1. the Good, the bad and the Ugly In-patient prescribing in Diabetes – a non medical perspective. Angela Murphy Diabetes Renal CNS
Tuesday 4th October

2. Non-Medical Prescribing an overview
Increasing nurse and allied health professionals prescribing.
Different needs / perspectives of NMP based on experience and discipline
Changes in co-working
Improvements in prescribing resources
What does the evidence say?

3. Local Diabetes Service Delivery
In-patient diabetes care provision, development
Local impact of NMP
Complexity of treatments and patients
Education and support

4. Prescribing Competency Framework

5. The Good, The Bad …… and the Ugly
THE CONSULTATION
PRESCRIBING GOVERNANCE
Assess the patient
Consider the options
Reach a shared decision
Prescribe
Provide Information
Monitor and review
Prescribe safely
Prescribe professionally
Improve prescribing practice
Prescribe as part of a team.

6. Prescribing Encounters
Challenging cases
Complex prescribing
New medicines
Intravenous to subcutaneous insulin conversions
Inappropriate polypharmacy
Repeated hypoglycaemia

7. In conclusion:-
From the different ways in which we recommend and prescribe diabetes treatments
Can we learn from each other to improve the way we practice for the benefit of patients?
Can we avoid common pitfalls / problems ?