NEWMARKET ROAD SURGERY
REPEAT PRESCRIBING POLICY (SUMMARY)
To provide a safe and efficient repeat prescribing and medicine review system to ensure effective appropriate treatment, provide monitoring of long term conditions and minimises patient harm, inappropriate requests, drug wastage and prescribing errors.
What are Repeat Prescriptions?
They are prescriptions for your medication that you can order from our GP practice without having to see a prescriber each time. Repeat prescriptions need to be regularly checked by the prescriber to make sure that they are working correctly. Thus you might only be able to order a certain number of repeat prescriptions before you need to see the prescriber. On occasions the prescriber may request that you attend for a medication review. It is important that you do attend.
Ordering Repeat Prescriptions
Repeat prescriptions should ideally be requested by the patient and in plenty of time. The patient should only order items that they need between now and when their next repeat request is due. Where a third party is responsible for the ordering of repeat prescriptions they should have the authority of the patient and be clear about which items are required. Generally a maximum of 56 days supply of medication will be provided but this may vary at the prescriber’s discretion.
Repeat prescriptions can be requested in the following ways
i.) By email via the practice website www.newmarketroadsurgery.co.uk
ii.) Using the "tear off" counterfoil from previous prescriptions or in writing. These can be delivered to the surgery or posted with an enclosed SAE if you wish your prescription to be posted back to you.
iii.) Via community pharmacists/chemists by prior arrangements. Patients should allow 48 hours (2 working days) for repeat prescriptions to be generated.
iv.) If none of the above methods are possible we will accept telephone requests (01603 621006) but only between 10.00 am - 12.00 noon Monday to Friday. There is great potential for error when taking telephone requests which is why all other methods of ordering are preferred.
Issuing Repeat Prescriptions
Only competent and appropriately trained staff can print repeat prescriptions. The request should be checked to ensure the patients intention is clear, and if unsure confirm the request with patient or their representative.
If a medication review is due, unauthorised medication is requested or, if medicines are being over / under ordered, the staff member should inform the prescriber.
The prescriber is responsible for ensuring that medication reviews and repeat authorisations are completed in a timely fashion. They should check that drugs are still required and that any monitoring is up to date. Medication review should be at least annual and more frequently in some circumstances.
When adding a repeat prescription, ensure that full dosage instructions are added for each item.
Any changes made by external prescribers e.g. admission to hospital, should be reconciled as soon as possible after discharge.
If poor compliance is suspected the doctor should discuss with the patient.
Storage at the surgery
Prescriptions should be stored in a way that prevents unauthorised access. They should be stored in a locked cupboard / drawer when the surgery is closed.
Collection of a Prescription
If the prescription is collected by someone other than the patient, Practice staff will request further detail e.g. confirmation of address before issuing the prescription. If you have given permission for someone else to collect your prescription on your behalf, please be aware that your FULL list of repeat medications will be attached. This is necessary for reordering purposes.
Drugs with potential for misuse should only be issued to the patient.
What are Repeat Prescriptions?
They are prescriptions for your medication that you can order from the GP practice without having to see a prescriber each time.
Repeat prescriptions regularly need to be checked by a prescriber to make sure that your medication is working correctly. Thus, you might only be able to order a certain number of repeat prescriptions before you have to see the prescriber.
On occasions the prescriber may request that you attend a medication review. It is important that you do attend.
Taking Care of Your Medication
Know the names of all your medicines (these include tablets, capsules, inhalers, liquid medicines, testing strips and so on) and what they are used for.
If you cannot remember what the medicine is for then you can book a free medicines use review (MUR) with your regular dispensing pharmacist.
If you stop taking a prescribed medication for any reason, please make an appointment to discuss how you feel about the medicine with a doctor or nurse.
If you need to take more or less of a medication than the pharmacy label allows, please discuss how you feel about the medicine with a doctor or nurse.
o not take non-prescribed medication e.g. over the counter, health foods or herbal or Chinese medicines without checking with your prescriber or pharmacist. It may interfere with your regular medication and may be harmful.
Medicines and Wastage
A large amount of medication is wasted every year. Some of this is due to people ordering medication that they do not need or do not take.
If you have decided not to take a medicine (you should take advice from a doctor, nurse or pharmacist before stopping any medication) please do not re-order it. Make an appointment with a doctor, nurse or pharmacist to discuss why you have made this decision.
Medicines that have been order and returned to the pharmacy cannot be reused even if they are unopened and must be destroyed.
You can help to reduce the amount of wastage by ordering only those items that you use and need.
Safe Disposal of Unwanted Medicines
Do not throw away unwanted medication and do not flush any down the toilet.
Always return expired, unused and unwanted medication to your local pharmacy. They will dispose of it safely.
Written by Dr Copson July 2009
Reviewed July 2015 by Dr Copson and regularly reviewed in line with the Practice Policy Review Timetable