Repeat Dispensing Flashcards
What type of service is RD?
Essential service in CP contract for patient with stable long-term conditions
Describe the benefits of RD
- Convenient for patient
- Decreases workload for prescriber and staff
- Enhances role pof pharmacist
- Manages workload and stock more efficiently
- Reduces waste saving NHS costs
Describe what an FP10RA is
Repeat authorisation - legal and clinical authority to supply - 1 per batch
Describe what an FP10RD is
Repeat dispensing - more than 1 - invoice for payment
What is the mandatory format for FP10RD/RAs?
Computar generated
List the criteria for RD
- Patient with long term conditions and stable medication regimen
- Patient regularly uses same pharmacy
- Consent to share into between pharmacy and GP
- GP has final say if they are suitable
Which patients are not suitable for RD?
- Newly diagnosed patients who have unstable conditions
- Acute meds / changes in medication regimen
What medicines/doses are excluded from RD?
- CD 2 and 3
- ‘PRN’
- Non-oral medicines
difficult to know when patient requires them so can be on a separate repeat
How does RD work in the GP?
- Surgery staff generate repeat batch - up to 12 months
- Issues dated with date of generation
- RA signed by GP
How does RD work in a pharmacy?
- 1st RD within 6 months of date - within 28 days for CD 4
- Keep RA at pharmacy and patient encouraged to leave RD as well
- All Rx must be dispensed within 12 months
What happens to the RA/RD after dispensing?
- Keep RA in pharmacy until last RD send to NHSBSA
- Send RD to NHSBSA at the end of each dispensing month
State the questions that pharmacist must ask patient between each batch
- Are you taking the medicines appropriately?
- Has your condition changed?
- Are you taking any new Rx/OTC medicines?
- Is there anything you don’t need?
- Inform Pt of next collection date
If it is final batch - inform Pt of last batch and to contact GP for clinical check
Why is keeping a legal audit important?
- Records supply of RD service
- Information can be passed to GP to show compliance and med changes
Describe the importance of communication between pharmacy and GP.
- Stopping or starting meds
- Strength changes
- Missed collections by patient
- Hospital admission/ med changes by secondary care
- Patient consistently doesn’t request an item