Specials extension to supplementary prescribing
Plans are being made to extend the prescribing rights of supplementary prescribers to include unlicensed medicines supplied as specials and extemporaneously dispensed medicines. Supplementary prescribers are
currently only allowed to prescribe licensed medicines and reformulated
medicines where tablets or capsules have to be crushed or opened and
prepared as liquids.
Consultation letter MLX 298 (PDF 90K),
issued by the Medicines and Healthcare products Regulatory Agency at
the end of last year, seeks views on the plans.
Legislative changes under the Medicines Act 1968 will apply throughout
the UK as far as supplementary prescribing in general is concerned. The
consultation letter says that NHS supplementary prescribers in England
should have the extended right, but that it will be for the devolved
administrations in Wales, Scotland and Northern Ireland to make their
own decisions on its application within the NHS in their localities.
The proposals include a provision to prevent supplementary prescribers
receiving specials from manufacturers or wholesalers for direct supply
to patients. The rationale for this is that supplementary prescribers
are advised not to be involved in the formulation, preparation and supply
of medicines they have themselves prescribed. |