contemporaneously being aware of one’s own limitations when to refer back to IP professional accountability/clinical responsibility Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

9 Issues Black  “Less suitable for prescribing”
“Off-label” medicines - proposed unlicensed medicines- excluded except as part of clinical trials Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

10 Competence Framework Behavioural framework
Process used for developing framework Tool for CPD & learning needs Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

11 Training Length Nurses - at least 26 days + 12 days supervised practice Pharmacists - open learning Commission 4 CPPEs and NPC Liaison between HEIs and CPPEs + NPC essential Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

12 How will it work in practice
Primary care Who: Primary care pharmacists/sessional CPs Where: GP practice Primary Care Centre Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

13 How will it work in practice
Hospitals: individual CM plans teams of doctors/pharmacists who will write CM plans in reality? How will SP work for discharge prescribing? Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

14 Supplementary prescribing by pharmacists
Appropriate nominations early on: Benefit to patients - faster access medicines Benefit to local NHS services Willing and able to undertake training Best value from training resources Opportunity to prescribe Employer agreement Patient safety paramount Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

15 Support for implementation
Announcement and regulations Website -www.doh.gov.uk/supplementaryprescribing Roadshows - strategic/operational Guidance - early 2003 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

16 Opportunity  Demarcation of Better patient care
Increase job satisfaction New ways of working Improved relationships with other HCPs  Demarcation of traditional professional boundaries Innovation is rewarded Better patient care Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

17 Threat Nothing new so why bother? Will the changes bring
about better patient care? Increased workload Dissolution of the traditional roles Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002

18 Supplementary prescribing
Improve patient experience - better access to care - better quality of care - improved patient safety Patient safety is paramount Increased and flexible use of professional skills Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002


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