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Prescribing

Antibiotic Resistance

This topic is reported on a regular basis and the blame for prescribing 90% of all antibiotics is usually laid at the door of GPs. This, of course, is associated with the fact that GPs clearly do not see any really ill patients because we send all of these to hospital. Is that a fair or...

Cancard

Cancard Requests - BMA and RCGP statement on 'Cancard' Some concerns have been raised by practices about the Cancard UK website and its proposed 'GP endorsed' ID card. The website offers the ability to apply for: 'A holographic photo ID card. Designed in collaboration with GPs and verified at...

Changes to Antibiotic Prophylaxis Guidelines

Changes to Antibiotic Prophylaxis Guidelines issued by Wessex Cardiologists to Prevent Infective Endocarditis in at Risk Patients Undergoing Dental Procedures Letter to Dentist on changes to Antibiotic Guidelines Letter for Referral from Cardiologist Letter to Patient The LMC view this...

Community Pharmacy - A Guide for GPs

This is an excellent summary of how Community Pharmacies work, the funding streams and contracting arrangements and the requirements for being a community pharmacist (training, qualification, control and regulation) written by PSNC, NHS employers and the BMA. The document, together with further...

Counter Fraud - Drug seekers

Wessex LMCs hosted a meeting with NHS Counter Fraud services to discuss the issue of patients who try to obtain drugs (usually opiates and benzodiazepines) under false pretences. This is a summary of some useful points we believe are worth sharing with practices across Wessex Some patients may...

Electronic Prescribing EPS and eRD inc. Remote consultations

Electronic Prescribing Service - EPS NHS Digital are continuing to drive Electronic Prescribing. Electronic Prescribing Service - Phase 4 was deployed from 18th November 2019, initially to TPP SystmOne following a pilot in 2018. The roll out plans for EMIS, Vision and Microtest will follow....

Good Practice in Prescribing

This guidance was published by the GMC on 31st January and came into effect on 25th February 2013. In 'Good Medical Practice' it is stated - in providing care you must: Prescribe drugs or treatment including repeat prescriptions, only when you have adequate knowledge of the patient's health...

GP Leadership Fellows

In the face of unprecedented pressures, the landscape of the NHS is changing rapidly, and the centre of gravity is moving rapidly towards Primary Care. This represents an exciting opportunity for new GPs to be involved in improving frontline services for our patients. With the largest curriculum...

Hepatitis B and Occupational Health

This is a complex area and one that keep cropping up. If in doubt after reading this then please contact the office. 1. Is there a requirement under the Regulations to prescribe and administer Hepatitis B vaccination for occupational health purposes? The Regulations requires GPs to manage...

HPV Vaccination

All girls aged 12 to 13 are offered HPV (human papilloma virus) vaccination as part of the NHS childhood vaccination programme. The vaccine protects against cervical cancer. It's usually given to girls in year eight at schools in England. According to Cancer Research UK, cervical cancer is the...

Inclisiran

Inclisiran is a medication given by subcutaneous injection that is administered by a clinician, with the aim of reducing blood levels of Cholesterol. We have received a number of emails from practices about this medication, given the way it has been introduced. New medications are normally...

Non-Medical Prescribing Guidance for Prescribers In General Practice

UPDATE DEC 2021 A Competency Framework for all Prescribers - Updated 2021 'Since the 2016 framework, there have been various changes which needed to be included in the update of the framework these include: Legislation changes introducing paramedic prescribers in April 2018 Current...

Patient Specific Directions (PSDs) and Patient Group Directions (PGDs)

Patient Specific Directions (PSDs) The Medicines Act 1968 does not permit nurses who are not qualified prescribers to administer or supply prescription only medicines (POMs) unless one of three types of instruction are in place signed prescription signed Patient Specific Direction...

Patients Travelling Abroad - FAQs

Provision of medical care European Health Insurance Card (EHIC) By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK. People traveling within Europe (including Switzerland, Norway, Iceland and Liechtenstein) are advised to always carry an...

Pharmacy - Prescription Direction

'Prescription direction' occurs where a patient is being directed by their GP practice to a certain pharmacy to have their prescription dispensed. Patients have a free choice between any community pharmacy and in some cases, a GP dispensary. Actions by practices seeking to influence a patient's...

Prescribing & Consultations - Audio & Video Podcasts and Recorded Webinars

You can record your reflections on this form or via your learning diary here: https://www.fourteenfish.com/about/learningdiary ​​​CQC are particularly keen to see any evidence of your listening and how you apply it. ENT Essentials for the Primary Care Practitioner In this interactive session,...

Prescribing - Self Prescribing & Family Members

The LMC has been made aware of a number of GPs who have been reported to the GMC for self-prescribing. The LMC would strongly advise GPs not to prescribe for themselves or their family, except in exceptional circumstance. The areas of high risk are controlled drugs, psychiatric medication and...

Prescribing - Nurseries, schools and OTC Medications

Non-prescription (OTC) medication does not need a GP signature/authorisation in order for the school/nursery/childminder to give it. It has been brought to the attention of the GPC Clinical and Prescribing Subcommittee that the revised 'The Early Years Foundation Stage Statutory Framework',...

Prescribing - Unlicensed Medicines

The term 'unlicensed medicine' is used to describe medicines that are used outside the terms of their UK licence or which have no licence for use in the UK. Unlicensed medicines are in common use especially in paediatrics, psychiatry and palliative care. You may prescribe unlicensed medicines...

Requests to convert private prescriptions to NHS FP10

Under NHS GMS Regulations the patient is entitled to receive any drug which is available on the NHS, via an NHS prescription. Therefore, GPs can convert a private script to an FP10 if the patient requests this. However, the GMC duty to prescribe only in the best interests of the patient and...

Social Prescriber Link Worker (SPLW)

Please click here to access our Covid-19 Practical and Operational Issues page The following has been taken from NHS England webpage - Social Prescribing: 'Social prescribing is a key component of Universal Personalised Care. Social prescribing is a way for local agencies to refer people...

The Drug Tariff

The Drug Tariff is produced monthly by the Pharmaceutical Directorate of the NHS Business Services Authority, NHS Prescription Services for the Secretary of State and states: what will be paid to pharmacy contractors for NHS services provided either for reimbursement (the cost of the drugs,...

The Emergency Doctors Bag

What drugs should I carry or have accessible? GPs must be able to defend themselves on grounds of good clinical practice. Different practices operate in different settings with different resources around them i.e. a GP practising in a remote rural setting will have different considerations from...

When No PSD or PGD is needed

Emergency Drug Exemptions The following list of medicines for use by parenteral administration, are exempt from PGDs, prescriptions or PSDs when administered for the purpose of saving life in an emergency: Doses are not specified in the legislation Adrenaline 1:1000 up to 1mg for...