Summary

Patients should have their medicines when they need them, and in a safe way. People are given information about their medicines.

Outcome in plain English

Follow this good practice to cover everything in this section

9A People who use services receive personalised care through the effective use of medicines

  • Before administering medication take into account the patients:Ensures the person’s prescription for medicines is up to date and changed as per their needsMonitor the effect of the medicationEnsures the person’s prescription for medicines is up to date and changed as per their needsEnsures the person’s prescription for medicines is up to date and changed as per their needs
    • age
    • choices
    • lifestyle
    • cultural and religious beliefs
    • allergies and intolerances
    • existing medical conditions and prescriptions
    • adverse drug reactions
    • recommended prescribing regimes
  • Ensures the person’s prescription for medicines is up to date and changed as per their needs
  • Monitor the effect of the medication
  • Advise them to take the correct dosage
  • Have clear medicine management procedures
  • Manage risk through having clear procedures about medicine handling

9B Treatment and support

  • The provider should have clear procedures for
    • Storage,
    • Prescribing and/or
    • dispensing
    • disposal  which are reviewed and monitored
  • These should include:
    • How medicines are handled and used
    • Staff training on medication handling
    • Covert  administration of medicines,  if needed
    • Take  a second opinion on medications for people detained under the Mental Health Act 1983
    • Record when a patient is not able self-administer their medications
    • Record when medications are given to a patient
    • Procedure for reporting adverse effects
    • Implement all medical safety alerts
    • Keep patients medication history
    • arrangements for medicines management following death of patient
  • If controlled drugs are given at the practice then have procedure that:All procedure should comply with the requirements of the Medicines Act 1968 and the Misuse of Drugs Act 1971, and all other  associated regulations,
    • Investigate adverse effects, errors, etc.
    • Share concerns about mishandling of medicines
    • Reflect and learn from your findings

9C. Take into account all relevant legislation, regulations and best practice relevant to medicine management for your sector

9D  Promote rights and choices by providing people with information about medication:

  • they are taking, including risks
  • that may prevent ill health
  • Ensure that staff have up to date information about medicines
  • Have meetings with the patient and all parties concerned about their medication

9F Follow procedures for recommending home remedies

9G Patients receive support with their medicines

  • Where required you should have these additional procedures:
    • Informing patients about clinical trial
    • Obtain information from the pharmaceuticals

9H medicines required for resuscitation or other medical emergencies are accessible

9J Patient safety alerts, rapid response reports and patient safety recommendations by the NPSA are actioned within required timescales

 

What the BMA says

Your practice is likely to be compliant if your practice does the following:  

Takes account of the following when prescribing medicines to patients:

  • age;
  • patient preference;
  • lifestyle of the patient;
  • the cultural and religious beliefs of the patient;
  • allergies;
  • existing medical conditions and prescriptions;
  • history of adverse drug reactions;
  • recommended prescribing regimes.
  1. Observes the prescribing requirements of the contract governing the services it provides.
  2. Stores all medicines on the premises appropriately and securely e.g. at the right temperature. 
  3. Provides information to patients about the medicines that they are dispensing/prescribing including any risks such as side effects.  


Your practice has the following:  

  1. A repeat prescribing policy that covers conducting medication reviews. However, your repeat prescribing policy should be specifically designed for your practice.  
  2. A procedure for disseminating and acting on local/national clinical guidance, Medicines and Healthcare products Regulatory Agency (MHRA) alerts, national and local formularies and patient safety alerts to staff
  3. Medicines handling procedures that cover the following that are appropriate for your practice: obtaining, storing, prescribing, dispensing, preparation, administration and disposing of medicines.
  4. A controlled drugs standard operating procedure (SOP) at your practice. The Department of Health’s Safer Management of Controlled Drugs: Guidance on SOPs can be referred to for advice. This procedure should cover sharing concerns about mishandling and investigations of adverse events, incidents and errors.

 

 

Primary Care Networks (PCNs)

Partnered with the NAPC, the largest PCN network in England

 

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