MEP 3.3.14 Prescriber types and prescribing restrictions

what must the address of the prescriber be for when prescribing CD schedule 2 and 3

prescriber's address must be within the UK

who can prescribe CD schedule 1

prescribed under a Home Office licence

Community practitioner nurse prescriber: Can prescribe Schedule 2 to 5 CDs?

No

Community practitioner nurse prescriber: Can prescribe unlicensed and/or off-label medicines?

No - other than Nystatin off-label for neonates

Community practitioner nurse prescriber: Can authorise an emergency supply for items which can be prescribed?

Yes

Community practitioner nurse prescriber: what are their prescribing limited to

dressings, appliances and licensed medicines listed in the Nurse Prescribers' Formulary

Dentist: Can prescribe Schedule 2 to 5 CDs?

Yes - a Home Office licence is required to prescribe cocaine, diamorphine or dipipanone for treating addiction

Dentist: Can prescribe unlicensed and/or off-label medicines?

yes

Dentist: Can authorise an emergency supply for items which can be prescribed?

Yes - includes phenobarbital for epilepsy but no other Schedule 1, 2 or 3 CDs

Dentist: what are they limited to

Dentists should restrict prescribing to treatment of dental conditions but legally can prescribe any medicine within their clinical expertise

NHS dental prescriptions are restricted to the medicines listed in the Dental Practitioners' Formulary

EEA or Swiss registered approved health professional: Can prescribe Schedule 2 to 5 CDs?

Schedule 4 and 5 CDs only

EEA or Swiss registered approved health professional: Can prescribe unlicensed and/or off-label medicines?

Only off-label medicines (i.e., using a licensed medicine outside of its approved use)

EEA or Swiss registered approved health professional: Can authorise an emergency supply for items which can be prescribed?

yes

EEA or Swiss registered approved health professional prescribing restrictions

Can only prescribe items which have a recognised marketing authorisation within the UK

Nurse/midwife independent prescriber: Can prescribe Schedule 2 to 5 CDs?

Yes - but not cocaine, diamorphine or dipipanone for treating addiction

Nurse/midwife independent prescriber: Can prescribe unlicensed and/or off-label medicines?

Yes

Unlicensed medicines are excluded from the Nurse Prescribers' Formulary in the Scottish Drug Tariff and, therefore, are not reimbursed on NHS prescriptions in Scotland

Nurse/midwife independent prescriber: Can authorise an emergency supply for items which can be prescribed?

Yes - includes phenobarbital for epilepsy but no other Schedule 1, 2 or 3 CDs

Optometrist independent prescribers:Can prescribe Schedule 2 to 5 CDs?

no

Optometrist independent prescriber: Can prescribe unlicensed and/or off-label medicines?

Only 'off-label' medicines (i.e., using a licensed medicine outside of its approved use)

Optometrist independent prescriber: Can authorise an emergency supply for items which can be prescribed?

yes

Optometrist independent prescriber prescribing restrictions

For treating conditions affecting the eye and surrounding tissue only, but not parenteral preparations.

Paramedic independent prescriber (advanced paramedics): Can prescribe Schedule 2 to 5 CDs?

Only the following CDs:

Morphine sulphate by oral administration or by injection

Diazepam by oral administration or by injection

Midazolam by oromucosal administration or by injection

Lorazepam by injection

Codeine phosphate by oral administration.

Paramedic independent prescriber (advanced paramedics): Can prescribe unlicensed and/or off-label medicines?

Only 'off-label' medicines (i.e., using a licensed medicine outside of its approved use).

Paramedic independent prescriber (advanced paramedics) Can authorise an emergency supply for items which can be prescribed?

Yes - but not Schedule 1, 2 or 3 CDs (including phenobarbital).

Pharmacist independent prescriber: Can prescribe Schedule 2 to 5 CDs

Yes - but not cocaine, diamorphine or dipipanone for treating addiction

Pharmacist independent prescriber: Can prescribe unlicensed and/or off-label medicines?

yes

Pharmacist independent prescriber: Can authorise an emergency supply for items which can be prescribed?

Yes - includes phenobarbital for epilepsy but no other Schedule 1, 2 or 3 CDs.

Physiotherapist independent prescriber: Can prescribe Schedule 2 to 5 CDs?

Only the following CDs:

For oral administration: diazepam, dihydrocodeine, lorazepam, morphine, oxycodone and temazepam

For injection – morphine

For transdermal administration - fentanyl.

Physiotherapist independent prescriber: Can prescribe unlicensed and/or off-label medicines?

Only off-label medicines (i.e., using a licensed medicine outside of its approved use)

Physiotherapist independent prescriber: Can authorise an emergency supply for items which can be prescribed?

Yes - but not Schedule 1, 2 or 3 CDs (including phenobarbital).

Podiatrist/chiropodist independent prescriber: Can prescribe Schedule 2 to 5 CDs?

Only the following CDs for oral administration - diazepam, dihydrocodeine, lorazepam and temazepam

Podiatrist/chiropodist independent prescriber

Podiatrist/chiropodist independent prescriber: Can prescribe unlicensed and/or off-label medicines?

Only off-label medicines (i.e., using a licensed medicine outside of its approved use)

Podiatrist/chiropodist independent prescriber: Can authorise an emergency supply for items which can be prescribed

Yes - but not Schedule 1, 2 or 3 CDs (including phenobarbital).

name examples of supplementary prescribers (SP)

dietician, midwife, nurse, optometrist, paramedic, pharmacist, physiotherapist, podiatrist/chiropodist, radiographer (diagnostic/therapeutic) prescribing restrictions

Can SPs prescribe Schedule 2 to 5 CDs?

Yes - but not cocaine, diamorphine or dipipanone for treating addiction

CanSPs prescribe unlicensed and/or off-label medicines?

yes

Can SPs authorise an emergency supply for items which can be prescribed?

Yes - includes phenobarbital for epilepsy but no other Schedule 1, 2 or 3 CDs.

what are SPs restricted to

Prescribing is restricted to areas of clinical competence and included within an agreed written clinical management plan (written and agreed with a prescriber and often the patient).

Therapeutic radiographer independent prescriber: Can prescribe Schedule 2 to 5 CDs?

Only the following CDs:

Tramadol by oral administration

Lorazepam by oral administration

Diazepam by oral administration

Morphine by oral administration or by injection

Oxycodone by oral administration

Codeine by oral administration.

Therapeutic radiographer independent prescriber: Can prescribe unlicensed and/or off-label medicines?

Only off-label medicines (i.e., using a licensed medicine outside of its approved use)

Therapeutic radiographer independent prescriber: Can authorise an emergency supply for items which can be prescribed?

Yes - but not Schedule 1, 2 or 3 CDs (including phenobarbital).

Veterinary surgeon: Can prescribe Schedule 2 to 5 CDs?

Yes. Prescriptions for Schedule 2 and 3 CDs do not need to be on the standardised forms but must include the RCVS registration number of the prescriber

Veterinary surgeon: Can prescribe unlicensed and/or off-label medicines?

Yes. Where the medicine is not licensed for the animal intended, it needs to be prescribed under the veterinary cascade

Veterinary surgeon: Can authorise an emergency supply for items which can be prescribed?

No (emergency supply legislation applies to human use only)

Veterinary surgeon are restricted to

For the treatment of animals only.