Prescribing Instructions: Overdue Repeats Pathway

This video explains how to handle prescriptions for patients who are overdue for medication reviews using the prescribed system. This process helps manage overdue medication reviews efficiently and ensures that patient safety and compliance are maintained.

Or if you prefer a step-by-step guide:

Step-by-Step Guide: Prescribing Pathway for Overdue Medication Reviews

1. Accessing the Prescribing Pathway System

• Click on the prescribing pathway button in your toolbar.
• If it’s not on your toolbar, request to have it added.
• The system may also remind you to use it if you forget.

2. Handle Overdue Medications

Example 1: Medication Review Booked

• Scenario: A patient’s medication review is booked, but their review date has passed.
• Action:
  • Click on the button for this case (e.g., "Issue One More Script").
  • Select "Issue One More Script" if necessary.
  • Move the review date to today.
  • Click "Record Notes" to add codes and free text explaining the action taken.
• Adjust Review Date:
  • Click on the medication, then the number seven icon.
  • Change the review date to today.
  • This will allow issuing the medication without reauthorizing it.

Example 2: Annual Review Invite Pending

• Scenario: Patient has not had their annual review invite yet and their medication is overdue.
• Action:
  • Click on the button (e.g., "LTC Blue").
  • Select "Issue One More Script" and "Send Invite".
  • If you do not want to send the invite immediately, record it in the notes and task reception or admin to send the invite.
• Notes: This ensures that the patient receives an invite for their annual review.

Example 3: No Response to Invites

• Scenario: Patient has not responded to review invites and their medication is overdue.
• Action:
  • Click on "Record and Send SMS".
  • Send an SMS informing the patient of their overdue review and that if they do not contact you, only two weeks of medication may be supplied at a time.
  • Message Example:

    Dear [Patient Name], You are overdue for a review of your long-term conditions medication. Please contact us to arrange a review before your next prescription is due. If you do not arrange this, we may only be able to supply two weeks of medication at a time.
    

• Reason: Reducing access to medication encourages patients to book their reviews and meets CQC standards for safety.

3. Review and Follow-Up

• Ensure that all actions are recorded accurately in the system.
• Follow up on tasks and invites to ensure timely completion.
• If the patient does respond and completes their review, update their prescription accordingly.

4. Additional Notes

• The system is designed to minimise tasks for GPs and pharmacists, speed up processes for patients, and ensure safety.
• If you encounter issues or are unsure about any steps, contact support for assistance.