1. Electronic Repeat Dispensing (ERD)
Pre-launch information for both Emis Web and SystmOne practices
Medicines Management Team V1.0 Review October 2018
Sovereign House,
Heavens Walk,
Doncaster
DN4 5HZ
Tel: -
Acknowledgement to Raz Saleem, Prescribing Advisor, NHS Rotherham CCG 1

2. What is Electronic Repeat Dispensing (ERD) ?
ERD is the issuing of a predetermined ‘batch’ of prescriptions from a GP clinical system in one issue electronically.
The nominated community pharmacy can draw down each prescription from the system at the appropriate time ( usually every 28 days ) without ordering individually. 2

3. Considering Risks Staff training Selection of patients
Adherance to process- ensure all staff can identify patients who are on ERD
Selection of patients
Ensure all staff understand the selection criteria
Communication to patients
Ensure that patients know the process and understand how to order their ‘PRN’ medication directly from the practice when needed, 3rd party ordering should not occur for ERD patients, unless the patient is considered vulnerable by the practice.
Housekeeping
Standardise quantities to 28 days, remove any medication not currently ordered
Communication with community pharmacies
ERD can be easily tracked 3

4. Long term benefits to GP Practices
For GP’s
Decreased workload
Fewer prescriptions to sign
Electronic signature is more efficient than signing prescriptions
ERD can be set up during consultation
Simple mechanism for pulling back prescriptions from the spine
For Practice staff
Fewer requests each month for repeat medication
Less filing and ordering of prescriptions
Patients / third party will not need to order and collect prescription every month from the practice
Paperless process, no printing, filing storage 4

5. Patient Selection and obtaining consent
ERD can only be set up for patients who :-
are considered stable and have had no changes made to their medication in the last 6 months
have already nominated or wish to nominate a community pharmacy to receive electronic prescriptions
who are not prescribed schedule 2/3 controlled drugs
Verbal consent should be obtained and added to the patient’s record using READ CODE 8BM1 (Emis Web) and XaJus (SystmOne TPP)
The patient should be made aware that any ‘PRN’ medication should not be ordered by a 3rd party (e.g. community pharmacy) and they should order these items directly from the GP practice when needed.
e.g. creams, antihistamines, GTN sprays, laxatives, or any item that is not taken regularly each day. 5

6. Examples of unsuitable patients
Patients with medical conditions that are unstable with frequent admissions to hospital and frequent changes to medication
Patients prescribed only acute medication e.g. oral contraception
Patients prescribed only ‘ when required’ medication e.g. GTN spray
Patients on a 7 day NOMAD/ MDS
Patients prescribed controlled drugs ( these patients are not currently able to nominate for electronic prescribing) 6

7. Next steps
Once the practice has decided to go ahead the practice should :-
Arrange a second meeting with the Medicines Management Team to discuss the process of how to set up ERD on your clinical system
2.Invite all relevant practice staff who would be involved.
3.Community pharmacy staff can also be invited if appropriate
At the second meeting you can :-
Discuss how the practice will train staff on the launch date and afterwards
Develop a plan of action for housekeeping prior to launch date
Develop a plan of patient selection
Questions ? 7