Med Regs 2

Question 1

What are the types of prescriptions for POMs?

Answer 1

• NHS
- covered by HMR 2012 and additional NHS regulations

Question 2

What are the prescription requirements?

Answer 2

• Signature of prescriber
• Date
• Particulars of prescriber
• Address of prescriber
• Patient name
• Patient address
• Age

Question 3

POM can only be sold or supplied from prescription from appropriate practitioner. Who are these?

Answer 3

• Medical prescribers:
- Doctors

• Non medical prescribers:
- Nurses/pharmacists/allied health
- professionals (supplementary or independent prescribers)
- Dentists
- Optometrist
- Paramedics

Question 4

How can independent prescribers prescribe?

Answer 4

Can prescribe any POM within their own competence and expertise

Question 5

How can supplementary prescribers prescribe?

Answer 5

Can prescribe any POM within an agreed clinical management plan (CMP)

Question 6

Can NHS prescriptions be a single hand written sheet?

Answer 6

yes

Question 7

Most prescriptions are electronic, but there are some exemptions what are they

Answer 7

• locum doctors
• across country dispensing
• some prescribers don’t use electronic system

Question 8

What colour are FP10 prescriptions and who can they be prescribed by?

Answer 8

• green
• used by doctors, independent prescribers and supplementary prescribers

• can also be used by nurse independent prescribers and pharmacist supplementary prescriber but this must be stated

Question 9

What is the electronic prescription service ? (EPS)

Answer 9

• allows prescriptions to be sent from Gp surgeries directly to a pharmacy of the patients choosing

• prescriptions uploaded to NHS Spine- smartcard access required to download
- prescriptions printed at pharmacy

• aka electronic transfer of prescriptions (ETP)

Question 10

What colour is FP10 D prescription and who can it be prescribed by?

Answer 10

• Yellow
• Dental prescription
• Dentists can prescribe from a limited list on NHS (found in dental practitioner formulary)

Question 11

What colour is FP10 P prescription and who can prescribe it?

Answer 11

• purple
• community practitioner nurse prescribers
• prescribe from limited list of medicines in nurse prescribers formulary
• List doesnt apply to IP and SP nurses

Question 12

What colour is FP10 MDA and what is it used for?

Answer 12

• Light blue
• for certain controlled drugs for addiction treatment eg methadone
• limited to max of 14 day supply
• instructs pharmacy when to dispense medication

Question 13

What colour are Hospital out-patient prescriptions and how are they used?

Answer 13

• white
• only to be dispensed at that hospitals pharmacy only
• hospital docs can also prescribe on FP10 for any community pharmacy
• payment included within hospital budget (prescription dispensed and retained by hospital)

Question 14

How are NHS prescription forms protected?

Answer 14

• serial numbers
• UV markings
• micro fine printing
• pastel backgrounds (to deter photocopying)
• important to gave electronic back up

Question 15

What are the exemptions from NHS prescription charges?

Answer 15

• Age <16 and >60
• Age 16-18 and in full time education
• range of exemption certificates (based on certain medical conditions)
• receiving state benefits
• patients receiving no-charge contraceptives

Question 16

What is prescription endorsements and how does it work

Answer 16

• they are ‘endorsed’ once dispensed, this is necessary for correct reimbursement (ie payment for medicines dispensed)
• Prescriptions to be stamped with pharmacy address
• Sent to NHS business service authority (NHS BSA) at end of calendar month for pricing
• electronic prescriptions are endorsed and submitted electronically