Nurse Prescribing in practice

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Nurse Prescribing in practice
Jenny AstonPGDip BSc DipAsthma RCNT RGN
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Grove Surgery - Thetford
6 GPs
16 support staff
1 nurse practitioner/ prescriber
6 nurses
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History of Nurse Prescribing in the UK

• 1986 Department of Health
• 1992 Medicines Act
• 1994 Amendment Nurse Prescribers Formulary
• 2001 Other health professionals included
• 2003 Supplementary prescribing
• 2006 Full formulary Nurse Independent Prescriber

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Why did it come about?

• Nurses more involved in chronic disease
  management
• Doctors having to shed responsibilities
• Many more highly skilled nurses
• Nurses have been doing it anyway
• More team approach to patient care

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Types of Prescriber

• Nurse Prescribers
• Trained as part of Community Degree for District
  Nurses/Public Health Nurses
• Nurse Independent Prescribers
• Formerly Extended Nurse Prescribers
• Stand alone degree level training 26 days

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Becoming a nurse prescriber
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Training

• Entry requirements
• Able to study at degree level
• 3 years post registration
• Employer willing to support in training, funding
  and prescribing
• 25 classroom days
• Consultation, Ethical Legal, Pharmacology,
  Accountability
• Teamwork, Psychology, Public Health
• 12 days learning in practice
• Exam
• OSCE
• Portfolio

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• Nurse and Pharmacist independent prescribing
  is a major advance in improving accessibility of
  medicines to patients.
• It will be delivered by highly skilled and
  well trained staff.
• This is good news for patients ands good news
  for healthcare professionals.
• Patricia Hewitt
• Health Secretary
• May 2006

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Opening up the formulary
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The future

• NMC (Nursing Midwifery Council) Prescribing
  Standards
• Mandatory CPD
• PGD (Patient Group Direction) training for
  pre-registration
• Legal cases