Batch Prescribing Repeat Dispensing How it can benefit

Batch Prescribing Repeat Dispensing How it can benefit patients and practices. . .

Did you know…. �Two thirds of prescriptions issued in primary care repeat prescriptions. � 80% of NHS medicine costs for primary care. � 410 million repeat prescriptions generated every year – equivalent to an average of more than 200 per GP per week. � 80% of all repeat prescriptions could eventually be replaced with repeat dispensing. �This is equivalent to 2. 7 million hours of GP and practice time in England Wales.

Monthly repeat prescribing system – Current Process GP decides to issue prescription which can be repeated X times Patient’s record in GP clinical system contains authority for X repeats of the medication before review by GP Patient (or pharmacy on patient’s behalf) requests the issue of a repeat prescription from GP practice Patient (or pharmacy on patient’s behalf) collects the repeat Rx from the GP practice Practice staff print repeat Rx and GP signs it. One less repeat Rx available to patient before review by GP Pharmacy dispenses repeat Rx Patient collects repeat medicines from pharmacy

Batch Repeat Dispensing (BRD) GP decides to issue prescription which can be repeated X times Patient (or pharmacy on patient’s behalf) collects the Batch Rx from the GP practice Pharmacy dispenses repeat Rx X times over the time interval decided by GP keeping the batch secure. Repeat dispensing used in GP clinical system to prescribe. X repeat Batch Rx’s for regular medication are printed and ready at surgery Patient collects repeat Rx from pharmacy X times over the time interval set by the GP until review needed

BRD benefits for GPs Participating in the BRD service means that: �Patients with stable, chronic conditions who are up to date with reviews only need to visit the practice once over the time interval decided by the GP. �An initial batch of 6 months scripts and subsequent 12 month script batches reduce admin related transactions relating to supply of medication. �Patients will only need to visit the practice for clinical reviews at time intervals decided by the GP. �PRN medication waste can be managed by the items being ordered either by a batch of prescriptions with a longer time intervals between issues, acute scripts or though My Health Online

Summary Overview �Benefits of BRD for GP practices include a reduction of the interactions regarding medication administration (On average 2000 patients suitable for BRD reduces the twice a month interaction to request medication from 48, 000 to just 2000 interactions per year. ) �Benefits of BRD for patients include convenience, earlier detection of medicine related problems, a reduction in the amount of unwanted/unneeded medication being held at home. �Benefits of BRD for the NHS include the implementation and provision of the funded BRD service across the country with patient care at its heart, the potential to reduced unwanted/unneeded medication, and the potential to reduce unnecessary requests of regular medication from out of hours services.

What are your Next Steps? �Review BRD Tool Kit and Nominate BRD Champion �Review BRD Action Plan to set time scales & realistic targets. �Host/attend engagement event with all prescribers, admin team and local pharmacies to agree processes, communication routes, and nomination/ enrolment criteria. �Complete training needs assessment and ensure whole team engaged and competent with patient journey and processes. �Start delivering the BRD service by identifying suitable patients �at medication reviews �Opportunistically in the practice or pharmacies �by advertising in the surgery. �Review the BRD service. Share outcomes and best practice.