Dispensing Regulations, Requirements, Registers

The Human Medicines Regulations 2012

• Community Practitioner Nurse Prescriber prescribes outside the Nurses Formulary

• Prescription isn’t signed

• Prescription is not in date

The Misuse of Drugs Regulations 2001 (as amended)

• When making a Technical Amendment to add Total Quantity in words or figures, if one of these were missing for Schedule 2 or 3 CD

The NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (as amended)

• Governs NHS prescriptions

• Cited if a dentist prescribes outside dental formulary

NHS Dental Prescriptions are restricted to the Dental Practitioner’s Formulary, therefore if a dentist prescribes outside of the formulary, the NHS won’t reimburse the cost.

However on a private prescription, a dentist can legally prescribe any licensed medicine

Community Practitioner Nurse Prescriber vs Independent Nurse Prescriber

• Community Practitioner Nurse Prescribers can only prescribe from Schedule 13, which is in the Nurse’s Formulary

• This applies both privately and through the NHS

• Independent Nurse Prescribers are NOT restricted to the Nurse Formulary

• They can prescribe anything both Privately and on NHS prescriptions

• If there is a prescription from an Independent Nurse Prescriber, then the Nurse Formulary does not need to be checked.

What would you write if:

The medication on the prescription is not a part of the Dental Practitioner’s Formulary

NO

This prescription cannot be dispensed.

This is an NHS Dental Prescription.

*Medicine* is not listed in the Dental Practitioner’s Formulary, therefore this prescription cannot be dispensed as per:

The NHS (Pharmaceutical and Local Pharmaceutical) Regulations 2013 (as amended)

What would you write if:

The Community Practitioner Nurse Prescriber prescribes outside of the Nurse formulary

NO

The prescription cannot be dispensed.

The prescription is not legal as per The Human Medicine Regulations 2012 (as amended) as the CPNP is not authorised to prescribe outside the Nurse Formulary

*Medicine* is not listed in the Nurse Formulary

What would you write if:

The prescription is not in date

NO

The prescription cannot be dispensed as per The Medicines Act 1968 and The Human Medicines Regulations (as amended)

It is not in date

*Date* is not within 6 months/ 28 days

6 months for POMs

28 days for CDs

What would you write if:

The dosage is wrong on the prescription

NO

The prescription cannot be dispensed as it is clinically wrong.

The dose is incorrect

*Phrase on why it is incorrect*

Prescriber needs to be contacted to inform of the error and a new prescription need to be requested

What would you do if:

The total quantity on a CD prescription is not in both words and figures

NO

Schedule *2/3* CD

The prescription is not legally complete

The Total Quantity is required in both words and figures as per The Misuse of Drugs Regulations 2001 (as amended)

Prescription can only be dispensed after Technical Amendment to add what is missing

I have done this and dispensed the medication

7 NHS requirements for a prescription

1. Patient name

2. Patient Address

3. Patient age (if <12)

4. Prescriber address

5. Prescriber signature

6. Prescriber particulars ( e.g GMC number)

7. Date

3 regarding patient, 3 regarding prescriber, 1 date

4 NHS requirements for a prescription

1. Name of the drug

2. Strength

3. Pharmaceutical form (e.g tablets, capsules…)

4. Quantity to be supplied

What extra requirements are needed to dispense a CD?

• Dose

• Total quantity written in both words and numbers

Entry for:

Emergency supply at the request of a patient

• Date of dispensing

• Reference number

• Name of patient

• Address of patient

• Name, strength, form, dose and quantity of medicine supplied

• Reason for supply

• Price - Including VAT

Entry for:

Emergency supply at the request of a prescriber

• Date of dispensing

• Reference number

• Name of patient

• Patient address

• Name, strength, form, dose and quantity of medicine supplied

• Name of prescriber

• Address of prescriber

• Date the prescription is recieved

• Date on the prescription

• Price - Excluding VAT