Repeat Dispensing

Question 1

What type of service is RD?

Answer 1

Essential service in CP contract for patient with stable long-term conditions

Question 2

Describe the benefits of RD

Answer 2

• Convenient for patient
• Decreases workload for prescriber and staff
• Enhances role pof pharmacist
• Manages workload and stock more efficiently
• Reduces waste saving NHS costs

Question 3

Describe what an FP10RA is

Answer 3

Repeat authorisation - legal and clinical authority to supply - 1 per batch

Question 4

Describe what an FP10RD is

Answer 4

Repeat dispensing - more than 1 - invoice for payment

Question 5

What is the mandatory format for FP10RD/RAs?

Answer 5

Computar generated

Question 6

List the criteria for RD

Answer 6

• Patient with long term conditions and stable medication regimen
• Patient regularly uses same pharmacy
• Consent to share into between pharmacy and GP
• GP has final say if they are suitable

Question 7

Which patients are not suitable for RD?

Answer 7

• Newly diagnosed patients who have unstable conditions
• Acute meds / changes in medication regimen

Question 8

What medicines/doses are excluded from RD?

Answer 8

• CD 2 and 3
• ‘PRN’
• Non-oral medicines

difficult to know when patient requires them so can be on a separate repeat

Question 9

How does RD work in the GP?

Answer 9

• Surgery staff generate repeat batch - up to 12 months
• Issues dated with date of generation
• RA signed by GP

Question 10

How does RD work in a pharmacy?

Answer 10

• 1st RD within 6 months of date - within 28 days for CD 4
• Keep RA at pharmacy and patient encouraged to leave RD as well
• All Rx must be dispensed within 12 months

Question 11

What happens to the RA/RD after dispensing?

Answer 11

• Keep RA in pharmacy until last RD send to NHSBSA
• Send RD to NHSBSA at the end of each dispensing month

Question 12

State the questions that pharmacist must ask patient between each batch

Answer 12

• Are you taking the medicines appropriately?
• Has your condition changed?
• Are you taking any new Rx/OTC medicines?
• Is there anything you don’t need?
• Inform Pt of next collection date
  If it is final batch - inform Pt of last batch and to contact GP for clinical check

Question 13

Why is keeping a legal audit important?

Answer 13

• Records supply of RD service
• Information can be passed to GP to show compliance and med changes

Question 14

Describe the importance of communication between pharmacy and GP.

Answer 14

• Stopping or starting meds
• Strength changes
• Missed collections by patient
• Hospital admission/ med changes by secondary care
• Patient consistently doesn’t request an item