electronic prescribing scheme 2 - Brighton & Hove NHS Clinical

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Transcript electronic prescribing scheme 2 - Brighton & Hove NHS Clinical

ELECTRONIC PRESCRIPTION
SERVICE 2
Brighton and Hove City CCG
EPS2
• Electronic transmission of prescriptions to a
nominated pharmacy from within GP software
prescribing module
• Repeat and acute prescribing
• ‘tokens’ ie print outs
• ‘Signing scripts’
• Remote access
EPS2
• Quicker
• Safer
• Less administrative process – scripts and
submissions
• Auditable
• eTracker
• Increases direct communication with patient and
pharmacy regarding changes to repeats
• Makes repeat dispensing workable & efficient
• Greener
EPS2 - Smartcards
• Need to use smartcards
• Need to make sure that PDS details are
synchronised for patients on GP system
• Tidy up repeat lists - same amounts and same
interval and review dates – all helps
• Think about repeat dispensing option – new
protocol available on CCG website
EPS2 – Nominated Pharmacies
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Nominated primary choice
Appliance Contractors
EPS button when using smartcard
Pick list of available pharmacies by distance
from patients address
• Monitor – new patients and unlikely options
EPS2 – non DMD medications
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DMD options – look for DMD icon
Split scripts – print out non DMD
Controlled Drugs non EPS
list of common ones on website
Cavilon, fortisip/forticrème, generic
emollients, paracetamol capsules,fybogel
• Watch for DAC button
NON DM+D MAPPED DRUGS with DM+D ALTERNATIVES
Unmapped
to
Mapped
Clinical system
BNF 1
Peptac oral liquid SF
→
Peptac liquid (aniseed or peppermint)
System 1/Emis Web
GI
Gaviscon Advance oral suspension SF
→
Gaviscon Advance oral suspension (peppermint or aniseed)
System 1/Emis Web
Gaviscon Original relief (aniseed)
→
Gaviscon Advance oral suspension ( aniseed)
System 1/Emis Web
Ispaghula husk GF effervescent granules
→
Ispaghula husk 3.5g effervescent granule sachet GF & SF
System 1/Emis Web
Fybogel granules GF & SF
→
Fybogel 3.5g effervescent granule sachet SF
System 1/Emis Web
BNF 2
Amlodipine (as besilate or
maleate)tablets 5mg & 10mg
→
Amlodipine 5mg or 10mg tablets
System 1/Emis Web
Cardio
Simvastatin oral suspension SF 20mg/5ml
→
Simvastatin 20mg/5ml oral suspension SF (rosemont)
System 1/Emis Web
Simvastatin oral suspension SF 40mg/5ml
→
Simvastatin 40mg/5ml oral suspension SF (rosemont)
System 1/Emis Web
Glyceryl Trinitrate CFC free pump spray
400mcg/dose x 180/200 dose unit
→
Glyceryl Trinitrate 400mcg/dose Pump sublingual spray
System 1/Emis Web
BNF 3
Tiotropium capsules (for inhalation)
18mcg
→
Tiotropium bromide 18mcg inhalation powder capsules
System 1/Emis Web
Resp
Salbutamol breath actuated
100mcg/actuation
→
Salbutamol 100mcg/dose breath actuated inhaler cfc free
System 1/Emis Web
Ventolin evohaler 100mcg/inhalation
→
Ventolin 100mcg/dose evohaler
System 1/Emis Web
Unmapped
BNF 4
to
Mapped
Clinical system
Beclometasone extra fine particle inhaler
cfc 50mcg/actuation
→
Qvar 50 inhaler
System 1/Emis Web
Beclometasone extra fine particle inhaler
cfc 100mcg/actuation
→
Qvar 100 inhaler
System 1/Emis Web
Paracetamol caplets 500mg
→
Paracetamol 500mg tablets
System 1/Emis Web
Prednisolone ec 5mg tablets
→
Prednisolone 5mg gastro resistant tablets
System 1/Emis Web
CNS
BNF 6
EPS2 - preparation
• All prescribers use smartcards
• Register known nominated pharmacies on
your system – office and clinical staff
• Start collecting nominated pharmacies by:
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–
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Opportunistically with requests
Posters, leaflets, website, social media
Right hand side of scripts
New registrations
Consultations – slip of paper
After two months - search all repeats (emis)
EPS2 Preparation
• Opportunistic change of non DMD drugs
• Run search for non DMD medication and
make as administrative task using protocol
• Increase online prescribing requests
• Information from EPS website and within GP
software ‘help’
• CCG website