{"id":3424,"date":"2024-07-25T09:10:24","date_gmt":"2024-07-25T08:10:24","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=3424"},"modified":"2026-02-19T12:30:22","modified_gmt":"2026-02-19T12:30:22","slug":"guidance","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/guidance\/","title":{"rendered":"Guidance"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3424-1\"><div class=\"fusion-panel panel-default panel-d7c44074b08d49566 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d7c44074b08d49566\"><a aria-expanded=\"false\" aria-controls=\"d7c44074b08d49566\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#d7c44074b08d49566\" href=\"#d7c44074b08d49566\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">General prescribing guidance <\/span><\/a><\/h4><\/div><div id=\"d7c44074b08d49566\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d7c44074b08d49566\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>All prescribers should work within their scope of competence, governance framework, and the standards set out by their professional body, as well as the following:<\/p>\n<ul>\n<li>Basic <a href=\"https:\/\/bnf.nice.org.uk\/medicines-guidance\/prescription-writing\/\" target=\"_blank\" rel=\"noopener\">prescription writing<\/a> guidance in the BNF online includes guidance for ensuring that all the legal requirements are met for paper and electronic prescriptions<\/li>\n<li><a href=\"https:\/\/www.gmc-uk.org\/professional-standards\/professional-standards-for-doctors\/good-medical-practice\" target=\"_blank\" rel=\"noopener\">Good medical practice<\/a> (GMC)<\/li>\n<li><a href=\"https:\/\/www.gmc-uk.org\/-\/media\/documents\/prescribing-guidance-before-cie_pdf-85470847.pdf?la=en&amp;hash=EBC2C2FCDD5F7481667629E891F4BFB8A792F59D#:~:text=Good%20practice%20in%20prescribing%20and%20managing%20medicines%20and,satisfied%20that%20the%20medicine%20serves%20your%20patient%E2%80%99s%20need.\" target=\"_blank\" rel=\"noopener\">Good practice in prescribing and managing medicines and devices<\/a> (GMC, 2021)<\/li>\n<li><a href=\"https:\/\/www.sps.nhs.uk\/articles\/legal-mechanisms-to-supply-and-administer-medicines-to-individuals\/\" target=\"_blank\" rel=\"noopener\">Legal mechanisms to supply and administer medicines to individuals<\/a> (SPS April 2024)<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d04da18a5a913653a fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d04da18a5a913653a\"><a aria-expanded=\"false\" aria-controls=\"d04da18a5a913653a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#d04da18a5a913653a\" href=\"#d04da18a5a913653a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Adverse drug reactions &amp; patient safety incidents<\/span><\/a><\/h4><\/div><div id=\"d04da18a5a913653a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d04da18a5a913653a\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><strong>Adverse drug reactions<\/strong><\/p>\n<p>Report suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency (MHRA) via the <a href=\"https:\/\/yellowcard.mhra.gov.uk\/\" target=\"_blank\" rel=\"noopener\">Yellow Card website<\/a>.<\/p>\n<p><strong>Patient safety incidents<\/strong><\/p>\n<p>Patient safety incidents should be reported via the \u2018Learning from Patient Safety Events\u2019 (LFPSE) website at: <a href=\"https:\/\/record.learn-from-patient-safety-events.nhs.uk\/\" target=\"_blank\" rel=\"noopener\">https:\/\/record.learn-from-patient-safety-events.nhs.uk\/. <\/a>For more information, refer to the <a href=\"https:\/\/www.england.nhs.uk\/patient-safety\/patient-safety-insight\/learning-from-patient-safety-events\/learn-from-patient-safety-events-service\/\" target=\"_blank\" rel=\"noopener\">NHS England information about the rollout of the LFPSE service<\/a>, and supporting <a href=\"https:\/\/nhsdorsetccg.sharepoint.com\/sites\/psr\/SitePages\/Learn-from-patient-safety-events-(LFPSE).aspx\" target=\"_blank\" rel=\"noopener\">local guidance<\/a> about using LFPSE.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8a5fac2365e3609dc fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8a5fac2365e3609dc\"><a aria-expanded=\"false\" aria-controls=\"8a5fac2365e3609dc\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#8a5fac2365e3609dc\" href=\"#8a5fac2365e3609dc\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Alerts and drug recalls<\/span><\/a><\/h4><\/div><div id=\"8a5fac2365e3609dc\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8a5fac2365e3609dc\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>GP practices have a contractual obligation to register practice email(s) with the MHRA <a href=\"https:\/\/www.cas.mhra.gov.uk\/Home.aspx\" target=\"_blank\" rel=\"noopener\">Central Alerting System<\/a> (CAS) and to act on alerts received. Practices should separately register to receive the MHRA <a href=\"https:\/\/www.gov.uk\/drug-safety-update\" target=\"_blank\" rel=\"noopener\">Drug Safety Update<\/a>, which is not distributed via the CAS route.<\/p>\n<p>Refer to <a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/gps\/gp-mythbusters\/gp-mythbuster-91-patient-safety-alerts\" target=\"_blank\" rel=\"noopener\">GP mythbuster 91: Patient safety alerts<\/a> (CQC, 2022).<\/p>\n<p>There are also <a href=\"https:\/\/www.england.nhs.uk\/patient-safety\/patient-safety-alerts\/enduring-standards\/standards-that-remain-valid\/medication-safety\/\" target=\"_blank\" rel=\"noopener\">enduring standards that remain valid from previous patient safety alerts<\/a> \u2013 content and actions from previous patient safety alerts from the NHSE, NHS Improvement or NPSA that have been identified as an ongoing enduring standard. These are standards that remain valid to a specific speciality or clinical issue beyond the initial alert\u2019s \u2018action completion date\u2019. Does your organisation still comply with them all?<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-56569a291e78b4a93 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_56569a291e78b4a93\"><a aria-expanded=\"false\" aria-controls=\"56569a291e78b4a93\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#56569a291e78b4a93\" href=\"#56569a291e78b4a93\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Compliance aids<\/span><\/a><\/h4><\/div><div id=\"56569a291e78b4a93\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_56569a291e78b4a93\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2025\/08\/Managing-Compliance-Aids-in-NHS-Dorset-Aug_25.pdf\">Managing compliance aids (blister packs) &#8211; NHS Dorset local guidance<\/a><\/p>\n<p><a href=\"https:\/\/thehealthinnovationnetwork.co.uk\/wp-content\/uploads\/2025\/02\/Health-Innovation-Network-Polypharmacy-Guide-Feb-2025.pdf\">The mechanics of tackling overprescribing and problematic polypharmacy<\/a> (Health Innovation Network, 2025)<\/p>\n<p><a href=\"https:\/\/vimeo.com\/727785517\">How healthcare professionals can support medicines compliance: reasonable adjustments<\/a> (Health Innovation Network, 2022)<\/p>\n<p><a href=\"https:\/\/cpe.org.uk\/quality-and-regulations\/other-regulatory-and-terms-of-service-requirments\/equality-act\/\">The Equality Act 2010 and community pharmacies<\/a> (Community Pharmacy England)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e2f861ad317890839 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e2f861ad317890839\"><a aria-expanded=\"false\" aria-controls=\"e2f861ad317890839\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#e2f861ad317890839\" href=\"#e2f861ad317890839\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Community Pharmacy supply of Over the Counter (OTC) and Pharmacy (P) medicines to pregnant people<\/span><\/a><\/h4><\/div><div id=\"e2f861ad317890839\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e2f861ad317890839\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2025\/06\/Supplying-treatments-in-pregnancy-and-breastfeeding-iron.pdf\">Iron deficiency<\/a><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2025\/06\/Supplying-treatments-in-pregnancy-and-breastfeeding-thrush.pdf\">Thrush<\/a><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d91f099591ca1fd49 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d91f099591ca1fd49\"><a aria-expanded=\"false\" aria-controls=\"d91f099591ca1fd49\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#d91f099591ca1fd49\" href=\"#d91f099591ca1fd49\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Community Pharmacy Oral Contraceptive Service<\/span><\/a><\/h4><\/div><div id=\"d91f099591ca1fd49\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d91f099591ca1fd49\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2026\/02\/Dorset-Community-Pharmacy-Oral-Contraception-Service-Guidance-v2.pdf\">Community Pharmacy Oral Contraceptive Service guidance for GP practices<\/a><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-026d4aa9e3bc7a002 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_026d4aa9e3bc7a002\"><a aria-expanded=\"false\" aria-controls=\"026d4aa9e3bc7a002\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#026d4aa9e3bc7a002\" href=\"#026d4aa9e3bc7a002\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Electronic repeat dispensing<\/span><\/a><\/h4><\/div><div id=\"026d4aa9e3bc7a002\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_026d4aa9e3bc7a002\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/wessexahsn.org.uk\/projects\/120\/electronic-repeat-dispensing-erd\">Wessex AHSN eRD resources<\/a><\/p>\n<p><a href=\"https:\/\/digital.nhs.uk\/services\/electronic-prescription-service#about-eps\">NHS Digital EPS resources (general information)<\/a><\/p>\n<p><a href=\"https:\/\/digital.nhs.uk\/services\/electronic-prescription-service\/electronic-repeat-dispensing-for-prescribers\">NHS Digital eRD resources for prescribers<\/a><\/p>\n<p><a href=\"https:\/\/learning.necsu.nhs.uk\/nhs-digital-electronic-repeat-dispensing-elearning\/\">eRD eLearning \u2013 GP practices and community pharmacies<\/a><\/p>\n<p><a href=\"https:\/\/www.nhsbsa.nhs.uk\/access-our-data-products\/epact2\/dashboards-and-specifications\/electronic-prescription-service-eps-and-electronic-repeat-dispensing-erd-utilisation-dashboard\">EPS and eRD utilisation dashboard<\/a><\/p>\n<p>Local resources:<\/p>\n<ul>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/08\/CCG-eRD-SOP-v4.1.pdf\">Draft eRD SOP for local adaption<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2026\/02\/erd-conversation-crib-sheet-nehf-ccg-_2020_02_04_02_45_14.pdf\">Electronic repeat dispensing conversation crib sheet (NHS North East Hampshire and Farnham)<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/08\/Dorset-PP-infographic-for-clinicians-Sept-2022.pdf\">eRD Summary Poster for Prescribers\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.prescqipp.info\/learning\/skills-webinars\/electronic-repeat-dispensing-using-systmone-clinical-system\/\">PrescQipp Electronic repeat dispensing using SystmOne clinical system<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-3c495c892f0ab2132 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3c495c892f0ab2132\"><a aria-expanded=\"false\" aria-controls=\"3c495c892f0ab2132\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#3c495c892f0ab2132\" href=\"#3c495c892f0ab2132\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">High risk drugs<\/span><\/a><\/h4><\/div><div id=\"3c495c892f0ab2132\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3c495c892f0ab2132\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><strong>Anticoagulants<\/strong><\/p>\n<p><a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/gps\/gp-mythbusters\/gp-mythbuster-92-anticoagulant-monitoring-primary-care\" target=\"_blank\" rel=\"noopener\">GP mythbuster 92: Anticoagulant monitoring in primary care<\/a> (CQC, 2022)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/understanding-interactions-with-direct-oral-anticoagulants-doac\/#:~:text=doac%20monitoring\" target=\"_blank\" rel=\"noopener\">Understanding direct oral anticoagulant (DOAC) interactions<\/a> (SPS, 2024)<\/p>\n<p><strong>Methotrexate<\/strong><\/p>\n<p>Refer to guidance on the <a href=\"https:\/\/www.dorsetformulary.nhs.uk\/searchresults.asp?SearchVar=methotrexate&amp;Submit=Search\" target=\"_blank\" rel=\"noopener\">Dorset Formulary<\/a> regarding preferred pre-filled injection brands.<\/p>\n<p><a href=\"https:\/\/www.gov.uk\/drug-safety-update\/methotrexate-once-weekly-for-autoimmune-diseases-new-measures-to-reduce-risk-of-fatal-overdose-due-to-inadvertent-daily-instead-of-weekly-dosing?UNLID=6802120842024621151632\">Methotrexate once weekly for autoimmune diseases: new measures to reduce risk of fatal overdose due to inadvertent daily instead of weekly dosing<\/a> (MHRA, 2020)<\/p>\n<p>The \u2018Improving compliance with oral methotrexate\u2019 patient safety alert and the associated patient booklet published by the National Patient Safety Agency (NPSA) in 2006 is available in the <a href=\"https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20180501162948\/http:\/www.nrls.npsa.nhs.uk\/resources\/type\/alerts\/?entryid45=59800&amp;p=4\" target=\"_blank\" rel=\"noopener\">National Archives<\/a><\/p>\n<p><a href=\"https:\/\/assets.publishing.service.gov.uk\/media\/5f6a0dd98fa8f55f288afbe2\/Patient_Card.pdf?UNLID=427506725202328165720&amp;UNLID=6802120842024621151632\" target=\"_blank\" rel=\"noopener\">Methotrexate patient card<\/a> (2020)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/managing-interactions-with-methotrexate\/#:~:text=methotrexate%20penicillin?UNLID=6802120842024621151632\" target=\"_blank\" rel=\"noopener\">Managing interactions with methotrexate<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/using-folic-acid-with-methotrexate-in-rheumatoid-arthritis\/#:~:text=methotrexate\" target=\"_blank\" rel=\"noopener\">Using folic acid with methotrexate in rheumatoid arthritis<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/monitorings\/methotrexate-monitoring\/#:~:text=methotrexate\" target=\"_blank\" rel=\"noopener\">Methotrexate monitoring<\/a> (SPS, 2022)<\/p>\n<p><a href=\"https:\/\/www.rcn.org.uk\/professional-development\/publications\/administering-subcutaneous-methotrexate-for-inflammatory-arthritis-uk-pub-009-675\" target=\"_blank\" rel=\"noopener\">Administering Subcutaneous Methotrexate for Inflammatory Arthritis<\/a> (RCN, 2021)<\/p>\n<p><strong>Lithium<\/strong><\/p>\n<p>Refer to guidance on the <a href=\"https:\/\/www.dorsetformulary.nhs.uk\/chaptersSubDetails.asp?FormularySectionID=4&amp;SubSectionRef=04.02.03&amp;SubSectionID=F100&amp;drugmatch=1141#1141\" target=\"_blank\" rel=\"noopener\">Dorset Formulary<\/a> regarding safe dose conversions. The <a href=\"https:\/\/www.nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Shared%20Care%20Guidelines\/Lithium%20shared%20care%20document.pdf?UNLID=1511977212024618142349\" target=\"_blank\" rel=\"noopener\">shared care guidance<\/a> for lithium sets out baseline and ongoing monitoring requirements.<\/p>\n<p>Recommendations for starting, stopping and monitoring lithium treatment is described in the NICE clinical guideline on <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg185\/chapter\/Recommendations#how-to-use-medication\" target=\"_blank\" rel=\"noopener\">Bipolar disorder: assessment and management<\/a>.<\/p>\n<p>\u2018Safer lithium therapy\u2019 and the associated patient booklet\/alert card published by the National Patient Safety Agency (NPSA) in 2010 is available in the <a href=\"https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20171030130945\/http:\/www.nrls.npsa.nhs.uk\/resources\/type\/alerts\/?entryid45=65426&amp;p=2\" target=\"_blank\" rel=\"noopener\">National Archives<\/a>.<\/p>\n<p>Further paper supplies of the booklet and card can be ordered via the Primary Care Support England (PCSE) online ordering system for supplies.<\/p>\n<p><strong>Insulin<\/strong><\/p>\n<p>The \u2018Safer administration of insulin\u2019 Rapid Response report and the associated patient booklet\/alert card published by the National Patient Safety Agency (NPSA) in 2010 is available in the <a href=\"https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20171030131041\/http:\/www.nrls.npsa.nhs.uk\/resources\/type\/alerts\/?entryid45=74287&amp;p=1\" target=\"_blank\" rel=\"noopener\">National Archives<\/a>.<\/p>\n<p>\u2018The adult patient\u2019s passport to safer use of insulin\u2019 and the associated \u2018insulin passport\u2019 and alert information and patient booklet published by the National Patient Safety Agency (NPSA) in 2010 is available in the <a href=\"https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20171030130733\/http:\/www.nrls.npsa.nhs.uk\/resources\/type\/alerts\/?entryid45=130397&amp;p=1\" target=\"_blank\" rel=\"noopener\">National Archives<\/a>.<\/p>\n<p>Further paper supplies of the insulin passport can be ordered via the Primary Care Support England (PCSE) online ordering system for supplies.<\/p>\n<p><strong>Valproate<\/strong><\/p>\n<p>Valproate (Epilim\u00ae, Depakote\u00ae, Episenta\u00ae and other generic brands) is associated with a significant risk of birth defects and developmental disorders in children born to women who take valproate during pregnancy. Since 2018 any use of valproate in patients of childbearing potential has to be within the terms of the Pregnancy Prevention Programme. This is designed to make sure patients are fully aware of the risks and the need to avoid becoming pregnant.<\/p>\n<p>From January 2024, valproate must not be started in new patients (male or female) younger than 55 years, unless two specialists independently consider and document that there is no other effective or tolerated treatment, or unless there are compelling reasons that the reproductive risks do not apply.<\/p>\n<p><a href=\"https:\/\/www.gov.uk\/guidance\/valproate-use-by-women-and-girls\" target=\"_blank\" rel=\"noopener\">Valproate use by women and girls<\/a> (contains links to patient support material) (MHRA, 2024)<\/p>\n<p><a href=\"https:\/\/www.gov.uk\/government\/publications\/full-pack-dispensing-of-valproate-containing-medicines\/full-pack-dispensing-of-valproate-containing-medicines\" target=\"_blank\" rel=\"noopener\">Full pack dispensing of valproate-containing medicines<\/a> (MHRA, 2023)<\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Shared%20Care%20Guidelines\/Mental%20health%20SCG%20valproate%20bipolar%20disorder%20v4.pdf?UNLID=1511978022024618153334\" target=\"_blank\" rel=\"noopener\">Shared Care Guidelines for Valproate in The Treatment of Bipolar Disorder<\/a> (2020)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-2a7c324fe09730ef9 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_2a7c324fe09730ef9\"><a aria-expanded=\"false\" aria-controls=\"2a7c324fe09730ef9\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#2a7c324fe09730ef9\" href=\"#2a7c324fe09730ef9\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Medicines information service<\/span><\/a><\/h4><\/div><div id=\"2a7c324fe09730ef9\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_2a7c324fe09730ef9\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>If you work in primary care (including community pharmacy), specialist medicines advice can be obtained from SPS via <strong>0300 7708564<\/strong> or email <a href=\"mailto:asksps.nhs@sps.direct\" target=\"_blank\" rel=\"noopener\">asksps.nhs@sps.direct<\/a>. (Staff in Dorset NHS Trusts should seek advice from their pharmacy teams. This service is also not intended for members of the public).<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-929f5013b97b78dc3 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_929f5013b97b78dc3\"><a aria-expanded=\"false\" aria-controls=\"929f5013b97b78dc3\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#929f5013b97b78dc3\" href=\"#929f5013b97b78dc3\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Medicines reconciliation<\/span><\/a><\/h4><\/div><div id=\"929f5013b97b78dc3\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_929f5013b97b78dc3\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/adult-social-care\/medicines-reconciliation-how-check-you-have-right-medicines\" target=\"_blank\" rel=\"noopener\">Medicines reconciliation<\/a> guidance from the CQC (2023) includes information about who can reconcile medications, when reconciliation should be carried out, and information to reconcile<\/p>\n<p><a href=\"https:\/\/pharmaceutical-journal.com\/article\/ld\/how-to-perform-accurate-medicines-reconciliation\" target=\"_blank\" rel=\"noopener\">How to perform accurate medicines reconciliation<\/a> (the Pharmaceutical Journal, 2023)<\/p>\n<p><a href=\"https:\/\/www.nice.org.uk\/Guidance\/NG5\" target=\"_blank\" rel=\"noopener\">Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes<\/a> (NICE NG5, 2015)<\/p>\n<p><a href=\"https:\/\/www.rpharms.com\/Portals\/0\/RPS%20document%20library\/Open%20access\/Publications\/Keeping%20patients%20safe%20transfer%20of%20care%20report.pdf\" target=\"_blank\" rel=\"noopener\">Keeping patients safe when they transfer between care providers \u2013 getting the medicines right<\/a> (RPS, 2012)<\/p>\n<p>The following templates are provided for adaptation by GP practices:<\/p>\n<ul>\n<li>Template <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Template%20Suggested%20form%20for%20transfer%20of%20pt%20drug%20history%20to%20secondary%20care.docx\">suggested form for transfer of patient drug history to secondary care<\/a><\/li>\n<li>Template <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Medicines%20reconcilation%20quick%20reference%20list.docx\">medicines reconciliation quick reference checklist<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ab50f15651e818702 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ab50f15651e818702\"><a aria-expanded=\"false\" aria-controls=\"ab50f15651e818702\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#ab50f15651e818702\" href=\"#ab50f15651e818702\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Non-medical prescribing<\/span><\/a><\/h4><\/div><div id=\"ab50f15651e818702\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ab50f15651e818702\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>The Royal Pharmaceutical Society have developed \u2018<a href=\"https:\/\/www.rpharms.com\/resources\/frameworks\/prescribers-competency-framework\" target=\"_blank\" rel=\"noopener\">A Competency Framework for all Prescribers<\/a>\u2019. It is a generic framework that can be used by any prescriber at any point in their career, regardless of their professional background. However, it must be contextualised to reflect different areas of practice, levels of expertise and settings. The framework has been adopted by many professional bodies, including but not limited to the NMC and HCPC.<\/p>\n<p>Also refer to <a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/gps\/gp-mythbusters\/gp-mythbuster-95-non-medical-prescribing\" target=\"_blank\" rel=\"noopener\">GP mythbuster 95: Non-medical prescribing<\/a> (CQC, 2024).<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e6ba68141bffdf18e fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e6ba68141bffdf18e\"><a aria-expanded=\"false\" aria-controls=\"e6ba68141bffdf18e\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#e6ba68141bffdf18e\" href=\"#e6ba68141bffdf18e\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Prescription code guidance and prescription overprint<\/span><\/a><\/h4><\/div><div id=\"e6ba68141bffdf18e\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e6ba68141bffdf18e\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Instructions for <a href=\"https:\/\/www.nhsbsa.nhs.uk\/pharmacies-gp-practices-and-appliance-contractors\/prescribing-and-dispensing\/prescription-forms\/prescription-form-overprint-specifications\" target=\"_blank\" rel=\"noopener\">prescription overprint layout<\/a> can be found on the NHS BSA website.<\/p>\n<p><a href=\"https:\/\/www.nhsbsa.nhs.uk\/sicbls-icbs-and-other-providers\/organisation-and-prescriber-changes\/how-avoid-unidentified-prescribing\" target=\"_blank\" rel=\"noopener\">How to avoid \u2018unidentified\u2019 prescribing<\/a> (NHS BSA online)<\/p>\n<p>The NHS Dorset Medicines Team has guidance about using and configuring prescriber codes in SystmOne &#8211; please email medicine.question@nhsdorset.nhs.uk if you would like a copy<strong>.<\/strong><\/p>\n<p>Also refer to guidance on the <a href=\"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-content\/uploads\/sites\/3\/2023\/06\/Dorset-Formulary-Setup-V2.pdf\" target=\"_blank\" rel=\"noopener\">Dorset Formulary SystmOne Profile Setup\u00a0<\/a><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-59a4f93fa283e686a fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_59a4f93fa283e686a\"><a aria-expanded=\"false\" aria-controls=\"59a4f93fa283e686a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#59a4f93fa283e686a\" href=\"#59a4f93fa283e686a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Prescription form security<\/span><\/a><\/h4><\/div><div id=\"59a4f93fa283e686a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_59a4f93fa283e686a\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>If you have any suspicions or concerns about prescription forms being fraudulently used, you should report this to the NHSCFA. You can call the free, 24hour reporting line\u00a00800 028 4060\u00a0or report online at\u00a0<a href=\"https:\/\/cfa.nhs.uk\/report-fraud\" target=\"_blank\" rel=\"noopener\">https:\/\/cfa.nhs.uk\/report-fraud<\/a>.<\/p>\n<p><a href=\"https:\/\/cfa.nhs.uk\/resources\/downloads\/guidance\/Management_and_control_of_prescription_forms_v1.0_March_2018.pdf\" target=\"_blank\" rel=\"noopener\">Management and control of prescription forms: A guide for prescribers and health <\/a><a href=\"https:\/\/cfa.nhs.uk\/resources\/downloads\/guidance\/Management_and_control_of_prescription_forms_v1.0_March_2018.pdf\">Organisations<\/a> (NHS CFA, March 2018)<\/p>\n<p><a href=\"https:\/\/cfa.nhs.uk\/resources\/downloads\/guidance\/Aide-memoire_for_prescribers.pdf\" target=\"_blank\" rel=\"noopener\">Management and control of prescription forms: Aide-m\u00e9moire for prescribers<\/a> (NHS CFA)<\/p>\n<p><a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/gps\/gp-mythbusters\/gp-mythbuster-23-security-blank-prescription-forms\" target=\"_blank\" rel=\"noopener\">GP mythbuster 23: Security of blank prescription forms<\/a> (CQC, December 2022)<\/p>\n<p><a href=\"https:\/\/www.england.nhs.uk\/south\/wp-content\/uploads\/sites\/6\/2021\/08\/2021-22-forged-prescriptions-guidance.pdf\" target=\"_blank\" rel=\"noopener\">Spotting a forged or fraudulent prescription<\/a> (NHS England)<\/p>\n<p>The following templates are provided for adaptation by GP practices:<\/p>\n<ul>\n<li>Template SOP for <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Template%20SOP%20for%20ordering%20and%20receipt%20of%20FP10%20forms.docx\">ordering, receipt, and issue of FP10 prescription forms<\/a><\/li>\n<li>Template SOP for <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Template%20Paper%20FP10%20destruction%20record.docx\">destruction of FP10 forms<\/a><\/li>\n<li>Template <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Template%20Paper%20prescription%20stock%20control%20record.docx\">stock control record for FP10 prescription forms<\/a><\/li>\n<li>Template <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Template%20Paper%20FP10%20destruction%20record.docx\">destruction record for FP10 prescription forms<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024_07%20PrescriptionSecurityAudit.docx\">Prescription security audit<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Actions%20to%20be%20taken%20in%20case%20of%20lost%20or%20stolen%20prescriptions.docx\">Actions to be taken in case of lost or stolen prescriptions<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Reporting%20form%20for%20loss%20or%20theft%20of%20prescriptions.docx\">Reporting form for loss or theft of prescriptions<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-fa0251dc936a7c645 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_fa0251dc936a7c645\"><a aria-expanded=\"false\" aria-controls=\"fa0251dc936a7c645\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#fa0251dc936a7c645\" href=\"#fa0251dc936a7c645\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Prescribing &amp; management of controlled drugs<\/span><\/a><\/h4><\/div><div id=\"fa0251dc936a7c645\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_fa0251dc936a7c645\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/bnf.nice.org.uk\/medicines-guidance\/controlled-drugs-and-drug-dependence\/\" target=\"_blank\" rel=\"noopener\">Controlled drugs and drug dependence<\/a> (BNF online). Includes explanation of The Misuse of Drugs Act 1971, and list of drugs falling within schedule 1-5. Also sets out the prescription writing requirements applicable to schedule 2 and 3 CDs.<\/p>\n<p><a href=\"https:\/\/www.england.nhs.uk\/south\/info-professional\/safe-use-of-controlled-drugs\/\" target=\"_blank\" rel=\"noopener\">Controlled drugs<\/a> (NHS England online). Includes information about the South West Controlled Drugs Team, reporting incidents, disposal of CDs and private prescribing.<\/p>\n<p>Home Office <a href=\"https:\/\/www.gov.uk\/government\/publications\/circular-0272015-approved-mandatory-requisition-form-and-home-office-approved-wording\/circular-0272015-approved-mandatory-requisition-form-and-home-office-approved-wording\">approved wording for instalment prescriptions<\/a> (<a href=\"http:\/\/www.gov.uk\">www.gov.uk<\/a> online)<\/p>\n<p><a href=\"https:\/\/www.nice.org.uk\/guidance\/NG46\/chapter\/Recommendations\" target=\"_blank\" rel=\"noopener\">Controlled drugs: safe use and management<\/a> (NICE NG46, 2016)<\/p>\n<p><strong>Private controlled drugs<\/strong><\/p>\n<p>NHS Dorset <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Factsheet%20-%20private%20controlled%20drugs.docx\">factsheet on private CD prescribing\/requisitions<\/a><\/p>\n<p><strong>Controlled drug incidents and concerns<\/strong><\/p>\n<p>Remember that <strong>ALL<\/strong> incidents or concerns involving CDs, including errors, excessive or inappropriate prescribing, loss, theft, diversion or misuse need to be reported to the local Controlled Drug Accountable Officer (CDAO) via the web-based CD reporting tool at: <a href=\"http:\/\/www.cdreporting.co.uk\" target=\"_blank\" rel=\"noopener\">www.cdreporting.co.uk<\/a>. Please remember to select the correct area team (South West). For the incident to be reviewed, it is also important that as much information as possible is included in the report.If you need urgent advice regarding a controlled drug concern, email: <a href=\"mailto:ENGLAND.southwestcontrolleddrugs@nhs.net\" target=\"_blank\" rel=\"noopener\">ENGLAND.southwestcontrolleddrugs@nhs.net<\/a>.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5797e53b95abc36d1 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5797e53b95abc36d1\"><a aria-expanded=\"false\" aria-controls=\"5797e53b95abc36d1\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#5797e53b95abc36d1\" href=\"#5797e53b95abc36d1\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Remote prescribing<\/span><\/a><\/h4><\/div><div id=\"5797e53b95abc36d1\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5797e53b95abc36d1\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>There is national guidance available to support safe remote prescribing:<\/p>\n<p><a href=\"https:\/\/www.gmc-uk.org\/professional-standards\/learning-materials\/remote-prescribing-high-level-principles\" target=\"_blank\" rel=\"noopener\">Remote prescribing high level principles<\/a> (GMC)<\/p>\n<p><a href=\"https:\/\/www.nmc.org.uk\/globalassets\/sitedocuments\/other-publications\/high-level-principles-for-remote-prescribing-.pdf\" target=\"_blank\" rel=\"noopener\">High level principles for good practice in remote consultations and prescribing<\/a> (co-authored and agreed by a range of healthcare regulators and organisations, including the following \u2013 GDC, GMC, GOC, GPhC, NMC, CQC)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-10e04115aebfe1d01 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_10e04115aebfe1d01\"><a aria-expanded=\"false\" aria-controls=\"10e04115aebfe1d01\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#10e04115aebfe1d01\" href=\"#10e04115aebfe1d01\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Repeat prescribing and medicines review<\/span><\/a><\/h4><\/div><div id=\"10e04115aebfe1d01\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_10e04115aebfe1d01\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/www.rpharms.com\/resources\/repeat-prescribing-toolkit\">Repeat Prescribing Toolkit (RPS RCGP, 2024)<\/a><\/p>\n<p><a href=\"https:\/\/www.gmc-uk.org\/professional-standards\/professional-standards-for-doctors\/good-practice-in-prescribing-and-managing-medicines-and-devices\/repeat-prescribing-and-prescribing-with-repeats\" target=\"_blank\" rel=\"noopener\">Repeat prescribing and prescribing with repeats<\/a> (GMC online)<\/p>\n<p><a href=\"https:\/\/www.prescqipp.info\/umbraco\/surface\/authorisedmediasurface\/index?url=%2Fmedia%2F1629%2Fb124-repeat-prescribing-21.pdf\" target=\"_blank\" rel=\"noopener\">Repeat prescribing in primary care<\/a> (PrescQIPP, 2016. Requires a free account)<\/p>\n<p><a href=\"https:\/\/www.cqc.org.uk\/guidance-providers\/gps\/gp-mythbusters\/gp-mythbuster-11-electronic-prescribing\" target=\"_blank\" rel=\"noopener\">GP mythbuster 11: Electronic prescribing<\/a> (CQC, 2022)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-468150483fb12afba fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_468150483fb12afba\"><a aria-expanded=\"false\" aria-controls=\"468150483fb12afba\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#468150483fb12afba\" href=\"#468150483fb12afba\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Storage and safe custody of medicines <\/span><\/a><\/h4><\/div><div id=\"468150483fb12afba\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_468150483fb12afba\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Refer to <a href=\"https:\/\/www.rpharms.com\/recognition\/setting-professional-standards\/safe-and-secure-handling-of-medicines\/professional-guidance-on-the-safe-and-secure-handling-of-medicines\" target=\"_blank\" rel=\"noopener\">Professional guidance on the safe and secure handling of medicines<\/a> (RPS, January 2024)<\/p>\n<p><a href=\"http:\/\/www.legislation.gov.uk\/uksi\/1973\/798\/contents\/made\" target=\"_blank\" rel=\"noopener\">The Misuse of Drugs [Safe Custody] Regulations 1973<\/a> set out the rules for safe custody of controlled drugs (CDs). All Schedule 2 and those Schedule 3 CDs that are subject to safe custody requirements must be kept in a locked receptacle, which is so constructed and maintained as to prevent unauthorised access to drugs.<\/p>\n<p>The following templates are suggested for adaptation by GP practices:<\/p>\n<ul>\n<li>Template <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Template-daily-fridge-monitoring-record.docx&amp;wdOrigin=BROWSELINK\">daily fridge monitoring record<\/a><\/li>\n<li>Template <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Template-daily-room-temperature-monitoring-record.docx&amp;wdOrigin=BROWSELINK\">daily room temperature monitoring record<\/a><\/li>\n<li>Template <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Template-SOP-for-medicines-refrigerator-temperature-monitoring.docx&amp;wdOrigin=BROWSELINK\">SOP for refrigerator temperature monitoring<\/a><\/li>\n<li>Template <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Template-SOP-for-temperature-monitoring-of-treatment-rooms.docx&amp;wdOrigin=BROWSELINK\">SOP for temperature monitoring of treatment rooms<\/a><\/li>\n<li>Template <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Template-SOP-for-process-to-be-followed-when-the-medicine-storage-temperature-falls-outside-of-safe-parameters.docx&amp;wdOrigin=BROWSELINK\">SOP for process to be followed when medicine storage temperature falls outside of safe parameters<\/a><\/li>\n<li>NHS Dorset <a href=\"https:\/\/view.officeapps.live.com\/op\/view.aspx?src=https%3A%2F%2Fnhsdorset.nhs.uk%2Fwp-content%2Fuploads%2F2025%2F12%2F2024-Cold-Chain-Information-and-Resource-Pack.docx&amp;wdOrigin=BROWSELINK\">Cold chain information\/tool<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-360dc2f851e332513 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_360dc2f851e332513\"><a aria-expanded=\"false\" aria-controls=\"360dc2f851e332513\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#360dc2f851e332513\" href=\"#360dc2f851e332513\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Unlicensed and 'off label' products<\/span><\/a><\/h4><\/div><div id=\"360dc2f851e332513\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_360dc2f851e332513\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1156182\/The_supply_of_unlicensed_medicinal_products__special_GN14.pdf\" target=\"_blank\" rel=\"noopener\">The supply of unlicensed medicinal products (\u201cspecials\u201d)<\/a>. Medicines and Healthcare Products regulatory Agency Guidance Note 14. (MHRA, 2014)<\/p>\n<p><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1156182\/The_supply_of_unlicensed_medicinal_products__special_GN14.pdf\" target=\"_blank\" rel=\"noopener\">Off-label or unlicensed use of medicines: prescribers\u2019 responsibilities.<\/a> Drug Safety Update (MHRA, 2014)<\/p>\n<p><a href=\"https:\/\/www.nmc.org.uk\/globalassets\/sitedocuments\/circulars\/2010circulars\/nmccircular04_2010.pdf?_t_ip=157.55.39.111\" target=\"_blank\" rel=\"noopener\">Nurse and midwife independent prescribing of unlicensed medicines<\/a>. (NMC, 2010)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/governance-principles-for-unlicensed-medicines\/\" target=\"_blank\" rel=\"noopener\">Governance principles for unlicensed medicines<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/using-unlicensed-medicines\/\" target=\"_blank\" rel=\"noopener\">Using unlicensed medicines<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/understanding-unlicensed-medicines\/\" target=\"_blank\" rel=\"noopener\">Understanding unlicensed medicines<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/explaining-the-licensed-status-of-medicines\/\" target=\"_blank\" rel=\"noopener\">Explaining the licensed status of medicines<\/a> (SPS, 2023)<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e209b28ec8a97ee78 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e209b28ec8a97ee78\"><a aria-expanded=\"false\" aria-controls=\"e209b28ec8a97ee78\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#e209b28ec8a97ee78\" href=\"#e209b28ec8a97ee78\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Waste medicines (including waste controlled drugs)<\/span><\/a><\/h4><\/div><div id=\"e209b28ec8a97ee78\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e209b28ec8a97ee78\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Refer to the NHS Dorset <a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/2024%20Quick%20reference%20guide%20to%20pharmaceutical%20waste%20disposal.docx\">Quick reference guide to pharmaceutical waste disposal<\/a><\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/managing-pharmaceutical-waste\/\" target=\"_blank\" rel=\"noopener\">Managing pharmaceutical waste<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/identifying-types-of-pharmaceutical-waste-and-disposal-containers\/\" target=\"_blank\" rel=\"noopener\">Identifying types of pharmaceutical waste and disposal containers<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.sps.nhs.uk\/articles\/managing-sharps-contaminated-with-pharmaceutical-waste\/\" target=\"_blank\" rel=\"noopener\">Managing sharps contaminated with pharmaceutical waste<\/a> (SPS, 2023)<\/p>\n<p><a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2021\/05\/B2159iii-health-technical-memorandum-07-01.pdf\" target=\"_blank\" rel=\"noopener\">Health Technical Memorandum 07-01: Safe and sustainable management of healthcare waste<\/a> (NHS England, 2022)<\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/niosh\/docs\/2016-161\/default.html\" target=\"_blank\" rel=\"noopener\">Antineoplastic and Other Hazardous Drugs in Healthcare<\/a> is an American resource from the Centers for Disease Control and Prevention (CDC) and has a useful list of medicines classified as cytotoxic and cytostatic (antineoplastic). The list previously included in the NHS England HTM 07-01 is no longer included in the current published document.<\/p>\n<p><strong>T28 exemption for controlled drug denaturing<\/strong><\/p>\n<p>Organisations must obtain an Environment Agency T28 exemption certificate in order to be able to store, sort and denature CDs. Each location where CD waste is produced and subsequently denatured should <a href=\"https:\/\/www.gov.uk\/guidance\/waste-exemption-t28-sort-and-denature-controlled-drugs-for-disposal\">register for a T28 exemption<\/a>. Organisations with more than one site will need multiple exemptions.<\/p>\n<p>Also refer to: <a href=\"https:\/\/www.sps.nhs.uk\/articles\/managing-controlled-drugs-cd-waste\/\">Managing Controlled Drugs (CD) waste<\/a> (SPS, 2023)<\/p>\n<p>If you need to request a witness for an authorised destruction of stock controlled drugs, please use the CD reporting portal at: <a href=\"http:\/\/www.cdreporting.co.uk\">www.cdreporting.co.uk<\/a>. Please remember to select the correct area team (South West).<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8f75a83d8b4669c47 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8f75a83d8b4669c47\"><a aria-expanded=\"false\" aria-controls=\"8f75a83d8b4669c47\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3424-1\" data-target=\"#8f75a83d8b4669c47\" href=\"#8f75a83d8b4669c47\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Working with pharmaceutical industry representatives<\/span><\/a><\/h4><\/div><div id=\"8f75a83d8b4669c47\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8f75a83d8b4669c47\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Refer to the NHS Dorset factsheet on working with the pharmaceutical industry (coming soon)<\/p>\n<p>Also refer to the following documents:<\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/about\/policies\/\" target=\"_blank\" rel=\"noopener\">NHS Dorset Standards of Business Conduct policy<\/a><\/p>\n<p><a href=\"https:\/\/www.legislation.gov.uk\/uksi\/2004\/291\/contents\/made\" target=\"_blank\" rel=\"noopener\">The National Health Service (General Medical Services Contracts) Regulations<\/a> (2004)<\/p>\n<p><a href=\"https:\/\/www.abpi.org.uk\/publications\/code-of-practice-for-the-pharmaceutical-industry-2019\/\" target=\"_blank\" rel=\"noopener\">Code of Practice for the Pharmaceutical Industry<\/a> (ABPI, 2019)<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-3424","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/comments?post=3424"}],"version-history":[{"count":43,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3424\/revisions"}],"predecessor-version":[{"id":4356,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3424\/revisions\/4356"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=3424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}