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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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