Scottish Government

Supplementary Prescribing by Nurses within NHSScotland
A Guide for Implementation

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CONTENTS

How to use the guide
Introduction
• Scope of this guidance and effect of devolution
Background
• General
• What is supplementary prescribing?
• Legal basis of supplementary prescribing
• Aims of supplementary prescribing
• Comparison with independent prescribing and with Patient Group Directions
How supplementary prescribing will work
• General principles
• Characteristics of supplementary prescribing
• Responsibilities
• Working together
• The process
• Conditions and Health needs that can be included
• Patient consent
Who can undertake supplementary prescribing?
• Which nurses can be supplementary prescribers?
• Selection of nurses to be trained
Training and preparation for supplementary prescribing
• Preparation for independent prescribers
• Continuing Professional Development (CPD)
Evaluation audit and clinical governance of supplementary prescribing
The Clinical Management Plan
Medicines prescribable under supplementary prescribing arrangements
The Patient Review
Good practice, ethics and issues common to all supplementary prescribers
• Stock items
• Informing patients
• Prescribing for self, family and friends
Patient Records
Adverse Reaction Reporting
• Role of the National Patient Safety Agency
Legal and Clinical Liability
• Liability of employer
• Professional indemnity
Dispensing of prescribed items
• Dispensing Doctors in primary care
• Nurses required to dispense in primary care
Verification of prescribing status
• Role of the pharmacist on verification of prescribing status
• The NMC Voice Bank
Dispensing by appliance contractors
Urgent dispensing
Dispensing of items in Wales and Northern Ireland
Dispensing items against a nurse prescription in hospital pharmacies
• Prescribing information
Annex A
Nursing and Midwifery Council requirements for extended independent nurse prescribing and supplementary prescribing
Annex B
CMP template for teams that have full co-terminus access to patient records
Annex C
CMP template for teams where the supplementary prescriber does not have co-terminus access to the medical record
Annex D
Part 1 - Registration with Primary Care Information Group
Part 2 - Prescription Stationery
Appendix 1 - Form ISD(P)1
Appendix 2 - Form PSD1
Appendix 3 - Form PSD2
Appendix 4 - Form GP10N(2)( Complete)
Appendix 5 - Form GP10N(2)( Prescriber to complete)
Appendix 6 - Form HBPN(2)
Annex E
How to complete the prescription form