Prescribing

Somerset LMC Weekly Update Friday 13th May 2016

All Somerset GPs and Practice Managers This and Previous updates can be found in full here Somerset GP Provider Confederation Meeting PMS Contract Specialist Prescribing letter to GMC from GPC Outlining concerns regarding specialist prescribing, such as for those with...

Responsibilities for Prescribing between Primary and Secondary/Tertiary Care

This guidance is the result of work by a representative, cross-system, stakeholder-led Task and Finish Group,which was asked to look at prescribing across the primary and secondary care interface. At every stage, the ambition behind this important work has been to support prescribers to ensure...

Advice for GPs for requests to prescribe sedative prior to dental procedures

Dentists should not direct patients to GPs requesting they prescribes sedating medications, such as diazepam. If a dentist wishes to prescribe sedating medications for anxious patients that dentist should be responsible for issuing the prescription. The dental practitioner's formulary, which is...

AntimMicrobial Resistance - e-learning package

As part of the 5 year antimicrobial resistance strategy, Health Education England has produced an e-learning package to help healthcare staff understand the threats posed by antimicrobial resistance. http://www.e-lfh.org.uk/programmes/antimicrobial-resistance/ (select the open access...

Clinical Pharmacists in General Practice

You will be aware of the new £15m three year pilot to fund, recruit and employ clinical pharmacists in GP practices. The announcement is part of the GP workforce 10 point plan, Building the Workforce – the New Deal for General Practice. Further information about the pilot, including the...

Clinical Pharmacy Scheme

Details of phase 2 – contains guidance for applicants and black application form PCPA guidance to help practices wanting to employ a pharmacist Guide for GPs considering employing a Pharmacist Guardian article Any queries can be sent to england.clinicalpharmacistenquiries@nhs.net NHS England...

Depo Provera PGD

Depo Provera Patient Group Direction (PGD) Somerset ICB has produced a new PGD for Depo Provera which is now available on the Somerset ICB Medicines Management Web Page under the heading 'Shared Care & PGD' . If you wish to use this PGD in your practice, please visit the PGD Web Page to...

Duration of Prescriptions and 7 Day Prescribing

This is a recurrent issue and something that we are contacted about at the LMC on a regular basis with GPs and practices asking whether or not there is any obligation to provide prescriptions for seven days of medication. The answer is no - but never say never. There will be times when a seven...

Duty of care regarding communication of investigation results

The GPC are aware that in some areas, some hospital doctors have been instructing GPs to find out the test results which the hospital had ordered. Both the General Practitioner Committee and the Consultants Committee of the BMA agree this practice is potentially unsafe, and that the ultimate...

Electronic Prescribing

hscic are driving Electronic Prescribing and this page is the GP page on their website Electronic Precribing Release 2 is currently being deployed throughout the nation. EPS Release 2 allows prescribers working in primary care settings to generate and transmit electronic prescriptions using...

Generic prescribing of Pregabalin-GPC Guidance

A generic version of pregabalin (Lyrica) is shortly to become available, but it only has a license for use in epilepsy and general anxiety disorder with the manufactures patent on use for pain control continuing. The manufacturers have indicated their intention to enforce their patent through...

Issue 195

Issue 195 20th February 2015 They havent got a clue - 20th February 2015 PTSD- 20th February 2015 Group A Streptoccocal infections-20th February 2015-Prescibing for patients in Nursing Homes-20th February 2015 New risk of medication diversion and abuse-20th February 2015 Dr Whimsy

Issue 32 of NHS Prescription Services Hints & Tips for Dispensing Contractors

Issue 32 of NHS Prescription Services 'Hints & Tips' for dispensing contractors is now available to read at Issue 32 .

Men B Vaccination in Non Eligible toddlers

the GMS contract is designed in such as a way as to specify what you can charge registered patients for, rather than saying that you may charge for everything that is not in the contract. Clause 19.1.1 says you may not charge “for any prescription… except in the circumstances set out in clause...

Patient Specific Directions (PSDs) and Patient Group Directions (PGDs)

The advice on the use of Patient Group Directions (PGDs) and Patient Specific Directions (PSDs) in general practice has been updated, January 2016. This guidance is for England only. Download the full guidance here Overview The Human Medicines Regulations 2012 do not permit non-qualified...

Prescribing - Nurseries, schools and OTC Medications

Nurseries and schools should not be asking parents/carers to obtain prescriptions for OTC/P medicines they can purchase for administration to children in nursery/school time. This has been clarified again by BMA and The Department of Education as below. Prescribing over-the-counter medicines...

Prescribing - Unlicensed Medicines

In theory, GPs should nearly always prescribe medication for an indication that is named within the product licence of the specific medicine in question. Product licences, or marketing authorisations, are granted by the MHRA (or at the time of writing in October 2016, by the EMA.) The...

Prescribing for Temporary Residents

A person visiting your practice area is entitled to be registered as a temporary patient. They may not be aware that they can usually order their repeat prescription from their 'home' surgery enclosing a stamped addressed envelope (SAE) and an explanation that they are temporarilly away on...

Prescribing in General Practice

This guidance was put together by the Clinical and Prescribing subcommittee to meet the increasing demand from individuals and organisafor information relating to prescribing in general practice. Doctors have specific clinical rights and responsibilities in relation to prescribing, and as most...

Prescriptions-for Patients travelling abroad

By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK. People travelling within Europe are advised to carry an authorised European Health Insurance Card (EHIC) at all times and this gives entitlement to reduced cost (and sometimes free) medical...

Private prescribing of Sildenafil

Changes to NHS Availability of Erectile Dysfunction Treatments - Changing Prescribing Restrictions for Sildenafil As of 1 August 2014, the amended regulations Erectile Dysfunction Treatments have come in to force. This means that sildenafil, apomorphine hydrochloride, moxisylyte hydrochloride...

Requests to convert private prescriptions to NHS FP10

Self Prescribing and Family Members

Over the last year LMC has been made aware of a number of GPs who have been reported to the GMC for self-prescribing. The LMC would strongly advise GPs not to prescribe for themselves or their family, except in exceptional circumstance. The areas of high risk are controlled drugs, psychiatric...

Shingles Vaccine Guidance

Public Health England (PHE) has announced the groups eligible to receive the shingles vaccine from the start of September for the 2015 to 2016 vaccination programme. From 1 September 2015, the shingles vaccine will be offered routinely to people aged 70 years, and the catch up will extend to...

Somerset Formulary

Somerset Prescribing Formulary is a living document. It is continuously updated as prescribing decisions are made locally or as new national guidance is considered by the Somerset Prescribing Forum or local Drug & Therapeutics Committees. Full Formarly on CCG Intranet Page (somerset practices...

Somerset Partnership Palliative Care Draft Prescribing Guidance

Draft Somerset Partnership Palliative Care Prescribing Guidance Documents Anticipatory Prescribing Form V8 10.8.17 Draft Infusion Chart Draft 20.07.17 PRN Chart Draft 20.07.17

The Green Book

The Green Book contains the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the UK find it online here

Vaccinations and Immunisations services standards and core contractual requirements Guidance

General Practice Vaccinations & Immunisation - Standard and cor contractual requirements NHS England has published general practice vaccination and immunisation services: standards and core contractual requirements . This document outlines the vaccination and immunisation standards and core...