Urgent Prescription Request Policy

Due to the increasing numbers of patients requesting their prescription on an urgent basis, the practice has needed to instate an Urgent Prescription Policy. Unless a medication is clinically urgent, requests will be processed routinely (over 2 working days). As a surgery, we require a minimum of 2 working days to process a patients request for medication routinely. Requests for prescriptions outside the normal prescription protocol impacts significantly on both doctors, and administration staff time as well as increasing the risk of a medication prescribing error.

Many medications can safely be missed for a few days; Urgent prescription requests are requests for emergency medication which are needed within 24 hours to prevent the patient from becoming seriously ill. Urgent prescription requests are not requests for medication which have been ordered late as it is the patient’s responsibility to ensure that repeat prescription requests are ordered in time. Items which can be bought over the counter at the pharmacy or for non-urgent medication will not be issued a prescription if an urgent request has been made. This will ensure safe prescribing and optimise access to the clinical team.

The GP Partners have reviewed the medicines that the surgery prescribes and have produced a list of medications deemed as urgent. If the medication you are prescribed is not listed, your medication will not be issued as urgent. Your request will be processed routinely within 2 working days. A code will be added to your clinical record, followed with a letter sent reiterating our policy.

The following medication may be issued on an urgent same-day basis (these are medications that the patient could endure harm within 2 working days by missing the doses):

Group Name Brands

Reliverer inhalers & Nebuliser Solutions

Salbutamol

Ipratropium

Terbutaline

Ventolin/Salamol/Airomir

Atrovent

Bricanyl

All Antioagulants

Wafarin

Apixaban

Edoxaban

Rivaroxaban

Dabagatrin

Sinthrome

Dalteparin

Enoxaparin

Tinzaparin

Fragmin

Heparin

Eliquis

Lixiana

Xarelto

Pradaxa

 

 

Clexane

 

 

Anti-Epileptic Medication 

Carbamazepine

Gabapentin

Tegretol/Trilepta

 

ONLY FOR EPILEPSY, not pain management

Lamotrigine

Levetiracetam

Lamictal

Keppra/Destirend

Not for pain management/migraine etc.

Phenobarbitone

Phenytoin

Topiramate

Valproate

 

Epanutin

 

Epilim/Episenta/Depakote/Epival

Anti-Psychotic Medications

Aripiprazole

Haloperidol

 
Schizophrenia/Bipolar/Psychosis

Olanzapine

Quetiapine

Risperidone

Lithium

Zalasta

Biquelle/ Seroquel/ Brancico/ Mintreleq/ Psyquet/ Atrolak

Risperdal

 

Parkinson's Medication

Co-Beneldopa

Co-Careldopa

Levodpa

Madopar

Sinemet/Caramet

Sastravi/Stanek

Long Term Steroids

For patients who take steroids EVERY day long term.

Dexamethasone

Prednisolone

Fludrocortisone

 
Nitrates & Anti-Angina Medication

Glyceryl Trinitrate Spray

Isosorbide mononitrate

Isosorbide dinitrate

Verapamil

Nicorandil

Ivabradine

Ranolazine

Nitrolingual/ GTN spray

Isodur/Isotard/Monomax/ Monomil XL

Isoket Retard

 

 

 

 

 

Anti-arrhythmic drugs - For cardiaxc arrhythmias only. NOT for treatment of hypertension only.

 

 

 

(Not Propranolol for anxiety)

Amiodarone

Flecanide

Sotolol

Verapamil

Digoxin

Diltiazem

Propranolol

Atenolol

 
Palliative Care Medications (end of life) Anticipatory Drugs

Diamorphine

Cyclizine

Levomepromazine

Glycopyronium

Midazolam

Water for Injection

 
Diabetic Medications - For Type 1 Diabetics only

All insulin

Needles

Test strips

Sharps bin

 
Anaphylaxis Injections Adrenaline 1:1000

Epipen

Epipen Junior

Min-I-Jet adrenaline

Specialised Baby Milks    

As a surgery, we require a minimum of 2 working days to process a patients request for medication. This is to allow the GP adequate time to review and process to ensure patient safety. Providing ‘emergency prescriptions’ on the same day as it is requested, is managed to support patient safety by keeping surgery interruptions to an absolute minimum, allowing GPs to work un-interrupted to prevent detrimental effects on the service we provide.

The 'working days' are when the surgery is open: Monday to Friday (excluding any bank holidays). We process the vast majority of our prescriptions electronically, sending them directly to your nominated pharmacy.

Prescriptions requested on: Processed by:
MONDAY BEFORE 10AM WEDNESDAY BY 6.30PM
TUESDAY BEFORE 10AM THURSDAY BY 6:30PM
WEDNESDAY BEFORE 10AM FRIDAY BY 6:30PM
THURSDAY BEFORE 10AM MONDAY BY 6:30PM
FRIDAY BEFORE 10AM

TUESDAY BY 6:30PM

Any prescriptions requested over the weekend will be processed on Monday, and therefore be processed by your GP on Wednesday by 6:30pm. 

Hospital Prescriptions

When you are seen at the hospital and are given a hospital prescription, you should not leave the hospital without attending the hospital pharmacy to collect the medication. A hospital prescription is not valid in community pharmacies.

Should you wish to have the prescription fulfilled by us instead, this will be processed routinely over 2 working days as urgently needed medication will be provided by the treating hospital.Please note, some hospital medications are not licensed to be prescribed in general practice. 

Holiday Medication

Holidays are normally booked weeks or months in advance, therefore when preparing for your holiday, please remember to process a request for your routine medication allowing the normal 2 working days for processing. We can only provide a maximum of 3 months medication and we may request a patient to provide documents to support this request. We are unable to provide emergency prescriptions for holiday medication.

Repeat Medication

Our surgery policy is to process and issue prescriptions within 2 working days and we are committed to doing this. Repeat medication can be requested through your nominated pharmacy, online or by the NHS app. We do not take prescription requests over the phone. Medication can be requested 14 days in advance, anything before this timeframe, the request will be rejected unless there is a valid reason as to why the request is early.

Please respect our staff

Our reception and administrative staff are to always follow this policy and they are not authorised to make any exceptions. Staff are not allowed to interrupt the duty GP during surgery. This policy is put in place to protect our patients and our staff, and we will not tolerate any abuse to or of our staff as they are following policy.

Thank you for your co-operation.