Scottish supplementary prescribing guide
A guide for implementing supplementary prescribing by pharmacists in Scotland has been published by the Scottish Executive.
It describes how supplementary prescribing will work, training requirements,
good practice, ethics and other issues relating to supplementary prescribing.
It does not mention how supplementary prescribing will be funded.
Under general principles, the guide says that it is for the independent
prescriber to determine which patients may benefit from supplementary
prescribing. It stresses that the independent and supplementary prescribers
must agree an individual clinical management plan before prescribing
begins. Regular clinical review should take place at pre-determined intervals,
normally no longer than 12 months and less if antibiotics are included.
Longer periods may be appropriate for some stable conditions.
Independent and supplementary prescribers should share access to, consult
with and update the same common patient record, the guide says. All prescribing
and monitoring activity should be recorded in this shared patient record,
ideally within 24 to 48 hours. Community pharmacists should make arrangements
with the GP practice to allow this recording and that shared electronic
records are ideal but existing paper records or patient-held records
can also be used. How the shared record is maintained is a matter of
agreement between the independent and supplementary prescriber.
The guide is available on the Scottish Executive website and can be accessed
as a PDF file (620K). |
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