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The Pharmaceutical Journal Vol 267 No 7169 p495-500
13 October 2001

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Repeat dispensing is key to pharmacy care

Repeat dispensing is the key to providing pharmaceutical care, according to Alison Strath, chairman of the Royal Pharmaceutical Society’s Scottish Executive. It provides a platform on which to build quality.

Miss Strath was speaking at a Young Pharmacists Group session on medicines management. She said that repeat prescriptions account for 75 per cent of all items on prescription and 80 per cent of prescribing costs. Repeat dispensing pilots in Grampian and Tayside have shown that pharmacists pick up previously undetected compliance problems, adverse drug reactions and drug interactions. Moreover, in Grampian, 66 per cent of patients on repeat medication did not require their quota of Controlled Drugs.

An review has commissioned to establish a best practice model for repeat dispensing. Three options are being investigated. The first is a “master and slave” model, where a general practitioner writes a prescription for six months’ supply and the pharmacist dispenses the prescription in smaller instalments. The other two options are two three-monthly instalments or using carbon copied forms. The first model is probably best, as it is nearest to what pharmacists do now, Miss Strath concluded.

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