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Mitomycin-C 10mg Powder for Solution for Injection (Kyowa): Company led drug alert

The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a company led drug recall, to be actioned, for certain batches of: Mitomycin-C Kyowa 10mg Powder for Solution for Injection. Date issued: 12th November 2018 CLDA number: (18) A/09 MDR number: MDR 06-11/18 Batch number: 6058517 The above batch is being recalled because an out of specification result...

8 hours ago

FMD webinar now on-demand

Community pharmacy contractors can now access an online recording of PSNC’s recent webinar about the Falsified Medicines Directive (FMD). More than 1,000 people registered for yesterday’s webinar hosted by Alastair Buxton, PSNC’s Director of NHS Services. Alastair used the event to explain how the introduction of FMD will affect the day-to-day working of community pharmacy teams and what they...

4 days ago

PSNC October Meeting: summary for contractors now available

PSNC’s October meeting was held on the 9th and 10th of the month in Swindon, and key agenda items included: Analysis of the 2018/19 funding offer; Revision of PSNC’s service development proposals; The first meeting of PSNC’s Brexit Forum; and Consideration of the pilot to integrate pharmacy and medicines optimisation into new care models. Download...

5 days ago

Managing complaints about prescription direction

‘Prescription direction’ occurs where a patient is directed by their GP practice to a certain pharmacy to have their prescription dispensed. The BMA, Pharmacy Voice and PSNC have published a joint statement stating that prescription direction should not take place. Prescription direction undermines a patient’s right to have a free choice between any community pharmacy, and damages trust and cooperation between healthcare professionals.

 

NHS England (which manages the contracts with GPs and pharmacies) and the General Medical Council and General Pharmaceutical Council (the professional regulators) all have a role in stepping in to challenge cases of prescription direction. They generally need to hear from patients before they will take action.

 

If any of your patients complain about undue pressure to use a particular pharmacy, you can use the Your Prescription Your Choice Leaflet to help them to easily register a complaint.

 

If you become aware that a patient has been subjected to prescription direction:

1. Explain that doctors and pharmacists across the country have agreed that this is not the right way to behave – patients should always be free to choose their pharmacy, and no-one should seek to undermine that right

2.  That if certain GPs or pharmacies locally are behaving in this way, that this needs to be reported so that something can be done to stop it

3.  Offer them the “Your Prescription Your Choice” form, explaining that it contains information about this problem and gives them the opportunity to report what has happened to them

4.  Advise them that the back half of the form can be detached and submitted to the appropriate body. They can submit the form themselves, or ask you to do it for them

5.  Encourage them to complete the form in the pharmacy, and say that you’ll send their form off for them, along with any other forms that you receive, to save them the cost of a stamp or phone call

 

Please respect the right of patients not to complain if they are uncomfortable in doing so. Please also recognise that you should treat any interactions with patients on this topic as confidential.

 

Once forms have been returned to you, the next steps are:

1.  Send the form to NHS England in all cases.

2.  If there is evidence that a GP may have acted inappropriately, a copy of the form should be sent to the General Medical Council

3.  If there is evidence that a pharmacist or pharmacy company may have acted inappropriately, a copy of the form should be sent to the General Pharmaceutical Council.

4.  We suggest that you keep a log of the forms that you have sent off

 

The full BMA, Pharmacy Voice and PSNC statement on prescription direction is available at: 

http://psnc.org.uk/wp-content/uploads/2013/07/BMA_PSNC_PV_prescription_direction_guidance_October_13.pdf

 

Your Prescription Your Choice Leaflet