What will the effect be on Primary Care prescribing? Do you expect to transfer prescribing and monitoring of this drug to GPs? (If no, go to the next section) How long will you prescribe this drug before you expect GPs to take over prescribing? What monitoring will be required by the GP? (include frequency and criteria for action) What special precautions will the GP need to be aware of when taking on prescribing? If there is any specialist monitoring required by GPs you must attach a shared care guideline when you make this application (example shared care link): Shared care guideline attached What personal experience do you have of using the drug? e.g. clinical trials, experience from a previous hospital How will you the introduction of this new medicine? [Medicines Optimisation Trust Development Authority requirement for all new medicines] Who should be able to prescribe the drug? Consultant prescription only; Specific clinical team(s) - please specify;
What will the effect be on Primary Care prescribing? Do you expect to transfer prescribing and monitoring of this drug to GPs? (If no, go to the next section) How long will you prescribe this drug before you expect GPs to take over prescribing? What monitoring will be required by the GP? (include frequency and criteria for action) What special precautions will the GP need to be aware of when taking on prescribing? If there is any specialist monitoring required by GPs you must attach a shared care guideline when you make this application (example shared care link): Shared care guideline attached What personal experience do you have of using the drug? e.g. clinical trials, experience from a previous hospital How will you the introduction of this new medicine? [Medicines Optimisation Trust Development Authority requirement for all new medicines] Who should be able to prescribe the drug? Consultant prescription only; Specific clinical team(s) - please specify;
DT-application-form-2015.docx