1. Prescribing in Practice Part 1 (d) Regulations and Practitioners

2. Appropriate Practitioners Originally there were only three A doctor A dentist A vet Since non medical prescribing more have been added A community nurse practitioner A nurse independent practitioner A pharmacist & optometrist independent practitioner A supplementary prescriber (nurses, physiotherapists, podiatrists, radiographers)

3. NHS Regulations (see MHRA) Blacklist-a list of substances that are not to be prescribed under NHS pharmaceutical services. If one is prescribed and the pharmacist dispenses it he will not be reimbursed e.g. Otrivine nasal spray Borderline substances-substances that the NHS consider to be less suitable for prescribing and will only pay for if the Advisory Committee on borderline substances approves that they are regarded as drugs e.g. specialised enteral feeds or supplements Black triangle-a newly licensed drug that is being intensively monitored ADR reporting important e.g. fluticasone furoate nasal spray

4. Who can prescribe what? ‘Independent prescribing is prescribing by a practitioner responsible and accountable for the assessment of patients with diagnosed or undiagnosed conditions and for decisions about the clinical management required, including prescribing’ (DH 2006) Limitations May not prescribe blacklisted drugs May only prescribe CDs in certain circumstances

5. Legislation on prescriptions To be legally valid, prescriptions must comply with regulations made under the Medicines Act. If an invalid prescription is filed the pharmacist has committed a criminal offence

6. Prescription Writing Legal Requirements Good Practice Your professional body standards on prescribing/codes of conduct Local guidelines BNF guidelines DH guidelines

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