Prescriptions

What are the rules of HMR 2012? - NHS and private

Rules	Description
Definition and scope	Defines what constitutes a medicinal product Excludes certain substances like whole human blood and some blood components
Licensing and regulation	Establishes the Licensing Authority (MHRA in Europe/UK) Sets out requirements for: Manufacturing licences Wholesale dealer licences Marketing authorisations (all UK product) Post-marketing surveillance -pharmacovigilance (new to market, black triangle association)
Classification of medicine	Prescription Only Medicines (POM) Pharmacy Medicines (P) General Sale List Medicines (GSL)
Sale and supply	Regulates who can sell or supply medicines and under what conditions Includes rules for pharmacies, hospitals, and healthcare professionals Including sale, supply and prescribing
Pharmacovigilance	Requires monitoring of the safety of medicines post-marketing Obligates reporting of adverse drug reactions.
Advertising	Sets strict rules on how medicines can be advertised, especially to the public. Prohibits misleading or unlicensed claims Packaging and Labelling requirements
Enforcement and penalties	Provides powers for inspection and enforcement. Sets out offences and penalties for non-compliance

What professions can prescribe POM medicines and what type do they include?

• Any licensed med

• Control drugs

• Unlicensed meds

Can't dispense with token only (FP10DT - white FP10SS - green)

• Have to have electronic prescription

What is a supplementary prescriber?

Can prescribe in partnership with a doc/dentist under a clinical management plan

• Nurses

• Pharmacists

• Physiotherapists

• Radiographers

• Some dieticians

What private prescriptions cannot be repeated?

S2 and S3

What needs to be on record of emergency supply medicines?

• Date of supply

• Name, strength, form and quantity of medicine

• Name and address of patient

• Nature of emergency - why no meds are available, what its for, why there’s no prescription

What questions are asked when there’s an emergency supply at the request of the prescriber?

• Reason why need an emergency supply

• Name of patient and details of medication

  • If the medication is a CD only 1 can be given

• Has the patient taken it before

• Why can't they give a prescription

• When will prescription be sent - max 72 hours

What questions are asked when there’s an emergency supply at the request of the patient?

• Reason why need an emergency supply

• Who their prescriber is and why they can’t see them

• Medication and personal details

• If they can access summary care record - to check facts

• Have they taken it before

Compare an emergency supply at the request of the prescriber to a patient

Maximum amount that can be legally supplied to a patient is for 30 days or 5 days if a CD

Compare what is needed when recording an emergency supply at the request of the prescriber to a patient