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Repeat Prescriptions 

Medicines Factsheet this fact sheet gives information about ordering your medication during Brexit process.

We now have a dedicated email for our prescription team: warccg.prescriptionsteam@nhs.net 

  • Please allow 2 complete working days for us to process the prescription before you come to collect it/ask pharmacy or family to collect on your behalf. We recommend ordering when you have a weeks' supply of your medication left. You may collect your prescription any time after 10.00am, if you have allowed enough time for it to be processed.                     (For example: If you bring to us after 10am on Monday, we would aim to have it ready to collect after 2pm on Wednesday). 
  • We will contact you by email or telephone if there is any problem which will delay you being able to collect your prescription. Please do not order more than 10 days in advance unless you are going on holiday as we may not be able to issue if too early. You will need to notify us of any reason for early request.

Please note we are unable to issue repeat prescriptions at shorter notice so please ensure you order your medication in good time.

Please note the surgery will be closed from 12.30pm on the last Thursday of every month for staff training.

 FROM 22 JANUARY 2020: CHANGES IN HOW YOU ORDER YOUR PRESCRIPTION

 

What is changing? The way repeat prescriptions are ordered is changing. You will have to order your repeat prescription from your GP practice yourself. This will only affect you if your medicines are ordered on your behalf by a community pharmacy.

 

Where and when is this happening?

This has been implemented in stages in several practices across Warrington. Stockton Heath Medical Centre will go live with it on 22 January 2020.

 

What is not changing?

If you already order repeat prescriptions from your GP practice yourself, you will not be affected and do not need to take any action.

 

Also, the ordering of appliances direct from suppliers will not be changing i.e. stoma bags, catheters.

What do I need to do? If you have your repeat prescriptions ordered by a pharmacy on your behalf, you’ll need to change the way you order your repeat medicines.

 

One way to order your repeat prescription is to use the tear off slip on the right-hand side of your prescription and drop it into your practice.

 

We ask you to only order medicine when needed. Please check how many days’ medicine you have before ordering a new prescription. Please don’t order until you have 7 to 10 days of medicines left. It takes the surgery 2 full working days to issue a prescription and you also need to allow time for the pharmacy to dispense your medicines.

We have a dedicated prescription team email that you can use to order your medication warccg.prescriptionsteam@nhs.net

 

Can I order my repeat prescription over the phone?

Unfortunately, practices are not able to take prescription requests over the phone. To avoid disappointment please do not ring the practice to request your repeat prescription.

Why is this happening?

This is safer and more efficient. This change will mean that your GP has a better ability to monitor and control what medicines you do and do not use. This will help your discussions about choosing the right medication.

 

The change will also help address a safety concern. Under the old system, some patients found that they began to build up a stock of unused medicine, which had to be stored safely and used within date. The new system will give you more control.

Finally, it is important that NHS money is used as efficiently as possible. We aim to save a large amount of money on unused medicines, money we will use to benefit the health of the people of Warrington.

 

I am not a healthcare professional, why should I take responsibility for my medication? People have a key role in protecting their own health, choosing appropriate treatments and managing long-term conditions. Self-management is a term used to include all the actions taken by people to recognise, treat and manage their own health. Taking control and responsibility for your health and any medication you take, gives you confidence to encourage healthy behaviours that help prevent ill health in the long-term.

 

Are there any exemptions to the change?

Yes. Some patients may be exempt and still require pharmacy managed repeat prescriptions and can still order through their pharmacy. Please ask at your GP practice.

My family and I are on repeat prescriptions - how can I avoid multiple trips to the pharmacy for collections? You can reduce the number of visits to the pharmacy by having a regular medication review with the Clinical Pharmacist in your GP practice. They can talk with you about the medication that is on your repeat prescription and advise you if any changes could and should be made. By having this review, you can also ask for your medicines to be synchronised with the prescriptions of your partner or relatives to reduce the number of visits to the pharmacy for collections

 

I have a comment or query - what do I do? If you have a comment or query you can call NHS Warrington Clinical Commissioning Group’s Patient Experience Team on (Freephone) 0800 389 6973 or on 01925 303030. You can also write to our Patient Experience Team via: NHS Warrington Clinical Commissioning Group, Arpley House, 110 Birchwood Boulevard, Birchwood, Warrington, WA3 7QH. Alternatively, you can email  complaints.nhswarringtonccg@nhs.net 

You must notify the pharmacy of your choice that a prescription needs collecting


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Repeat Prescription:

If you require regular medication, the Doctor may enter the prescription on the computer. This will enable you to obtain monthly prescriptions by presenting your repeat slip to the reception staff at the Medical Centre.

We would recommend that you email your request as we can audit any concerns more efficiently.

Please email warccg.prescriptionsteam@nhs.net 

 


Acute items that are not on your repeat list will take longer to process.

An acute prescription is a 'one-off' prescription which the GP has decided not to add to your repeat list of regular medication. This may be a prescription for a short course of treatment or for a new medication until you are stabilised on it. Some medication is not suitable for prescribing on repeat prescription. The medical centre may need to contact you to discuss your prescription request.

Common reasons for delay include requests for painkillers where it is unclear what you are taking them for or where they are being taken for a reason which is different from the initial reason they were prescribed. It is important that particular care is taken with painkillers to make sure they are being prescribed safely. Other examples which can cause delays are requests for medication where a review needs to be carried out to establish that continued prescribing is appropriate. Please fill in the form here to request acute medication. You will need to email this to us. warccg.prescriptionsteam@nhs.net

 

Patients on long term medication do require to see a doctor for a review of medication. The next date for your medication review will be indicated on your Repeat Prescription form.

Requests for urgent prescriptions

The Practice has to manage the prescribing of medication in a safe and risk averse way. It is therefore, important that our patients’ understand that the process does require 48 hours (2 working days) for repeat medications, acute medications (something you don’t take regularly or a controlled drug) may take longer.

It is the patient’s own responsibility to ensure that they do not run short of their medication.

Whilst the vast majority of medication requests are of a non-urgent nature we will provide same day urgent prescriptions for certain medications that it is clinically advisable for patients not to miss a dose; our prescription team will be able to advise if your medication is on this list. These requests must be received before 12.00pm.

We will aim to have your urgent prescription ready to collect or sent electronically to the pharmacy of your choice by 5.45pm.

Any medication that is requested urgently that is not on the list will be issued at the GP’s discretion.

This urgent service is strictly limited to the following medications/patient groups:

  • GTN spray – any angina medication

  • Asthma/COPD medication

  • Long term steroids – Prednisolone and Hydrocortisone

  • Insulin and associated products

  • Betablockers – Atenolol, Bisoprolol etc

  • Warfarin or NOACs – Apixiban, Rivoraxaban etc

  • Antiepileptics

  • Long-term antibiotics

  • Any palliative patient's medications

Patients are asked to respect this process and not to harass the administrative staff. Any person who behaves in a rude/abusive manner or will not leave the building until they have had their demands met will be asked to leave the premises. Please note that the Practice has a Zero Tolerance Policy towards any abuse or aggression directed towards any member of our team; the patient will receive a written warning and may be removed from the Practice register.

If you have run out of your medication when the surgery is closed, local pharmacies may be able to issue a limited supply of the medication. Please be aware you could be charged for this.

 Medication Review Appointments

To help you to get the most out of this appointment, please answer the following questions and bring the sheet with you to your appointment. 

  • What medications are you taking?
  • Have you noticed any side effects?

  • Are there any medications that you have stopped taking?

  • Do you take any other medications other than what is being prescribed?

  • Other meds are i.e. over the counter, herbal, other peoples’?

  • Do you understand what your medications are for? (Your local pharmacist will also be able to help to explain what your medication is for)

Please note your medication review appointment is to discuss your medication and your GP will not have time to discuss any other problems. Please arrange a separate appointment to discuss other concerns.

Warrington CCG - Guidance on Prescribing following a Private Consultation

  • Prescription requests should comply with Pan Mersey Area Prescribing Committee (APC) guidance (Pan Mersey). GP's will not issue prescriptions outside of this guidance.
  • Prescription requests resulting from outpatient appointments will be processed within 48 hours of receipt of request from clinician
  • Urgent prescriptions are the responsibility of the prescribing clinician. 
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