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PHA221 > NHS repeat dispensing > Flashcards

NHS repeat dispensing Flashcards

1
Q

Repeat prescriptions account for about what percentage of all items on prescriptions?

A

66%

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2
Q

What are the benefits of repeat dispensing?

A
  • Convenient
  • Reduces workload + time
  • Enhances role of pharmacist
  • Reduces waste of med
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3
Q

What are the two different repeat prescriptions?

A
  • Repeatable prescription

- Batch prescription

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4
Q

Repeatable prescription

A
  • Legal/clinical authority (signed by doctor)
  • 1 needed per batch
  • RA on Rx - repeat authorisation
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5
Q

Batch prescription

A
  • More than one
  • RD on Rx - repeat dispensing
  • ‘invoice for payment’
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6
Q

Which form are repeat dispensing Rx printed on?

A

FP10

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7
Q

Which patients are suitable for repeat dispensing?

A
  • Long term conditions w/ stable medication

- Same regular pharmacy

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8
Q

Which patients are not suitable for repeat dispensing?

A
  • Newly diagnosed
  • Acute medicines
  • Unstable medical conditions
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9
Q

Which medicines cannot be included?

A
  • Controlled drugs - sched 2 + 3
  • ‘When required’ med
  • Non-oral med
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10
Q

What must occur before repeat dispensing starts?

A

Regular medicines should be synchronised

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11
Q

How does it work in GP practice?

A
  • Staff generate batch of repeat prescriptions
  • Upto 12 months worth can be issued
  • One RA issued + signed by GP
  • RD issued
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12
Q

A repeat prescription must be dispensed for the first time within how many months of the date on the form?

A

w/in 6 months

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13
Q

CD sch 4 must be dispensed for the first time w/in how many days?

A

28 days

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14
Q

All Rx must be dispensed w/in how many months of the date on the repeatable RX?

A

W/in 12 months

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15
Q

Can a batch be dispensed at a pharmacy that doesn’t hold the repeatable authorisation prescription?

A

No

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16
Q

Which questions should be asked before dispensing each batch?

A
  • Using med appropriately
  • Side effects
  • Changes to condition
  • Taking new med
  • Any they don’t need
  • Inform date for next collection
17
Q

What happens when the last batch is dispensed?

A
  • Inform that this is their last issue
  • Patient need to contact surgery
  • Good practice to give written reminder this is their last batch
18
Q

What are the common problems of repeat dispensing?

A
  • PRN med - should not be added to regular Rx
  • New medicines
  • Med which are discontinued
  • Patients admitted to hospital resulting in changes to med
19
Q

When should a batch Rx (RD) be submitted to the NHSBSA?

A

Each batch Rx submitted at the end of the month

20
Q

When should the authorising repeatable Rx (RA) be submitted to the NHSBSA?

A
  • When all the batch Rx have been dispensed
  • Remaining batches have been destroyed
  • RA has expired

PHA221 (22 decks)

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