Non-medical Prescribing in the United Kingdom (eBook)

Penelope Mary Franklin (Herausgeber)

eBook Download: PDF

2017 | 1st ed. 2017
XIII, 234 Seiten
Springer International Publishing (Verlag)
978-3-319-53324-7 (ISBN)

Infos

This book explores key developments in Non-medical Prescribing in the UK. Addressing the needs of countries in the European Market and beyond, which have been closely watching UK developments and would be interested in embedding or developing counterparts of their own. 

Featuring chapters by clinicians, leaders and practitioners in the UK Non-medical Prescribing arena, it identifies both current and potential future developments. Attention is paid to the different prescribing practices and governance within the four countries constituting the United Kingdom.  Many lessons have been learned along the way and the purpose of this book is to share these lessons, together with best practice examples in connection with the implementation of nurse/health professional led patient care, implementation of patient centered practice, and governance.

Designated Registered Practitioners who have completed an enhanced training now receive a professional body qualification which enables them to prescribe within their scope of practice as Non-medical Independent Prescribers and, providing that they are competent, from anywhere within the British National Formulary independently of doctors; for Nurses, this also includes most controlled drugs.

The book will be of interest to policy makers and to forward-looking professionals and practitioners in the diverse European Health and Social Care market.

Penny Franklin is a  UK National Expert in Non-medical Prescribing and has published widely. She is an Executive Member of the Association of Prescribers and is Prescribing Lead for the Community Practitioners and Health Visitors Association.  She is a member of the Nurse Prescribers Advisory Group for the British National Formulary. Penny is a Registered General Nurse and a Health Visitor by background and is an Independent and Supplementary Prescriber.  She is a Fellow of the Institute of Health Visiting and the Higher Education Academy. She links to the University of Plymouth, UK as an Associate Professor and Senior Associate Lecturer.

Inhalt

Foreword 5
Acknowledgement 7
Contents 8
List of Abbreviations 10
Chapter 1: Introduction to Non-medical Prescribing: An Overview—Including Non-medical Prescribing in England 13
1.1 Purpose of This Book 14
1.2 Historical Perspective 15
1.3 History Across the Four Countries 21
1.4 Where We Are Now and Where We Are Going 21
1.5 Continuing Professional Development (CPD) 22
1.6 Training and Assessment 23
References 24
Part I: Non-medical Prescribing in Scotland, Wales and Northern Ireland 26
Chapter 2: Non-medical Prescribing in Scotland 27
References 37
Chapter 3: Non-medical Prescribing in Wales: Implementation and Governance 42
3.1 Implementation of Non-medical Prescribing: Nurse Prescribing Formulary 43
3.2 Implementation of Supplementary Prescribing: Wales Context 44
3.3 Implementation of Independent Prescribing: Wales Context 47
3.4 Audit and Monitoring of Prescribing Data in Wales 52
3.5 Clinical Governance: Continuing Professional Development 54
3.6 Summary 56
References 58
Chapter 4: Non-medical Prescribing in Northern Ireland 61
4.1 Introduction 63
4.2 Supplementary Prescribing 65
4.3 Curriculum and Training 66
4.4 Scope of Practice 68
4.5 Independent Prescribing 69
4.6 Curriculum and Training 70
4.7 Scope of Practice 74
4.8 Current Status in Primary and Secondary Care for Pharmacist Prescribers 75
4.9 Current Status in Primary and Secondary Care for Nurse Prescribers 84
4.10 Current Status in Primary and Secondary Care for Optometrist Prescribers 85
4.11 Current Status in Primary and Secondary Care for Allied Health Professionals (Physiotherapist/Podiatrist or Chiropodist/Radiographer) 88
4.12 The Future of Non-medical Prescribing in NI 89
References 93
Part II: Non-medical Prescribing by Pharmacists and Allied Health Professionals 98
Chapter 5: Non-medical Prescribing by Pharmacists 99
5.1 Genesis 100
5.2 Implementation and Its Challenges 104
5.3 Minor Ailments Schemes 110
5.4 Pharmacists in GP Practices 114
References 115
Chapter 6: Prescribing by Designated Allied Health Professionals: The AHP Experience 117
6.1 Introduction 118
6.2 The Allied Health Professions 118
6.3 Allied Health Independent Prescribing: Physiotherapy, Podiatry and Therapeutic Radiography 120
6.4 Podiatry and Physiotherapy: Current Issues 121
6.5 Independent Prescribing in Practice: Key Advantages 123
6.6 Independent Prescribing in Practice: Disadvantages 124
6.7 Radiography: Current Issues 125
6.8 Undergraduate Education in Allied Health Prescribing: A Future Scenario? 128
6.9 Conclusion 129
References 130
Part III: The Practice, Art and Discipline(s) of Non-medical Prescribing 132
Chapter 7: The Identity of Non-medical Prescribers 133
7.1 Introduction 134
7.2 Local Context 136
7.3 Social Photo-Matrix 137
7.4 Accountability and Governance 138
7.5 Medicines Optimisation 139
7.6 Therapeutic Relationship 140
7.7 Community/Hospital Prescribing 142
References 144
Chapter 8: Non-medical Prescribing in Community Settings 146
8.1 Introduction 147
8.2 Medicines Optimisation 148
8.3 Mobile Working 150
8.4 Community Formulary Prescribing by Specialist Community Public Health Nurses (SCPHNs) 152
8.5 Decision Making in Community Nursing 155
8.6 Managing Long-Term Conditions in the Community 156
8.7 Conclusion 157
References 158
Chapter 9: Prescribing for Long-Term Conditions 160
9.1 Introduction 161
9.2 Compassion in Prescribing Practice 162
9.3 The Consultation 165
9.4 Compliance, Adherence, and Concordance 169
9.5 Polypharmacy and De-prescribing 171
References 175
Chapter 10: Non-medical Prescribing in the Acute Setting 177
10.1 Introduction 178
10.1.1 The Development of Non-medical Prescribing Within a Hospital at Night Team 178
10.2 Accountability, Liability and Prescribing Formularies 180
10.3 When Not to Prescribe 181
10.4 Remote Prescribing 182
10.5 NMP in the Acute Setting 183
10.5.1 Case Study One 183
10.5.2 Case Study Two 184
10.6 Shared Care, Communication and the Importance of Good Documentation 186
10.7 Safe Practice 187
10.8 Audit and CPD 188
10.9 A Personal Audit of NMP Practice 189
10.10 Personal CPD Strategy 191
10.11 Conclusion 192
References 192
Chapter 11: Non-medical Prescribers Within Substance Misuse Services 194
11.1 Moving Forward with Ambition 195
References 209
Chapter 12: Non-medical Prescribing in Palliative and End-of-Life Care (EOLC) 214
12.1 Introduction: Background to Palliative and EOLC 215
12.2 What the Literature Says 218
12.3 The Role of the Clinical Nurse Specialist in Palliative Care 223
12.4 Hospice 224
12.5 Community 225
12.6 Maintaining Training: Training and Support for NMPs 226
12.7 Case Studies 227
12.7.1 Scenario 1 227
12.7.1.1 The Benefits of NMP 228
12.7.2 Scenario 2 228
12.7.2.1 The Benefits of NMP 229
12.8 Conclusion 229
References 230
Erratum to: Non-medical Prescribingby Pharmacists 232
Index 233

Produkt-Details

• Erscheint lt. Verlag: 23.8.2017
• Zusatzinfo: XIII, 234 p. 5 illus. in color.
• Verlagsort: Cham
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Allgemeinmedizin
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: Health professional Prescribing UK • Non-medical Prescribing UK • Nurse Prescribing UK • pharmacotherapy • Prescribing governance and implementation UK • Prescribing practice UK
• ISBN-10: 3-319-53324-X / 331953324X
• ISBN-13: 978-3-319-53324-7 / 9783319533247