Menu Home Search

Responsibilities for Prescribing between Primary and Secondary/Tertiary Care

Updated on Friday, 16 March 2018, 789 views

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 that high quality patient care is delivered, underpinned by patient-centred professionalism.
The impetus for the work came from a national stakeholder group, the ‘ Primaryand Secondary Care Interface Working Group’, which is working to driveforward actions intended to improve processes and collaboration across the primary and secondary care interface, and is in response to a commitment made in the General Practice Forward View.

Previous guidance had dated back to 1991 (ELV (91) 127 “Prescribing responsibilities between hospitals and GPs”), and whilst much of the original guidance is still relevant, it did not adequately reflect the current healthcare landscape, as well as the numerous changes that have taken place in the years since.
This guidance does not introduce any new requirements or ‘burdens’ for professionals, but is instead intended to provide clarity and direction for all professionals responsible for prescribing across primary and secondary/tertiary care in making decisions which are in the best interests of patients’ safety and wellbeing.

It also recognises the role of non-medical prescribing, the principles of medicines optimisation and the potential of Regional Medicines Optimisation Committees to support local decisions on prescribing. It is also supported by some guiding principles on shared care agreements; intended to improve clarity and consistency around their use, and to provide all parties with greater confidence to enter into them if it is in the best interest of the patient.

Related guidance...

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,...

LMC Postion paper on Collaborative Working

Introduction With the passage of the Health Bill, the development of CCGs with their obligation to deliver the QIPP programme, and the...

Patient Online services in Primary Care

The Patient Online programme has released two oolkits to support GP practices, CCGs, CSUs and other NHS organisations with the...

NHS England South - PGD Page

Patient Group Directions (PGDs) are written instructions for the supply or administration of medicines to groups of patients who may not...

Somerset LMC Weekly Update Friday 11 May 2018

All Somerset GPs and Practice Managers This and previous updates can be found here The Cotton Buds of May - The latest blog from...

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...

Primary Secondary Care Interface Guidance

We know, general practice is facing unprecedented and mounting pressure from rising patient demand and widespread staff shortages. A...

Somerset LMC Weekly Update Friday 14th June 2019

Sent to all Somerset GPs and Practice Managers This and previous updates are available here New Sexual Violence Therapies...

Somerset LMC Weekly Update Friday 4th September 2020

Sent to all Somerset GPs and Practice Managers This and previous updates are available here SGPET weekly update with all...

Somerset LMC Weekly Update Friday 30th November 2018

Sent to all Somerset GPs and Practice Managers This and previous updates are available here Bricanyl Turbohalers GPC News 4 –...