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PJ Online homeThe Pharmaceutical Journal
Vol 277 No 7422 p440
14 October 2006

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GPs worried about independent prescribing by pharmacists

Doctors believe that independent prescribing by nurses and pharmacists puts patients at risk, according to a poll in GP newspaper Pulse.

The poll found that 89 per cent of 323 respondent GPs think that controls over the new roles are insufficient to protect patients.

Commenting on the finding, the chairman of the Royal College of General Practitioners, Mayur Lakhani, said: “We share the concerns of the doctors quoted as being worried by the extension of prescribing. The prescription of medicines is a highly complex activity that can be associated with considerable risks to patients and patient safety is our top priority.

“We welcome team working but would like to see stronger regulatory and clinical governance arrangements in place regarding independent prescribers. The roles of nurses and pharmacists seem to be expanding very quickly but should not be seen as a replacement for GPs. There should be pilots and formal evaluation.”

Defending independent prescribing by pharmacists, David Pruce, director of practice and quality improvement at the Royal Pharmaceutical Society, pointed out that no profession other than pharmacy has a clinical governance framework for prescribing.

He said: “The RPSGB recently launched a curriculum for the training of independent pharmacist prescribers and pharmacy is the only profession to have developed a clinical governance framework for prescribers.”

Mr Pruce added that people could be sure that when independent prescribing is in place it will be undertaken within appropriate guidelines and practice frameworks.

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