WHAT HAPPENS WHEN YOU SUBMIT A PRESCRIPTION? Understanding YOUR ROLE and the PRACTICE ROLE in processing your prescription Camrose Medical Partnership, St Andrews Centre, Western Way, Basingstoke, RG22 6ER Tel: 01256 324666 Fax: 01256 810849 Email: [email protected] www.camrosemedical.co.uk THIS VERSION OF THIS LEAFLET IS IN LARGER PRINT FOR PEOPLE WHO ARE VISUALLY IMPAIRED. A COPY OF THIS LEAFLET IS ALSO AVAILABLE AS AN A5 BOOKLET 1 INTRODUCTION This leaflet is designed to help us help you. Camrose Medical Partnership has 11,500 patients and deals with approximately 200 prescription requests per day. Mondays and Fridays are the busiest times. (Prescription collection is not available on Saturday mornings) Traditional prescribing requires that you contact the Practice every time you need a new prescription and then take this to the Pharmacy to have the medicines dispensed. Repeat prescribing is when your GP authorises a repeat of regular medication supplied on a previous prescription. Repeats usually run for a set period e.g. 3, 6, 12 months and each month you submit a request to your GP for further medication. Some patients ask their Pharmacy to submit the request for them. This enables Pharmacists to dispense regular medication to suitable patients, removing the need for you to go to the Practice on each occasion a repeat medicine is required. Whether requested via the Practice or Pharmacy all prescriptions require authorisation by a GP. It is preferable that prescriptions are submitted via the Practice as this is where your clinical record is stored, so it ensures that the prescription reflects any changes to medications. Three quarters of the prescriptions generated by our GPs are repeat prescriptions. Repeat dispensing can save time, improve choice and offer convenience for you. It reduces GP workload and makes more efficient use of Practice staff time. The Practice prescribing process works well for many people using both the traditional process and repeat prescribing, but it can be time consuming for the GPs, Practice Staff and Pharmacy and may require a number of journeys for you if the process is not managed well. This leaflet explains the prescription process and what is involved. A flow chart of the process is provided in the centre. 2 TEN TOP TIPS TO HELP US HELP YOU GET YOUR MEDICATION WHEN YOU NEED IT When requesting your prescription please use the white part to find the name and dose of the medication. Please tick only what you need to reduce wastage and unnecessary cost which can be a drain on NHS resources. When looking at your prescription “Last issue” on the white part means the date you previously collected the medication. Check how many issues of each medication you have already had e.g. 1/3, 2/3, 6/6, 3/12, 3/3. If “Last issue” on the prescription you submit says for example (2/3) this means the previously collected medication was the 2nd issue of 3, so you are now asking to collect the 3rd and FINAL issue in the set. If “Last issue” on the prescription you submit says for example (3/3) this means the prescription has EXPIRED as you have already collected the 3rd and FINAL issue. You can still submit a request but it will be passed to your GP for re-authorisation of a NEW prescription A YELLOW SLIP attached to your FINAL issue e.g. (3/3) prescription when you collect the medication means that your GP wants you to have tests and/or make an appointment before you can have any more. This is to ensure that the medication is still right for you. Please book an appointment(s) to have the tests or review as soon as you receive a YELLOW SLIP to avoid running out of medication. Please request your medication at least 6 working days before it completely runs out. The Practice needs 3 working days to process your prescription. The Pharmacy also need time to prepare your medication. Please keep track of how many medication “issues” you have had and how much you have left to avoid running out and having to request your prescription urgently. A poster version of these tips is on display in the Practice waiting area. More detail on these tips is provided on pages 6 and 7 3 WHAT HAPPENS WHEN YOU SUBMIT A PRESCRIPTION? Understanding YOUR ROLE and the role of the Practice in processing your prescription Patient requests prescription by using one of the following methods: •Prescription post box in the Surgery •Online/email •By post •By fax •Telephone voicemail service •Via the Pharmacy ordering service Prescription is received into the Practice by the Prescriptions Team Request for medication has two or more issues (supplies) remaining e.g. (0/3) (1/3) (4/6) This info is found on the white part of the prescription next to the medications and shows the date of the “Last (previous) issue” (i.e. the date medication was previously supplied) Prescription Team print required medications onto prescription via patient’s clinical record Prescription is checked and signed by a GP and given back to the Prescription Team Request for medication is the FINAL issue (supply) in the set e.g. the white part says “Last issue (2/3)” [or (5/6) (11/12) etc] This means the last (previous) issue was the 2nd and this request is the 3rd and FINAL issue in the set Prescription is marked for usual GP’s attention If patient requires appointment / tests the GP will write this on a YELLOW SLIP and attach it to the signed prescription for THE PATIENT to organise and carry out before the next request is due If no appointment / test is required, prescription is signed by the GP Request for medication has already EXPIRED completely e.g. the white part says “Last issue (3/3)” [or (6/6) (12/12) etc] This means you have already had your rd 3 and FINAL issue in the set A request for a NEW prescription is passed to the usual GP Patient has had appointment / tests, if required GP will then authorise a NEW prescription e.g. reset back to (0/3) (0/6) and adjust medication based on results of appointment / tests as well as patient’s response to the medication The staff member checks the prescription for the preferred collection method e.g. the Practice collection box or by a specific Pharmacy The Pharmacies collect prescriptions once a day, signing for them to document that the prescription has left the Practice It is then the responsibility of the relevant Pharmacy, not the Practice Patient has not had required appointment / tests. GP will not authorise a NEW prescription e.g. reset back to (0/3) (0/6) until patient has done so. GP may authorise a short supply of medication if appropriate / safe until appointment / test has been carried out Patient will be informed again via further YELLOW SLIP when they collect the prescription If short supply cannot be authorised patient is informed that they need to make an appointment or have tests first Help us to make sure that you receive your prescription when you need it – how it works in more detail…. When requesting your medication please use the white part of your prescription. If you do not have the white part of your prescription please ensure that you know the name and dose of the medication to avoid confusion when ordering (the name and dose can be found on the medication box). Please remember to tick what you need and also ensure that you only tick the items of medication that you require, in order to reduce wastage and unnecessary cost which can be a drain on resources. You can keep an eye on when your medication is due for re-authorising by looking on the white part of your prescription slip which states how many issues of each medication you have had e.g. 1/3, 2/3, 6/6, 3/12, 3/3. “Last issue” on the white part means the date you previously collected the medication. If the “Last issue” on the prescription you submit says (2/3) [or (5/6), (11/12) etc] this means the previous collected medication was the 2nd of 3 and this request, when you collect the medication, will be your 3rd and FINAL issue in the set. If the “Last issue” on the prescription you submit says (3/3) [or (6/6, (12/12) etc] this means your prescription has EXPIRED as you have already had the 3rd and FINAL issue in the set. A request for a NEW prescription will be passed to your usual GP to re-authorise. Please be aware of the expiry process and that repeat medications clinically require re-authorising by a GP after a set amount of issues (supplies). Therefore you may be required to have an appointment / tests at the GP’s request before re-authorising can take place. This is to ensure that the medication is still appropriate / safe for you. 5 If your GP requests via a YELLOW SLIP attached to your FINAL issue e.g. (3/3) prescription when you collect it (or collect the medication at the Pharmacy if your prescription has been sent directly to them) that you need to have an appointment / tests before your next set of repeat prescriptions can be re-authorised e.g. issues reset back to 0/3, 0/6, 0/12, then please book an appointment(s) to have the tests / review as soon as possible and before you run out of medication. We suggest you book your appointment when you collect your prescription or medication and see the YELLOW SLIP. If the medication is no longer appropriate / safe for you, the prescription will not be authorised and you will be asked to make an appointment with your GP. Prescriptions are authorised by your usual GP. If your usual GP is on annual leave then the prescription is allocated to another GP. Please request your medication at least 6 working days before it completely runs out as the Practice turnaround time for your prescription is 3 working days. This does not include the time that the Pharmacy requires to prepare your medication. Note that once your prescription has been passed to the Pharmacy it is then the responsibility of the relevant Pharmacy, not the Practice. The Pharmacy and Practice are two separately managed services. Please keep track of how much medication you have left to avoid running out of medication and subsequently having to request your prescription urgently. We appreciate that occasional circumstances may require you to request your medication urgently but please try to avoid this. If the Pharmacy requests your repeat medication for you then please make sure that they are aware to order only the items that you require. If you have any questions please ask at reception or discuss with your GP at your next appointment. 6 YOUR VIEWS ARE IMPORTANT TO US IF YOU HAVE ANY COMMENTS ON THIS LEAFLET PLEASE LET US KNOW THANK YOU 7
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