REPEAT MEDICATION REQUESTS
NHS Buckinghamshire Clinical Commissioning Group is responsible for buying healthcare services across the county and is naturally keen to ensure we all get the best value for money. With current financial pressures on the NHS, one of the recommended steps was to limit the automatic ordering of repeat medications by pharmacists and medical equipment suppliers, so that patients order their own medications themselves. We believe that patients and their carers are best placed to know exactly what and when repeat medication is needed.
What this means
This means that from 1 August 2018, we are asking you to order repeat medications and equipment (e.g. catheter and stoma bags and accessories) from your GP practice directly, rather than from your pharmacy, or medical equipment supplier. Please note this affects the ordering part of the process only, patients can continue to have their medication delivered to their home by their pharmacy where these arrangements exist.
How to order your repeat medication:
Go online – Order your request online either through Patient Access or Evergreen. If not already registered, you will need to provide two forms of identification (passport or driving licence and proof of address e.g. bill or bank statement) to your GP practice. Your GP will email or post your login details to you.
At your GP practice - drop in your completed repeat prescription request slip (right hand side of prescription) to your practice. (Many practices have “prescription request post boxes” or trays where you can leave your request).
• Patients who are housebound who cannot order on line, or do not have a carer or representative that can order on their behalf
• Patients using a Monitored Dosage System
• Patients who have a learning disability who do not have a carer or representative who can order on their behalf
• Patients who have dementia who do not have a carer or representative who can order on their behalf
GPs, practice staff and community pharmacists, will make a note on the patient record that the community pharmacist is continuing to order medication for these patients.
What you need to do:
Please make sure you get the repeat prescription request slip from your pharmacy each time your medicines are dispensed. The repeat prescription request slip is the right hand, tear-off part of your prescription.
Re-order your prescriptions when there is around 10 days’ supply of medicines remaining. This will give enough time for the GP to review your medical record and authorise the request and the pharmacy to process and issue the prescription. We need a minimum of two working days.
Please only order the amount of medication you need. When you collect your medication please check the order before you leave the pharmacy. Any medicines returned after you have left the pharmacy cannot be reused or recycled.
If you, a member of your family, or someone you care for needs help ordering their medications, please speak to either your local pharmacist or GP practice who will be able to offer you support.
We would like to take this opportunity to thank you for your support with this initiative which we believe will benefit the whole community.
Further information is available at www.buckinghamshireccg.nhs.uk or you can contact the Patient Advice and Liaison Service on 0800 328 5640 or firstname.lastname@example.org.
OVER THE COUNTER MEDICATION (OTC)
In accordance with recent national guidance, which was changed following a review and consultation, we no longer prescribe medications that can be purchased over the counter from pharmacies and supermarkets. We require patients to self medicate with the wide range of medicines and preparations available in pharmacies and supermarkets.
This does include all antihistiamines for hayfever for anyone over 6 years old, pharmacies can offer advice and guidance, supermarkets offer a wide range that are competitively priced.
We will still continue to prescribe antihistiamines for patients with severe allergy and/or year round symptoms and for those patients on fexofenadine.
The decison was taken to relieve financial pressures on the NHS, and reduce the burden on general practice resources, at a time when it is under great pressure. The hope is this will help surgeries to concentrate their efforts on the patients who need the service most.