1. Nurse Prescribing in practice Jenny Aston PGDip BSc DipAsthma RCNT RGN

2. Grove Surgery - Thetford 6 GPs 16 support staff 1 nurse practitioner/ prescriber 6 nurses

3. History of Nurse Prescribing in the UK 1986 – Department of Health 1986 – Department of Health 1992 – Medicines Act 1992 – Medicines Act 1994 Amendment + Nurse Prescribers Formulary 1994 Amendment + Nurse Prescribers Formulary 2001 – Other health professionals included 2001 – Other health professionals included 2003 – Supplementary prescribing 2003 – Supplementary prescribing 2006 – Full formulary Nurse Independent Prescriber 2006 – Full formulary Nurse Independent Prescriber

4. Why did it come about? Nurses more involved in chronic disease management Nurses more involved in chronic disease management Doctors having to shed responsibilities Doctors having to shed responsibilities Many more highly skilled nurses Many more highly skilled nurses Nurses have been doing it anyway Nurses have been doing it anyway More team approach to patient care More team approach to patient care

5. Types of Prescriber Nurse Prescribers Nurse Prescribers Trained as part of Community Degree for District Nurses/Public Health Nurses Trained as part of Community Degree for District Nurses/Public Health Nurses Nurse Independent Prescribers Nurse Independent Prescribers Formerly Extended Nurse Prescribers Formerly Extended Nurse Prescribers Stand alone degree level training 26 days Stand alone degree level training 26 days

6. Becoming a nurse prescriber JENNY ASTON ABC123456 A999999 GROVE SURGERY THETFORD

7. Training Entry requirements Entry requirements Able to study at degree level Able to study at degree level 3 years post registration 3 years post registration Employer willing to support in training, funding and prescribing Employer willing to support in training, funding and prescribing 25 classroom days 25 classroom days Consultation, Ethical & Legal, Pharmacology, Accountability Consultation, Ethical & Legal, Pharmacology, Accountability Teamwork, Psychology, Public Health Teamwork, Psychology, Public Health 12 days learning in practice 12 days learning in practice Exam Exam OSCE OSCE Portfolio Portfolio

8. Nurse and Pharmacist independent prescribing is a major advance in improving accessibility of medicines to patients. Nurse and Pharmacist independent prescribing is a major advance in improving accessibility of medicines to patients. It will be delivered by highly skilled and well trained staff. It will be delivered by highly skilled and well trained staff. This is good news for patients ands good news for healthcare professionals. This is good news for patients ands good news for healthcare professionals. Patricia Hewitt Patricia Hewitt Health Secretary Health Secretary May 2006 May 2006

9. Opening up the formulary

10. The future NMC (Nursing & Midwifery Council) – Prescribing Standards NMC (Nursing & Midwifery Council) – Prescribing Standards Mandatory CPD Mandatory CPD PGD (Patient Group Direction) training for pre-registration PGD (Patient Group Direction) training for pre-registration Legal cases Legal cases