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PJ Online homeThe Pharmaceutical Journal
Vol 280 No 7492 p267
8 March 2008

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PSNC issues practical guide on release 2 of EPS

Tokens to supplement electronic prescriptions

As part of the EPS, there will be two types of token — prescription and dispensing.

Prescription tokens will be printed by prescribers, for example, when patients ask for a copy of the prescribed information, when the patient has not nominated a pharmacy or when the prescriber is authorising a repeat prescription.

Dispensing tokens will be printed by pharmacy staff, for example, to collect a patient’s exemption declaration, where a patient pays for their prescriptions or when a pharmacy is out of stock of an item and needs to direct a patient to a different pharmacy.

These tokens are not legal prescriptions but can be scanned to retrieve the electronic prescription from the spine.

Detailed guidance on how release 2 of the electronic prescription service will work has been published by the Pharmaceutical Services Negotiating Committee.

The guidance for community pharmacy contractors in England gives practical information about all aspects of the new service, including patient nomination of pharmacies, electronic repeat dispensing, cancellation of prescriptions and electronic claims for reimbursement.

The PSNC emphasises that pharmacy system suppliers have a degree of flexibility in how they develop their software, so it is essential that contractors provide feedback to their suppliers in order to influence the development of systems that best support the dispensing process.

The guidance explains that, initially, it will only be possible for a prescriber to issue an electronic NHS prescription where it is being sent to a patient’s nominated pharmacy. However, once the majority of pharmacies are operating release 2 of the EPS, it is expected that electronic prescriptions will also be issued to patients who have not nominated a pharmacy.

How supplementary clinical information, usually included on the right-hand side of a prescription form, will be passed to patients where there is no paper document is being tested during initial implementation of release 2.

The guidance says that it will be mandatory for community pharmacies to pass on some non-routine information relevant to clinical care, including patient- or medication-specific instructions, the patient’s review date and when the final repeat prescription authorised by the prescriber is dispensed. Other information, such as a list of repeat medicines, should be provided to patients at their request.

“A decision on whether this solution is adopted for national roll out will be subject to negotiations, including talks on funding, between the PSNC and the Department of Health,” the guidance says.

Further releases of software are expected in the long term, which will provide support for minor ailments schemes and medicines supply through patient group directions, says the PSNC.

The guidance is being sent to all pharmacies in England as a supplement to this month’s Community Pharmacy News.
(PDF 850K)

In addition, NHS Connecting for Health has published a leaflet for healthcare professionals that provides a high-level overview of release 2 of the EPS. This leaflet will be supplemented by more detailed guidance on individual business processes in due course, it says.

National clinical leads Pharmacist Sharon Hart has been appointed national clinical lead for medication management by NHS Connecting for Health. Ms Hart is one of eight new national clinical leads who have been appointed to build on the current work being done to involve their colleagues in the National Programme for IT.

EPS release 2 symbol

EPS release 2 symbolNHS Connecting for Health has created a symbol to help patients identify which community pharmacies and GP practices are operating the electronic prescription service.

The new symbol has been developed because GPs and pharmacies will go live with the service at different times, starting from this summer. The symbol will be featured on a sign made available to sites on the day they go live.

Three different formats — an A5 window sticker, A4 poster and A5 counter-top sign — will be available.

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