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The Pharmaceutical Journal
Vol 271 No 7266 p313
13 September 2003

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DoH: Electronic transmission of prescriptions (more)


ETP to be developed as part of the new NHS integrated care records service

Procurement strategy on ETP is still to be decided

Electronic transmission of prescriptions (ETP) will be included in England in the integrated care records service (ICRS), the Department of Health said this week.

A statement from the National Programme for Information Technology said: “During the development of the emerging ETP strategy, it was agreed that elements of ETP functionality would be best included within the parameters of ICRS. The procurement strategy for the remaining elements of the ETP programme will be decided in due course.”

The ICRS will eventually bring together all patient records (eg, from primary care and hospital) in one electronic form.

The announcement follows a question raised in the House of Lords about ETP. In response, the Parliamentary Under-Secretary of State for Health, Lord Warner, said: “The ETP pilots have been closed as they have served their purpose to test the feasibility of ETP. An independent evaluation of the pilots has been completed and received by the Department of Health. Because of this, limited work has been done to model potential costs for their continuation.”

Lord Warner said that the main cost would be processing electronic prescriptions at the Prescription Pricing Authority. “Assuming prescription volume did not exceed 10,000 items per month, and there was no increase in the functionality or scope, the PPA estimates its costs at around £230,000 per annum. This figure does not include the cost of connecting the participating pharmacies to the NHSnet.” These costs are based on a continuation of the pilot and cannot be compared with the cost of the current paper system, the DoH confirmed. The PPA has processed 55,947 electronic prescriptions since the start of the ETP pilots, for approximately 13,500 patients.

Meanwhile, research conducted on behalf of TransScript, one of the three ETP pilot consortia, found that patients were happy with ETP. All said ETP had saved them time in terms of collecting their prescriptions from the surgery and several highlighted its benefit for less mobile patients.

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