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Vol 277 No 7416 p269
2 September 2006

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Consultation on e-prescribing for NHS in England

Draft functional requirements for electronic prescribing (e-prescribing) in the NHS in England have been published for consultation by NHS Connecting for Health (PDF 470K).

The 120-page draft document was developed following a series of workshops earlier this year attended by nearly 500 members of a range of professions and clinical specialties from 115 NHS organisations. The aim now is to build national consensus on the draft specification so that it can be used as a guide for the development of e-prescribing software for use in hospital and the community. It does not specifically address the needs of GP prescribing.

The expected benefits of e-prescribing include a reduction in medication errors as a result of increased legibility of prescriptions and delivery of computerised guidance to prescribers.

Pharmacist Ann Slee, the clinical lead for e-prescribing, said: “Different clinical specialties may need different things from e-prescribing, so each workshop concentrated on the requirements of up to four clinical specialties. The workshops have produced a huge amount of relevant material to help identify what is needed to ensure that future e-prescribing systems meet the needs of health care professionals.”

The draft includes a number of questions that have been identified as priorities for the e-prescribing programme. They include:

· Should differences, such as primary care practitioners prescribing by dosage form and hospital practitioners by dose, be supported in the long term

· How should alerts and warnings be introduced to avoid over-alerting and misuse

· What does the NHS summary care record need to contain for communication across traditional care boundaries

· How should systems support the evolution of non-medical prescribing, and

· What are the requirements of pharmaceutical care and how should they be managed and linked into the main patient record?

Comments from anybody interested or involved in prescribing, supplying or administering medicines can be sent to eprescribing@cfh.nhs.uk until 13 October 2006.

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