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Repeat Prescribing Developing a quality system

This document presents an analysis of the current repeat prescribing system within primary care, where two-thirds of prescriptions are repeat medications, accounting for significant healthcare costs. It emphasizes the need for improving the system from both patient and practice perspectives. Improved convenience, patient involvement, and safety are highlighted as patient benefits, while a reduction in GP workload and better resource utilization are key advantages for practices. The guide includes recommendations for mapping and simplifying the process to enhance quality and ensure the most appropriate medication is prescribed.

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Repeat Prescribing Developing a quality system

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  1. Repeat PrescribingDeveloping a quality system

  2. Introduction • Two-thirds of prescriptions in primary care • 80% of medicines costs • Approx 1.26 million prescriptions a day Prescriptions dispensed in the community statistics for 1994-2004: England, Health and Social Care Information Centre

  3. Why improve? The Patient perspective: • Improved convenience & access • Increased patient/carer involvement • Better understanding of the system & what they need to do to access their medicines • Improved patient safety • Improved quality of prescribing – confident they are receiving the most appropriate medicine

  4. Why improve? The Practice perspective: • Better use of time • Decreased GP workload • Fewer queries to reception staff • Better understanding of the system & what their role in it is • Improved job satisfaction • Better use of resources • Improved patient safety • Improved quality of prescribing • Obtaining quality goals in the nGMS contract

  5. A simplified view Initial Consultation & 1st prescription Patient collects prescription & gets it dispensed Patient requests a repeat prescription Repeat prescription produced Patient collects prescription

  6. There will be many more steps than you think • How many different people are involved? • Think about mapping your system

  7. Breaking it down Saving time, helping patients (NPC,2004), breaks the system down to the following: • Authorising repeat prescriptions • Requesting repeat prescriptions • Generating the prescription • Medication review • Patient collecting the prescription • The community pharmacists role • Using the medication • Quality Assuring the process

  8. Summary • Two-thirds of prescriptions generated within primary care are for repeat medication • Consider the benefits for the patient • Consider the benefits for the practice • Try mapping your system • Look at how to break the system down to make improvements less challenging

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