Staff Group Potential Non-clinical staff – Review patients registered for chronic medication service and highlight those who have received Responsibilities regular ongoing medication with no recent changes (within an agreed time frame by practice). Staff with some clinical knowledge – Review patients registered for chronic medication service and highlight those who have received regular ongoing medication with no recent changes. Staff with full clinical knowledge – Review screened patient list and mode to serial prescribing where appropriate (or feedback to staff with explicit instruction to change). Supporting Resources Appendix i Level 1 Medication Review Forms Appendix ii Worked Example 8.1 Appendix xii Shared Care Agreement Appendix i – L1 Medication Review Definition Who will be undertaking the review? (delete as appropriate) Non-clinical Staff (reception / admin) / Staff with some clinical knowledge (Pharmacy Technician / Nurse) / Staff with full clinical knowledge (GP / Pharmacist / Nurse) Task Description How will action be taken when an issue is Supporting Resource Communication via (Delete individual tasks if not Identified? Available / part of L1 Review) Delete as appropriate Developed? Removal of Duplicate or A review of the Appendix iv Removal of identical duplicate items L 1 medication review individual Similar Repeat patient’s repeat drugs Similar items list patient form (to identify Record and communicate non-identical Prescription Items list to identify if there individuals for action) duplicate items are unnecessary Record and communicate similar items if on L 1 medication review multiple duplicate items patient form (to identify multiple ‘similar items’ list (identical or patients for action under this one Removal of non-identical duplicate items if or similar task) within clinical competency repeat items. Task / Messaging Record and communicate where similar items are identified Removal of similar items if within clinical competency Record and highlight any issue onwards Review of Duplicate A review of repeat Appendix v Identify and record reasons for re-issuing Review of duplicate repeat Repeat Prescription Issues drugs which have medicines within 3 days of original issue Review of prescription issues form been re-issued within duplicate repeat Suggest adjustments to processes and Task / messaging 3 days of original prescription systems to reduce or prevent issue. issues guidance Highlight onwards
Staff Group Potential Responsibilities Non-clinical staff – Review patients registered for chronic medication service and highlight those who have received regular ongoing medication with no recent changes (within an agreed time frame by practice). Staff with some clinical knowledge – Review patients registered for chronic medication service and highlight those who have received regular ongoing medication with no recent changes. Staff with full clinical knowledge – Review screened patient list and mode to serial prescribing where appropriate (or feedback to staff with explicit instruction to change). Supporting Resources Appendix i Level 1 Medication Review Forms Appendix ii Worked Example 8.1 Appendix xii Shared Care Agreement Appendix i – L1 Medication Review Definition Who will be undertaking the review? (delete as appropriate) Non-clinical Staff (reception / admin) / Staff with some clinical knowledge (Pharmacy Technician / Nurse) / Staff with full clinical knowledge (GP / Pharmacist / Nurse) Task (Delete individual tasks if not part of L1 Review) Description How will action be taken when an issue is Identified? Delete as appropriate Supporting Resource Available / Developed? Communication via Removal of Duplicate or Similar Repeat Prescription Items A review of the patient’s repeat drugs list to identify if there are unnecessary duplicate items (identical or or similar repeat items. Removal of identical duplicate items Record and communicate non-identical duplicate items Record and communicate similar items if on ‘similar items’ list Removal of non-identical duplicate items if within clinical competency Record and communicate where similar items are identified Removal of similar items if within clinical competency Record and highlight any issue onwards Appendix iv Similar items list L 1 medication review individual patient form (to identify individuals for action) L 1 medication review multiple patient form (to identify multiple patients for action under this one task) Task / Messaging Review of Duplicate Repeat Prescription Issues A review of repeat drugs which have been re-issued within 3 days of original issue. Identify and record reasons for re-issuing medicines within 3 days of original issue Suggest adjustments to processes and systems to reduce or prevent Highlight onwards Appendix v Review of duplicate repeat prescription issues guidance Review of duplicate repeat prescription issues form Task / messaging