Human Medicines Regulations 2012 Lecture Part 2

Question 1

What is to be included on a prescription for it to be legal?

Answer 1

• Signature of Prescriber
  *Address of the appropriate practitioner
  *Date
  *Type of appropriate practitioner
  *Patient name and address
  *Patient’s age (if under 12 years)

Question 2

What should a prescription be written in?

Answer 2

indebile ink or may be computer generated or typed

Question 3

On the prescription what should it include in the middle section?

Answer 3

*Drug name
*Form (if more than one)
*Strength(if more than one)
*Quantity

Question 4

How are repeatable prescriptions correctly done?

Answer 4

For example, Private prescriptions that cna be dispensed more than once e.g repeat x5
repeat x5 means it can be dispensed 6 times in total
FP10 prescriptions are NOT used in this way
this is applicable to private prescriptions only

Question 5

What do I need to record for the following prescriptions?

Answer 5

no record is required as it is NOT a private prescriptions

Question 6

What exemptions are made for POM records for Private Prescriptions?

Answer 6

• Oral contraceptives do not have to be recorded in the POM register
• Prescriptions for Sch 2 CDs do not have to be recorded in the POM register (as a separate record is made in the CD register)

Question 7

What do I have to record in the POM register?

Answer 7

*Supply date
*Prescription date
*Medicine details
*Prescriber details
*Patient details

Question 8

When was the HMR amended for them to give permissions to supply in original packs?

Answer 8

On 11th October 2023 the HMR was amended

Question 9

What can pharmacists supply for a different quality of a POM?

Answer 9

to the quantity prescriber +/- 10 %
enables manufacturer’s original packs to be supplied
will not apply to NHS prescriptions in England and Wales until their respective NHS terms of service permit this
regulation 217c has also come into force

Question 10

How are valproate products required to be supplied?

Answer 10

in manufacturers’ original packs

Question 11

What does EPS stand for?

Answer 11

Electronic Prescription Service

Question 12

How does EPS work?

Answer 12

The EPS sends electronic prescriptions from GP practices to pharmacies

Question 13

What does EPS mean for paper prescriptions?

Answer 13

paper prescriptions will no longer be required

Question 14

What does EPS allow prescribers to do?

Answer 14

to send prescriptions electronically to a dispenser of a patient’s choice which is known as their ‘nominated’ dispenser

Question 15

Patients that do not have an EPS nomination are given what?

Answer 15

a token ( a paper copy) to present at a community pharmacy

Question 16

What is a prescription token?

Answer 16

token is to contain a unique barcode shown on the prescription and is issued by the GP
issued in parallel with a legal electronic NHS prescription)- phase 4 non-nominated paper tokens

Question 17

What is a dispensing token?

Answer 17

can be generated as necessary where a legal electronic NHS prescription has been issued by the prescriber
FP10DT is white in colour and is generated by a dispenser, it will be printed with the annotation ‘dispensing token’
issued by the dispenser

Question 18

Where has the EPS Phase 4 rolled out too?

Answer 18

majority of GP practices across England

Question 19

What does Phase 4 of EPS allow?

Answer 19

prescriptions for patients without an EPS nomination to be signed, sent, and processed electronically

Question 20

EPS become the default method for?

Answer 20

prescribing, dispensing and reimbursement of prescriptions in primary care in England

Question 21

When will Paper prescriptions (FP10SS) be issued?

Answer 21

only in special circumstances

Question 22

What is the use of EPS Phase 4?

Answer 22

enables use of EPS for patients who do not have an EPS nomination

Question 23

When is repeat dispensing carried out?

Answer 23

using paper prescriptions

Question 24

How is the majority of repeated dispensing now carried out?

Answer 24

Electronic Repeat Dispensing - eRD

Question 25

What is electronic repeat dispensing?

Answer 25

• allows patients to obtain repeated supplies of their medication or appliance
• prescriber does not need to hand sign/electronically sign authorised repeat prescriptions at specified intervals
• one digital signature allows a prescriber to authorise and issue batch of repeat prescriptions
• prescriptions are available to be dispensed at intervals specified by the prescriber

Question 26

How does eRD work?

Answer 26

the prescriber can authorise and issue a batch of repeatable prescriptions for up to 12 months with one digital signature
eRD prescriptions are automatically downloaded from the NHS spine to the nominated community pharmacy at intervals set by the prescriber

Question 27

Do patients need to give consent for repeat dispensing?

Answer 27

yes they MUST, formal written consent is not required and can be verbal

Question 28

What is PRN?

Answer 28

when required , medication can be prescribed using eRD

Question 29

How does eRD work?

Answer 29

When a prescriber issues an electronic prescription for repeat dispensing information will be present:
* total quantity per issue
* the intended duration of each issue of the prescription
* how many times the repeatable prescription can be issued before the patient/medication should be reviewed