Nurse Prescribing in practice Jenny Aston PGDip BSc DipAsthma RCNT RGN.

Nurse Prescribing Nurse Prescribing in practicein practice

Jenny AstonJenny AstonPGDip BSc DipAsthma RCNT RGNPGDip BSc DipAsthma RCNT RGN

Grove Surgery - ThetfordGrove Surgery - Thetford

6 GPs16 support

staff

1 nurse practitioner/prescriber

6 nurses

History of Nurse Prescribing History of Nurse Prescribing in the UKin the UK

1986 – Department of Health1986 – Department of Health 1992 – Medicines Act1992 – Medicines Act 1994 Amendment + Nurse Prescribers 1994 Amendment + Nurse Prescribers

FormularyFormulary 2001 – Other health professionals included2001 – Other health professionals included 2003 – Supplementary prescribing2003 – Supplementary prescribing 2006 – Full formulary Nurse Independent 2006 – Full formulary Nurse Independent

PrescriberPrescriber

Why did it come about?Why did it come about?

Nurses more involved in chronic Nurses more involved in chronic disease managementdisease management

Doctors having to shed Doctors having to shed responsibilitiesresponsibilities

Many more highly skilled nursesMany more highly skilled nurses Nurses have been doing it anywayNurses have been doing it anyway More team approach to patient careMore team approach to patient care

Types of PrescriberTypes of Prescriber

Nurse PrescribersNurse Prescribers Trained as part of Community Degree Trained as part of Community Degree

for District Nurses/Public Health Nursesfor District Nurses/Public Health Nurses Nurse Independent PrescribersNurse Independent Prescribers

Formerly Extended Nurse PrescribersFormerly Extended Nurse Prescribers Stand alone degree level training 26 Stand alone degree level training 26

daysdays

Becoming a nurse Becoming a nurse prescriberprescriber

JENNY ASTON ABC123456

A999999GROVE SURGERYTHETFORD

TrainingTraining Entry requirementsEntry requirements

Able to study at degree levelAble to study at degree level 3 years post registration3 years post registration Employer willing to support in training, funding and Employer willing to support in training, funding and

prescribingprescribing 25 classroom days25 classroom days

Consultation, Ethical & Legal, Pharmacology, Consultation, Ethical & Legal, Pharmacology, AccountabilityAccountability

Teamwork, Psychology, Public HealthTeamwork, Psychology, Public Health 12 days learning in practice12 days learning in practice ExamExam OSCEOSCE PortfolioPortfolio

“ “Nurse and Pharmacist Nurse and Pharmacist independent prescribing is a major independent prescribing is a major advance in improving accessibility advance in improving accessibility of medicines to patients. of medicines to patients.

It will be delivered by highly It will be delivered by highly skilled and well trained staff. skilled and well trained staff.

This is good news for patients This is good news for patients ands good news for healthcare ands good news for healthcare professionals.”professionals.”

Patricia Hewitt Patricia Hewitt Health Secretary Health Secretary May 2006May 2006

Opening up the formularyOpening up the formulary

The futureThe future

NMC (Nursing & Midwifery Council) – NMC (Nursing & Midwifery Council) – Prescribing StandardsPrescribing Standards

Mandatory CPDMandatory CPD PGD (Patient Group Direction) PGD (Patient Group Direction)

training for pre-registrationtraining for pre-registration Legal casesLegal cases