Supplementary prescribing

The pharmacist must be satisfied that the supply is being requested by a doctor, community practitioner nurse prescribes supplementary prescribes nurse independent prescriber or pharmacist independent prescriber. 

The standard requires that in determining the amount and nature of receiving inspection, consideration should be given to the control exercised at the subcontractor s premises and recorded evidence of conformance provided. The supplementary requirements require the supplier to use one or more of four prescribed methods unless waived bp the customer. 

You are a supplementary prescriber working in a diabetes clinic when John Stephens comes in to see you. He is still overweight despite being on the maximum dose of metformin and gliclazide. His HbAlc is 9.0% and on examination he has neuropathy developing in his feet. He is also on ramipril 10 mg, simvastatin 40 mg and aspirin 75 mg daily. His blood pressure was 130/80 mmHg and his total cholesterol was 4.0 mmol/L (reading from three months ago). There is no microalbuminuria present. 

Every Monday in your oncology outpatient department, you run a pharmacist/ nurse-led oral capecitabine clinic, where patients are referred to you by oncologists for pretreatment counselling, drug history-taking and supplementary chemotherapy prescribing (under set clinical management plans) for the adjuvant treatment of colon cancer or treatment of metastatic colorectal cancer. 

For a prescribed total amphiphile concentration S, measured in mole fraction units, provided jj.% are known functions of A and T, the X may be determined from eqn (2.2) together with the supplementary relation... 

This introduces the different NHS prescribers (for example, doctor, dentist, nurse, supplementary prescribes etc.) within the community. Following on from this are details of the dispensing process to be followed when supplying medicines against NHS prescription forms, along with a collection of worked examples. 

Traditionally, the prescriber would have been a doctor or a dentist, but recent changes to healthcare legislation and the introduction of supplementary and independent prescribers mean that many other healthcare professionals, such as nurses and pharmacists, are now also permitted to prescribe (see Section 3.2). 

FP10SS Green General practitioners, hospital-based prescribers, nurses, pharmacists and supplementary prescribers... 

HS21N Purple Independent and supplementary nurse prescribers... 

GP10NSS Orange Supplementary and independent nurse prescriber (community)... 

HBPNSS Blue Supplementary and independent nurse prescribers (hospital)... 

There are three types of nurse prescribers community practitioner nurse prescribers (sometimes called district nurses or health visitors) who may prescribe from a restricted list of items, nurses who are supplementary prescribers (see Section 3.2.4) and nurses who are independent prescribers (see Section 3.2.5). 

Recently, the Department of Health has introduced supplementary prescribing, which is described as ... 

A voluntary prescribing partnership between an independent prescriber and a supplementary prescriber, to implement an agreed patient-specific clinical management plan with the patient s agreement. 

A number of different health professional groups may qualify as supplementary prescribers and are able to prescribe medicinal products on the NHS. Different supplementary prescribers are able to prescribe different medicinal products depending on their area(s) of expertise. 

Supplementary prescribers are able to prescribe from a range of medicines for a broad range of medical conditions under the terms of a clinical management plan (CMP). The plan will be drawn up, with the patient s agreement, in consultation with an independent prescriber (the independent prescriber is a doctor or (less commonly) a dentist). 

Health professionals who may qualify as supplementary prescribers currently include individuals from the following groups (although other health professional groups may be added to this list in due time) ... 

In addition to supplementary prescribing by non-medical practitioners (see Section 3.2.4), independent non-medical prescribing has also recently been introduced. Currently this is limited to suitably qualified nurses and pharmacists, although as with supplementary prescribing, independent prescribing may be extended to other health professional groups in due time. 

Healthcare professionals who work under Patient Group Directions do not need an additional formal qualification, unlike supplementary (see Section 3.2.4) or independent (see Section 3.2.5) prescribers. 

Community nurse Supplementary prescriber Independent prescriber... 

Supplementary and independent prescribers at present do not have the exemptions available to the practitioners listed above. 

Until recently, the numbers of individuals who may prescribe controlled drugs was fairly limited. However, with the onset of both supplementary and independent prescribing, the numbers of individuals who may prescribe controlled drugs has increased. 

Supplementary prescribers (see Section 3.2.4) via clinical management plans ... 

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