Different Types of Prescriptions Flashcards
What is a prescription
Legally :
* A person may not sell or supply a prescription only medicine except in
accordance with a prescription given by an appropriate practitioner.
* A prescription is an instruction to supply POM medications by
someone who is appropriate to authorise that supply and the
prescription they produce meets all legal requirements to be valid
Who is an appropiate prescriber in the UK
- Doctors
- Pharmacist independent prescribers
- Physiotherapists independent prescribers
- Chiropodists/Podiatrists independent prescribers
- Dentists
- Nurse independent prescribers
- Independent therapeutic radiographer prescribers
- Optometrist independent prescribers
- Paramedic independent prescribers
- Community practitioner nurse prescribers
- Supplementary prescribers
What is a “health” prescription
- “health prescription” means a prescription issued by a doctor, dentist,
supplementary prescriber, nurse independent prescriber, optometrist
independent prescriber, pharmacist —independent prescriber or
community practitioner nurse prescriber under— - in England, the National Health Service Act 2006;
- in Wales, the National Health Service (Wales) Act 2006;
- in Scotland, the National Health Service (Scotland) Act 1978; and
- in Northern Ireland, the Health and Personal Social Services (Northern
Ireland) Order 1972(10);
Outline 4 points of a prescription
- A direction to supply medicines
- Written by an appropriate practitioner
- Gives legal permission for the pharmacist to supply
- Must meet minimum legal requirements to be valid
Outline gerneral prescription requirements
MORE DETAIL APPAZ
- Signature of the prescriber
- Address of the prescriber
- Date
- Particulars/qualifications
- Name of the patient
- Address of the patient
- Age of the patient in certain circumstances
Outline the prescription types
- NHS Prescriptions
- Private Prescriptions
- Repeatable Prescriptions
- Controlled Drug Prescriptions
- EPS Prescriptions
Outline NHS prescriptions
- Only certain types of prescription forms can be dispensed on the NHS
so it is important for pharmacies to identify which form types are valid
and allowed – and which are not. - NHS prescription types can be identified by the code on the bottom
right of a prescription and also by colour.
Outline precription type colours
Outline key facts about NHS Prescriptions
- All types of FP10 prescriptions for all medicinal products are valid for
6 months… - Except for FP10 prescriptions for Schedule 1,2,3 and 4 Controlled
Drugs (CDs) which are valid for 28 days! - Dentists can only prescribe products included in the Dental
Prescribing Formulary on FP10D prescription - Community Practitioner Nurse Prescribers can only prescribe
products included in the Nurse Prescribers Formulary on a
FP10PN/FP10SP
Outline private prescriptions
- Private prescriptions require the same prescription requirements as
NHS prescriptions - They do not get sent to the NHSBSA (NHS Business Services Authority)
at the end of each month for pricing; private prescriptions for a POM
are retained for two years from the date of supply - The record should be made on the day the supply takes place or, if that
is not practical, the next day following
Outline what private prescriptions must include
- Records for private prescriptions must be made in the POM register which
should also be retained in the pharmacy for two years from the date of the
last entry in the register
The record must include:
1. Supply date – the date on which the medicine wassupplied
2. Prescription date – the date on the prescription
3. Medicine details – name, quantity, formulation and strength of medicine
supplied
4. Prescriber details – name and address of the practitioner
5. Patient details – name and address of the patient
Outline repeatable prescriptions
- Private prescriptions can be dispensed more than once in certain
circumstances - There is a direction to repeat
- The prescription is dispensed for the first time within 6 months
- Pharmacists then use professional judgement from then on to decide
if clinically appropriate
Outline briefly controlled drug prescriptions
- The Misuse of Drugs Regulations 2001 is the legislation which covers the
dispensing of Controlled Drugs in the pharmacy - These regulations classify controlled drugs into five schedules according to
the different levels of control attributed to each:
1. Schedule 1 (CD Lic POM)
2. Schedule 2 (CD POM)
3. Schedule 3 (CD No Register POM)
4. Schedule 4 (CD Benz POM or CD Anab POM)
5. Schedule 5 (CD INV POM or CD INV P)
Outline schedule 1 and 2 controlled drug prescriptions
Schedule 1 (CD Lic POM)
- Most of these drugs have no therapeutic use and a licence is generally
required for their production, possession or supply
- E.g. hallucinogenic drugs ‘LSD’, ecstasy, raw opium and cannabis
Schedule 2 (CD POM)
- Pharmacists have a general authority to possess, supply and procure
Schedule 2 controlled drugs when acting in that capacity
- E.g. diamorphine, morphine, methadone, oxycodone etc
Outline schedule 3 and 4 controlled drug prescriptions
Schedule 3 (CD No Register POM)
- Include minor stimulants and other drugs that are less likely to be
misused (and less harmful if misused) than those in Schedule 2
- E.g. buprenorphine, temazepam, tramadol, midazolam)
Schedule 4 (CD Benz POM or CD Anab POM)
- Contains most of the benzodiazepines and anabolic steroids
- E.g. diazepam
Outline schedule 5 controlled drug prescriptions
Schedule 5 (CD INV POM or CD INV P)
- Contains preparations of certain controlled drugs that are exempt
from full control when present in medicinal products of specifically
low strength
- E.g. codeine, pholcodine and morphine)
Outline first 6 prescription requirements for controlled drugs
- Signature: the prescription needs to be signed by the prescriber
with their usual signature - Date: the prescription needs to include the date on which it was
signed. Controlled drug prescriptions are valid for 28 days after the
appropriate date on the prescription - Prescriber’s Address: must be within the UK
- Dose: must be clearly defined
5.Formulation
Outline last 5 prescription requirements for controlled drugs
- Strength
7.Quantity: the total quantity to supply must be written in both words
and figures
8.Quantity prescribed: the maximum quantity of schedule 2, 3 or 4
controlled drugs prescribed should not exceed 30 days - good practice not legal requirement
9.Name of the patient - Address of the patient
11.Dental prescriptions: where the controlled drug prescription is written
by a dentist, the words ‘for dental treatment only’ must be present
- Name of prescribed medicine good practice but not legal requirement
Outline examples of doses legall and not legally acceptable
Outline 3 points of electronic prescription service
- The EPS is a free and easy secure service which sends your prescription
electronically from a patient’s doctor’s surgery to their chosen
pharmacy - EPS is replacing the need for most paper prescriptions which is helping
to work towards a paper free NHS - EPS makes the prescribing and the dispensing process more efficient
and convenient for patients and staff
Outline 3 more points of electronic prescription service
- Prescribers can process prescriptions more efficiently and spend less
time dealing with prescription queries - Dispensers can reduce use of paper, have improved stock control and
provide a more efficient service to patients - Patients can collect repeat prescriptions from a pharmacy without
visiting their GP (and won’t have a paper prescription to lose)
