Prescribing and Medicines
The Medicines Management Team hosted by NHS Harrogate and Rural District Clinical Commissioning Group (CCG) works on behalf of NHS Scarborough and Ryedale CCG to support the development of services to ensure patients and the NHS get the best out of medicines.
This includes helping to optimise prescribing, reduce waste and improve patient understanding of their medicines.
The CCG is also working hard to reduce the unnecessary prescribing of antibiotics to help tackle antibiotic resistance, and is encouraging patients to seek over-the-counter medicines instead of a prescription, in some instances.
If you have a medicines commissioning enquiry, please email the Medicines Management team at scrccg.rxline@nhs.net
SCRCCG Antibiotic prescribing data
- Antibiotic prescribing trend by practice
- Percentage Co-Amoxiclav, Cephalosporins and Quinolones items of total antibiotic prescribing trend by practice
Antimicrobials training course
More antimicrobial prescribing resources
Memorandum of understanding for the supply of Fidaxomicin for C. Difficile
MedicinesComplete is the definitive online resource for drug and healthcare information, bringing together the world’s leading resources to provide healthcare professionals with expert and unbiased knowledge to make the best clinical decisions on the use and administration of drugs and medicines.
Pharmacies commissioned to provide this service stock a locally agreed list of medicines and make a commitment to ensure that the users of the service have prompt access to these medicines, in response to the presentation of an NHS prescription, during the pharmacies' contracted opening hours.
Please note: other pharmacies will routinely stock many, if not all, of these drugs as part of their usual dispensary stock.
In the event of there being insufficient stock to fill an immediate need the pharmacy will liaise with another community pharmacy in the service with stock and/or other local community pharmacies. The pharmacy will aim to locate a pharmacy with sufficient in-date stock and request that they reserve that stock for collection by the user. If no further stock can be located the pharmacy will contact the prescriber to discuss a suitable alternative.
This service is available within the pharmacies opening hours only (see www.nhs.uk for details). Outside these hours requests should be directed to the Out of Hours Service Provider for the relevant area.
A Palliative Care Drugs Service is commissioned in the following areas: Sainsbury’s Pharmacy in Falsgrave Road, Scarborough, Boots Pharmacy in Murray Street, Filey, and the Beechams Pharmacies at Derwent Practice and Commercial Street in Norton.
It is a requirement that all controlled drugs (CD) incidents be reported to the NHS England CD AO team based in Leeds.
The process for reporting CD incidents now requires individuals (such as prescribing or dispensing contractors) to submit the necessary information via a reporting system. Access to this requires individual registration with the CDAO’s office. There is no limit to the number of people from one organisation that can register on the website.
There’s more information, here.
NHS Prescription Services produces the Drug Tariff on a monthly basis on behalf of the Department of Health and Social Care. It’s supplied primarily to pharmacists and GP practices. More information can be found here.
Resources
- PSNC Repeat Dispensing/Electronic Repeat Dispensing (eRD)
- NHS Digital - Maximising Electronic Repeat Dispensing Toolkit
- NECS Electronic Repeat Dispensing eLearning
- NHS Electronic Repeat Dispensing (eRD): An Overview Video
- Electronic Repeat Dispensing Guidance for Implementation (taken from Fylde and Wyre CCG)
- Wessex AHSN - Electronic Repeat Dispensing Handbook
- Electronic Repeat Dispensing (eRD) in Response to COVID-19
- Electronic Repeat Dispensing Overview
SystmOne Resources
EMIS Web Resources
Other useful resources
- RDTC guidance
- eRD Hints and tips
- eRD protocol
- eRD launch letters
Patient Communication Resourses
NHS Scarborough and Ryedale CCG adheres to a series of guidelines, policies and protocols covering a range or prescribing issues including diabetes, gluten free, nutrition and pain management.
Anticoagulation choices in non valvular AF
Brand and Generic prescribing policy
Algorithm for management of Type 2 diabetes
Diabetes – who to test, when to test
Infection, prevention and control
Management of asthma and COPD in Primary Care
Overactive Bladder Syndrome (OAB) /Mixed UI in Adult Women in Primary Care
Preservative free eye drop policy
Reducing opioid prescribing in chronic pain e-learning
Registering prescribers and prescription security
Swallowing tablets – useful advice
The aim of the formulary is to promote safe, evidence-based and cost effective prescribing. It has been developed by the York and Scarborough Formulary Management team in association with NHS Vale of York Clinical Commissioning Group (CCG), NHS Scarborough and Ryedale CCG and York and Scarborough Drug and Therapeutics Committee (DTC). There’s further information for clinicians, here.
2019/20 meetings
January
February
March
April
May
June
July
August
September
October
November
Optimise Rx is a clinical decision support solution which integrates with GP systems to deliver patient-specific messages at the point of care that ensures appropriate, cost-effective prescriptions. Optimise Rx is the only solution that is tailored to the medical record and takes into consideration current and previous medications, morbidities, observations and measurements to support prescribers to make the safest, most clinically appropriate prescribing decision. Optimise Rx uses hundreds of data-sets to devise clinically relevant, best practice prescribing messages within the prescribing workflow.
Patient Group Directions (PGDs) provide a legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber). There’s more information for GPs, here.
The following PGDs have been produced to support all of the NHS immunisation programmes:
- DTaP/IPV/Hib Booster – Infanrix®-IPV+Hib, Pediacel® – Expiry date : 31 August 2019
- DTAP/IPV/Hib/HepB – Infanrix®-hexa – Expiry date: 31 August 2019
- DTaP/IPV or dTaP/IPV – Infanrix®-IPV, Repevax – Expiry date: 30 November 2019
- Td/IPV – Revaxis – Expiry date: 31 October 2019
- Hib/ MenC – Menitorix – Expiry date: 31 July 2020
- Hepatitis A (inactivated) – Expiry date: 31 October 2019
- Hepatitis A & B – Twinrix Adult, Twinrix Pediatric, Ambrix – Expiry date: 31 August 2019
- Hepatitis A with Typhoid – ViATIM® – Expiry date: 29 February 2020
- Hepatitis B Vaccine – Engerix B®, HBvaxPRO® – Expiry date: 31 August 2019.
- HPV – Gardasil – Expiry date: 30 April 2020
- Influenza – Inactivated Influenza – Expiry date: 31 March 2019
- Influenza – Addendum to the above Inactivated Influenza V06.00 PGD
- Influenza – Fluenz Tetra – Expiry date: 31 March 2019
- MMR – MMRVaxPro / Priorix – Expiry date: 29 February 2020
- Men ACWY – Menveo, Nimenrix – Expiry date: 30 June 2019
- Men B – Bexsero® – Expiry date: 28 February 2021
- Pertussis Pregnant Women – Boostrix®-IPV, Repevax® – Expiry date: 31 March 2021
- Pneumococcal – Prevenar 13 – Extension notice – Expiry date: 31 January January 2021
- Pneumococcal – PPV 23 – Expiry date : 31 August 2020
- Rotavirus – Rotarix* – Expiry date: 30 June 2019
- Shingles – Zostavax® – Expiry date: 31 March 2021
- TB – BCG vaccine AJV– Expiry date 31 August 2020
- Typhoid – TYPHIM Vi® – Expiry date: 29 February 2020
- Cholera – Dukoral – Expiry date: 31 August 2020
Prescribing data for each practice in NHS Scarborough and Ryedale CCG’s area is available to download, here.
Annual National Flu Immunisation Programme 2019 / 20
The seasonal influenza programme is an NHS-PHE commissioned service and information about the 2019 / 20 campaign can be found, here.
Any queries about the 2019/20 campaign should be directed to immunisation@phe.gov.uk
NHS Scarborough and Ryedale CCG regularly publishes information relating to clinical alerts.
General Medical Council - good practice in prescribing and managing medicines and devices
Medicines and Healthcare Products Regulatory Agency
- Hormone Replacement Therapy (HRT): Further information on the known increased risk of breast cancer with HRT and its persistence after stopping
- Hormone Replacement Therapy (HRT): Guidance for prescribers
- Hydrochlorothiazide safety alert
- Paraffin-free emollients safety alert
National Institute for Health and Care Excellence (NICE)
PGD or not to PGD – a guide for clinicians
Quinine: not to be used routinely for nocturnal leg cramps
Valproate prescribing information
Valproate Pregnancy Prevention Programme
A shared care guideline outlines ways in which the responsibilities for managing the prescribing of a medicine can be shared between the specialist and a primary care prescriber. GPs and other clinicians can find out more, here, or click on the links, below.
Wasted medicines cost the NHS around £300 million every year.
You can help by doing your bit to prevent NHS money being spent on prescriptions that aren't needed.
- Only order the items you need
- Tell your GP, Practice or Pharmacy if you no longer need an item
- If someone orders your prescription for you, let them know what you need
- Check the bag before you leave the pharmacy and hand back any items you don’t need (once out of the pharmacy, medication cannot be re-used or given to another patient)