Pharmacist Prescribing

Competency Framework

the consultation:

  • assess patient

  • identify evidence based treatment options available

  • present options and reach a shared decision

  • prescribe

  • provide information

  • monitor and review

prescribing governance:

  • prescribe safely

  • prescribe professionally

  • improve prescribing practice

  • prescribe as part of a team

Prescribers

independent:

  • practitioner prescribing

  • responsible and accountable for assessment of patients with diagnosed and undiagnosed conditions

  • responsible for decisions of clinical management

  • prescribe any licensed POM, P and GSL for conditions within clinical competence

  • prescribing and checking and dispensing is done by different people

  • can prescribe any CD in sched 2-5

  • can prescribe private and NHS rx

  • can prescribe drugs for unlicensed use but must be clinically competent and able to answer to if questioned

  • when working with SP → diagnose and set parameters of CMP, agree limits of SP, provide advice and support, review patients, report ADR and share patient records.

supplementary:

  • voluntary partnership between doctor and dentist

  • they implement agreed patient specific clinical management plan with patients consent

  • products can be prescribed if within a clinical management plan but usually just monitor and pass info along to prescriber

  • like a PGD but is patient specific and usually an agreement where patient, prescriber and SP have consented all together

  • must only prescribe within CMP and linked to patient record before initial consultation (takes long so not preferred)

  • CMP → patient details, illness and conditions SP can manage, date when plan commences and when review happens, what meds and appliances are allowed, sensitivities and problems, arrangements for ADR and referrals

SP’s can become independent by doing training:

  • experience in clinical setting

  • finding an IP who will mentor and contribute to practice

  • undertake training

  • certification in IP

  • annotating in GPHC reg

  • 500 hours of work in portfolio