Repeat Prescribing Protocol

Repeat prescribing is undertaken to save both patients and doctors the time taken by a consultation when a patient with an ongoing problem stabilised on regular medication needs further medication, but is not yet due for review by a clinician. Repeat prescriptions are given instead of a larger supply being issued at a regular review. The system should run in a way that is convenient and cost effective for both patients and Practice.

This Practice aims to have repeat prescriptions ready for collection from the Surgery within two working days of receiving the request for the prescription. Where patients wish us to return these directly to a pharmacist that operates a collection scheme, we will do so. Where the patient provides a stamped addressed envelope, the prescription will be posted back within two working days of the request being received.

Currently we will accept requests in writing, by fax or using the internet facility. Telephone requests are undertaken in certain circumstances after discussion between clinician and patient. (e.g. housebound patients with difficulty writing who would benefit from telephone requests).

We aim to provide 56 or 28 days of medication, the latter when there are likely to be changes or there is a risk of misusing medication.

Patients often need medication early for reasons of convenience, e.g. holidays, Xmas and various other personal commitments. There is no reason why they should not be supplied earlier. However, a few patients using addictive medication (e.g. narcotics, benzodiazepines), may seek to escalate their dosage, and if this occurs, they will need to see a Doctor. A few patients whose medical condition is uncontrolled (e.g. asthma) will start to use their medication to excess, and this will need to be reviewed by a clinician.

All patients on regular medication need to be reviewed at intervals by a clinician, and where this appears to have been forgotten, the patient will need to be reminded.

All prescriptions must always be legible and accurate. We are therefore seeking to have all repeat prescriptions produced by (and recorded on) the clinical computing system. All prescriptions to be entered on the computer must be checked by a Doctor before and after entry. Only prescriptions authorised by a Doctor may be issued, and a Doctor must sign all prescriptions.

The waiting times for prescriptions are told to patients as they are requested, by notices in reception and in the Practice Leaflet. This is closely monitored by the Senior Receptionist who ensures that they processed and signed by a GP within in the timescale.

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