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Repeat Prescribing Developing a quality system

Repeat Prescribing Developing a quality system. Introduction. Two-thirds of prescriptions in primary care 80% of medicines costs Approx 1.26 million prescriptions a day Prescriptions dispensed in the community statistics for 1994-2004: England, Health and Social Care Information Centre.

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Repeat Prescribing Developing a quality system

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  1. Repeat PrescribingDeveloping a quality system

  2. Introduction • Two-thirds of prescriptions in primary care • 80% of medicines costs • Approx 1.26 million prescriptions a day Prescriptions dispensed in the community statistics for 1994-2004: England, Health and Social Care Information Centre

  3. Why improve? The Patient perspective: • Improved convenience & access • Increased patient/carer involvement • Better understanding of the system & what they need to do to access their medicines • Improved patient safety • Improved quality of prescribing – confident they are receiving the most appropriate medicine

  4. Why improve? The Practice perspective: • Better use of time • Decreased GP workload • Fewer queries to reception staff • Better understanding of the system & what their role in it is • Improved job satisfaction • Better use of resources • Improved patient safety • Improved quality of prescribing • Obtaining quality goals in the nGMS contract

  5. A simplified view Initial Consultation & 1st prescription Patient collects prescription & gets it dispensed Patient requests a repeat prescription Repeat prescription produced Patient collects prescription

  6. There will be many more steps than you think • How many different people are involved? • Think about mapping your system

  7. Breaking it down Saving time, helping patients (NPC,2004), breaks the system down to the following: • Authorising repeat prescriptions • Requesting repeat prescriptions • Generating the prescription • Medication review • Patient collecting the prescription • The community pharmacists role • Using the medication • Quality Assuring the process

  8. Summary • Two-thirds of prescriptions generated within primary care are for repeat medication • Consider the benefits for the patient • Consider the benefits for the practice • Try mapping your system • Look at how to break the system down to make improvements less challenging

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