A very concise set of notes covering the important aspects of law required to pass the GPhC exam. Topics include:
- Prescription requirements (private, vet, EEA & Swiss)
- Emergency supplies
- Controlled Drugs (CDs)
- OTC product laws
- Pregnancy Prevention Programmes (PPPs)
- Responsbile pha...
PRIVATE RXs REQUIREMENTS:
- Prescriber’s particulars (name, type, GMC no., contact details)
- Prescriber’s signature in INDELIBLE INK
- Patient’s particulars (full name and full address – DOB needed if under 12)
- Date of prescription (i.e. when it was written)
- Full details of the medicine (name, form, strength, dose, quantity, additional admin
requirements)
PRIVATE CD RXs (Sch.2 & 3 CDs):
Same requirements as above, but with additional measures:
- Must use standardised FP10PCD pink Rx form – so the NHS can keep track of Sch.2-3
CDs prescribed in private sector – FP10PCD forms are the only private Rxs to be sent
to NHS BSA (good practice to keep photocopy of pink script for own records)
- Must have prescriber identification number on FP10PCD - prescribers can obtain
this from their local health authority
- Can NOT repeat items on FP10PCDs
- Total supply must NOT exceed 30 days of treatment
- Total quantity must be written out in numbers AND words
- Non-Sch.2-3 CDs can NOT be prescribed on the FP10PCD – if this does happen e.g.
the prescriber adds paracetamol to the pink script, they must issue a new FP10PCD
with paracetamol on a regular private script.
REPEATABLE RXs (NOT Sch.2 & 3 CDs):
- If Rx just says ‘repeat’ (without specifying the number of repeats), then an initial
supply is made, followed by one repeat (totalling to 2 supplies)
- If the number of repeats is specified, then the total number of supplies will be the
no. of repeats +1 (as we account for the initial supply)
- The first supply must be collected within 6 months (EXCEPTION – Sch. 4 CDs = 1st
supply collected within 28 days), but subsequent repeats can theoretically be
collected at any time (i.e. there is no expiration date), however use clinical &
professional judgement to assess whether the patient needs this repeat (if they
haven’t collected for a while – this may mean contacting their prescriber)
- Oral contraceptives - total of 5 repeats can be made (i.e. six total supplies) – do NOT
need to write ‘repeat x5’ – just ‘repeat’ by itself means 6 supplies can be made (for
oral contraceptives ONLY)
- Sch.2-3 CDs CANNOT be repeated (both for NHS and private Rx) – if it does say
repeat, then just dispense and supply once only (i.e. ignore the repeat)
- To keep track of the number of supplies made, stamp the Rx each time a supply is
made (best to do this immediately after supply) – next to the stamp write down the
level of dispensing (e.g. was that the first supply, first repeat etc.)
- Patients have the option to take their Rx back (even if they’ve got some repeats left
on that Rx) – they can take this to another pharmacy to continue the remaining
repeats (or they may ask you to keep it)
, THE POM / PRIVATE REGISTER
RECORD KEEPING (in the POM/private register):
- There is no standardised system for private Rx record-keeping – so can be paper or
digital – but these records must contain specific information:
o Date the Rx was written
o Date the meds were supplied
o Patient particulars (full name and full address)
o Prescriber particulars (name, contact details, GMC no., sigature)
o Medicine particulars (name, strength, form, quantity)
o Cost of the Rx
- Repeatable items – don’t need to re-enter all the info for subsequent supplies – only
need to make a note of the supply date (ensuring this is being linked back to the
initial entry for that repeatable item)
- Entries into the private register (aka the POM register) must be made on the day of
supply, or the next day latest
- Records must be kept for TWO YEARS
WHICH DRUGS LEGALLY REQUIRE ENTRY INTO POM REGISTER:
- All POMs EXCEPT for Sch. 2 CDs and oral contraceptives require entry
- Sch. 2 CDs are ‘register CDs’ i.e. they require entry into the CD register (unlike Sch. 3
CDs) – since these drugs are already being recorded elsewhere, there’s no need to
enter them in POM register again
- Oral contraceptives don’t require entry (no particular reason)
- Although it’s good practice to enter all medicines from private Rxs into the private
register, it’s NOT legally required for all medicine classes, including P meds
EUROPEAN ECONOMIC AREA (EEA) & SWISS PRESCRIPTIONS
INTRO:
- EEA & Swiss Rxs CAN be dispensed in UK if they’re legally & clinically valid
- Sch.1-3 CDs can NOT be prescribed/dispensed here
- Medicines WITHOUT UK marketing authorisation (MA) can NOT be dispensed in UK
WHICH EEA/SWISS PRESCRIBERS CAN WE ACCEPT RXs FROM:
- Non-exhaustive list of foreign prescribers, including:
o Doctors, Dentists, Nurses, Pharmacists, Podiatrists, Physiotherapists etc.
- Best practice to check if these clinicians have prescribing rights in their home
country, e.g. nurses may be able to prescribe in the UK, but not in other countries
EEA/SWISS RX LEGAL REQUIREMENTS:
- Almost exact same requirements that apply to private Rx – EXCEPT Sch.1-3 CDs and
drugs without UK marketing authorisation can NOT be dispensed
- Sch.4 CDs CAN be dispensed, but must be collected within 28 days of Rx date (like in
NHS and private scripts)
, - Patient particulars – Address is NOT a legal requirement (since diff countries have
diff legal requirements, but their DOB is a legal requirement)
- Prescriber particulars – full name, type of prescriber, address with country of origin,
and direct contact details e.g. phone no., fax, or email.
- Must have prescriber signature in indelible ink
Even if the prescription is written in a foreign language, you can still use your clinical
judgment to decide whether you want to dispense the meds or not
If for any reason you refuse to dispense an EEA/Swiss Rx, then you should refer the
patient to a UK prescriber
EEA/SWISS RX RECORD-KEEPING:
- These Rxs are private scripts – so they’re registered into the POM/private register
with the same requirements as any other private script
EMERGENCY SUPPLY FOR EEA/SWISS Rx – YES, they can be made (at request of prescriber
/ patient)
EMERGENCY SUPPLIES (ES) - UK PRESCRIPTIONS
INTRO:
- ES can either be made at the request of:
o The prescriber
o The patient
1- ES AT PRESCRIBER’S REQUEST – LEGAL REQUIREMENTS:
- Must be an appropriate prescriber (i.e. licensed physician)
- Must be satisfied that a prescription cannot be issued to the pharmacy at the time of
request i.e. must be an emergency
- Prescribers can be any prescriber in UK or EEA/Switzerland with prescribing rights
- RX must be issued within 72 hours of the ES-request
- Medicines must be supplied in accordance with direction from the prescriber
- ‘Emergency supply’ must be included on the dispensing label
- Can NOT give ES for any Sch.1-3 CDs (EXCEPT for phenobarbital for epilepsy in UK)
EXCEPTIONS TO ES RULES:
- Phenobarbital is a Sch.3 CD but can still be given as ES when used for epilepsy
- This exception ES made by UK prescribers ONLY – not applicable to EEA/Swiss HCPs,
since we don’t accept ANY Sch.1-3 CDs from them
- EEA/Swiss HCPs can request ES for other drugs (only if that drug has a valid UK MA)
RECORD KEEPING REQUIREMENTS OF ES (PRESCRIBER’S REQUEST):
- 3 dates per entry:
o The date the ES was made
o The date the follow-up Rx was received (must be within 72 hours of ES)
o The date on that follow-up Rx (i.e. when it was written)
- Prescriber particulars (Name, address, GMC no.)
- Patient particulars (Name, address)
- Medicine particulars (name, strength, form, quantity)
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
√ Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, Bancontact of creditcard voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper muammalal-bayati. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €18,77. Je zit daarna nergens aan vast.
