Repeat Prescribing and Repeat Dispensing

Question 1

how do u submit the repeat dispense prescription to the NHSBSA

Answer 1

RD - submitted monthly

RA - submitted after all the batches have been used or expired or destroyed

Question 2

how does eRD work for repeater dispensing

Answer 2

NHS spine

faster takes about 2 days

sent to pharmacy 7 days before needed

can be pulled down early

GP can cancel anytime

can switch pharmacy mid batch

Question 3

what system manages this stuff

Answer 3

SystemOne

Question 4

whats a RA vs a RD

Answer 4

RA (Repeat Authorisation) → signed master prescription

RD (Batch prescriptions) → individual issues

Question 5

what are rules regrading the RD

Answer 5

first dispense must be within 6 months (normal)

28 days (CD)

all batches must be dispensed within 12 months

Question 6

what must remember to communicate to the GP surgery

Answer 6

When a prescriber starts/stops a medication

When a strength of medication changes

When a patient is in hospital or has medication changed by secondary care

When a patient is not collecting medicines regularly

When a patient consistently does not request an item

Question 7

what to do before giving the last batch

Answer 7

inform them its the last batch

let them know they will need to let their doctor know so they cab have a clinical review

Question 8

what questions can you ask

Answer 8

Do you need all items?

Any side effects?

Any new meds (Rx/OTC)?

Seen any healthcare professional?

Question 9

what are some benefits of using the eRD patients

Answer 9

Patients:
Less GP visits
Saves time
Better convenience

Question 10

what are some benefits of using the eRD GP

Answer 10

GP:
Less admin
Batch prescribing
Can cancel anytime

Question 11

what are some benefits of using the eRD Pharmacy

Answer 11

Pharmacy:
Better workload planning
Improved stock control
Less time chasing prescriptions

Question 12

what are some common problems

Answer 12

1.meds that are PRN (painkillers, inhalers, creams).
might not use them regularly = waste or overuse

2.new meds added
new med not in batches, need separate prescription

3.meds discontinued

4. hospital change, meds get changed but old botches don’t include this

Question 13

what are some suitable