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Communication is key.
The whole practice team need to buy in if we are to implement this
new way of working and we need to communicate well, to prevent the
new system failing.
• You need to agree to work to a three or more-day turnaround of
prescription requests.
• Prescription requests require handling without delay (say twice a
day).
• Either leave the prescriptions on the clinical system in the queue
or print off in the dispensary.
• Process orders twice a day and if printed, separate the
corresponding prescriptions in batches to marry with the stock
when it arrives. Alternatively skip all the items and order and leave
as owings on the screen to process. Only order what you need.
• Prescription signing needs to be dealt with in a timely fashion
such that we are not waiting for prescriptions to be signed at any
point in the process.
• Patients need to understand that 3 days means 3 days and their
repeat prescriptions will not be ready any sooner. Implement a
texting system to inform patients their prescription is completed.
• Prescribers need to decide on a short formulary of acute stock
that the dispensary will carry for clinic patient’s prescriptions.
You will need to work with the practice clinical team on this. I suggest
you develop a template of some sort (see table below, as an example).
Therapy Area Basic stock items Packs (minimum stock level)
Pain relief/analgesics
Respiratory
Allergy
GI
Infection
Skin conditions
Mental Health
Pregnancy contraception
and woman’s health
Pain and inflammation
(topical)
ENT
Eye infection/
inflammation
Cardiovascular
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