1. Prescribing in Practice Part 1 (c)
Legal Issues (2)
The following lead lectures within this OER are referred to it this presentation and may be useful to review
Prescribing Triangle, Accountability, Concordance and Team Working

2. Categories of medicines under Medicines Act (1968)
Category
General sales list (GSL)
Paracetamol 500mg tabs (16)
Pharmacy medicines (P)
Paracetamol 500mg tabs (32)
Prescription only medicine (POM)
Paracetamol 1g qds 100 tabs
Restrictions on availability
They must be sold in original package, there may be limits on pack size and must be sold from permanent premises e.g. garage
Can only be sold from a registered pharmacy under the supervision of a pharmacist who can refuse the sale
Can only be supplied or authorised for supply by an appropriate practitioner
Three categories of medications there are also cds but we will not be covering this there are guidelines on how to prescribe these correctly in the BNF

3. Controlled Drugs
Misuse of Drugs Act 1971 aims to prevent the misuse of drugs that are ‘dangerous and harmful’
They are grouped in Schedules 1-5
1 no medicinal use ecstasy, LSD
2 around 100 substances mainly opiates
3 barbiturates, temazepam, buprenorphine
4 split into benzodiazepines and anabolic/growth hormones
5 preparations of certain CDs pholcodeine, codeine
Schedule 2 are poms
Class a b and c are based on the decreasing order of harmfulness & are used to rate penalties and conviction

4. Controlled drugs (CDs)
Nurse / midwife independent prescriber are restricted to prescribe only certain CDs solely for specific medical conditions if this falls within their scope of practice
A nurse/midwife or Allied Health Professional supplementary prescriber can prescribe any schedule 2-5 CD for any condition within their competence as part of a patient specific, written clinical management plan agreed with the Dr & the patient

5. Controlled Drugs
See Department of Health, Nurse Prescribing Frequently Asked Questions (accessed 3/8/11) Facilitator’s note: ensure up to date list of Controlled Drugs is used see or Home Office website www. homeoffice.gov.uk Controlled Drugs Legislation- Nurse prescribing and patient group directions for details

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