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

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Presentation on theme: "Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 2002 1 Supplementary prescribing by pharmacists What it will mean in practice? Gul."— Presentation transcript:

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

2 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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

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

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

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

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

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

8 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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

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

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

11 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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

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

13 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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?

14 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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

15 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec Support for implementation Announcement and regulations Website - Roadshows - strategic/operational Guidance - early 2003

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

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

18 Gul Root, Principal Pharmaceutical Officer, Department of Health - Dec 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


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