Electronic Repeat Dispensing (ERD) Set Up information for SystmOne (TPP) practices Medicines Management Team V1.0 Review October 2018 Sovereign House, Heavens Walk, Doncaster DN4 5HZ Tel: 01302 566229 Email:- medicinesmanagement@doncasterccg.nhs.uk Acknowledgement to Raz Saleem, Prescribing Advisor, NHS Rotherham CCG 1 Acknowledgement to Raz Saleem, Prescribing Advisor, NHS Rotherham CCG

Purpose of this meeting To go through the details of how to set up ERD on your clinical system To share information with all practice and community pharmacy staff who will be involved To discuss how the practice will train staff on the launch date and afterwards To help the practice develop a plan of action for housekeeping prior to launch date To help the practice to develop a plan of patient selection 2

Preparation before launch day Patients who are eligible for ERD will need a medication review before starting to ensure all blood results have been considered During this review :- Remove any items no longer required from repeat Standardise quantities to 28 days Check that the patient knows their nominated community pharmacy Check that the patient has given verbal consent and that this has been recorded in the patients consultation record using read code XaJus (SystmOne) 3

Good Communication is the Key to Success Key to success for ERD Start small with a few patients and work up gradually Agree on the number of issues, for example 6 or 12 Ensure good communication between practice staff and community pharmacy so that patients do not get confused Good Communication is the Key to Success 4

Setting up Electronic Repeat dispensing on SystmOne Retrieve the patient’s record in the usual way Select the ‘Repeat Templates’ node from the clinical tree Select the template(s) you wish to include in the prescription. To select more than one from the repeat templates view, hold down the Ctrl and click each template.       5

Click RD under the ‘repeat templates’ heading and click OK to acknowledge the message displayed.           The issue date for the repeat templates will start on today’s date for each repeat 6

If a number of issues has not been specified a prompt will appear to enter the number of issues required           7

Put in number of issues required, for example 6 or 12           8

The screen will tell you that you have issued an item by ERD Click ‘OK’ The ‘RD’ icon will appear to highlight the item is an ERD item         9

To check if the prescription is in the queue for authorisation click on the patient’s ‘ Prescription History’ This gives a list of all prescriptions issued for this patient and what format has been issued i.e. FP10 or electronic       10

Issuing the Prescription The GP checks the medication and before signing Items for ERD will have ‘RD’ in this area here         11

GP electronic signature is their pin number       12

What will community pharmacy be doing? The pharmacist will ask a few questions every time the patient picks up their repeat to ensure nothing has changed. This includes checking the patient is not taking any OTC or herbal medication that may interact with their regular medication. If the Pharmacist has any concerns they will be communicated back to the GP practice and if necessary any future issues can be stopped. On the next-to-last issue, e.g. 5th or 11th depending on total issues the pharmacist should tell the patient they only have one left and to make an appointment for a medication review/ blood tests / reauthorisation 13

Lets set a date ! The Medicines Management team will support you as follows:- Before launch date :- highlight housekeeping work that can be done by admin staff before launch On launch date :- Be available in practice to support staff with setting up new patients on ERD and assisting with training process After Launch date :- A period of upto1-2 weeks of support, in practice and remotely when needed Both Pharmacists and Technicians will be available to assist in this project and can be contacted via Email on regular working days , if not in attendance at practice. 14