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smmgp.atinfopop.com
Service Development
arrangements for cross prescribing between seperate services.|
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does anyone have examples of this as a proper contracted arrangement , not just on an ad hoc basis?
issue arises as my PCT is looking at options for covering prescribing in seperate services in event of absent/unavailable prescribers. I have clarified this with my medical defence society & they are quite clear that the PCT as an employer of GPSIs cannot indemnify prescribers if there is an 'adverse event' ie the prescriber takes full responsibility for the script, and the client/service governance may be completely unknown to them. my own view is that it all goes back to governance; in an ideal world if services are commissioned and monitored, then in theory it should be safe practice to sign the script. The words 'ideal', 'if' and 'should' really mess things up sometimes dont they? |
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This is not quite the same as prescribing for a completely different patch but may help: One of our GPs has an LES SLA which specifies that he will undertake to provide occasiional emergency scripts when we are short of docs due to unforseen circumstances (eg sickness) - we cover annual leave in-house. We have agreed that he will be brought the notes and our repeat prescribing authorisation form, and in practice, so long as the form is in date, and the prescribing is justified in the notes, he will do it. But he always has the right to withold, as he is indeed fully responsible for the script.
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Just thought I should clarify repeat prescribing authorisation form - this is our own local model. The form has to be written and signed by a doctor working in the service. The period chosen is the period agreed for doctor review. It allows a doctor to see how long it is since a patient last had a mediclal review when they are signing the script, and serves as a reminder for keyworkers issuing repeat scripts of when reviews are due. However at the end of the day its still the doctor signing the script who holds responsibility, and they can, and do request notes and/or ask to review patients early if being asked to sign a script not happy with.
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Thanks Susi
I'm assuming from the paucity of replies that there are few examples of 'proper' arrangements as above. I can understand a 'one-off' as Susi describes, but this wouldn't work for a wad of 100 scripts. |
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smmgp.groupee.net
smmgp.atinfopop.com
Service Development
arrangements for cross prescribing between seperate services.
