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Extending Independent Nurse Prescribing within NHSScotland
BUDGET SETTING AND MONITORING
Nurse and midwife prescribing monitoring information - primary care
The CSA reimburses costs to dispensing contractors and provides essential monitoring information, both electronically and via paper reports, to authorised users. Nurses can access information relating to their prescribing from their GP practice who are sent nurse prescribing reports prepared by PCIG/ISD twice annually. Individual nurse Scottish Prescribing Analysis (SPA) reports are only available on request. Requests from nurse prescribers should be made on headed notepaper to:
Trinity Park House,
South Trinity Road,
Edinburgh
EH5 3SE.
Nurse prescribers will also be able to obtain SPA data from their local prescribing advisor teams based at their LHCC or PCT.
Nurse and midwife prescribing monitoring in secondary care/other settings
Prescribing by individual nurses will need to be considered within the context of the clinical team to which they are attached. It may be appropriate to give the senior nurse leading the team the responsibility for monitoring prescribing by nurses within each team.
Evaluation audit and clinical governance of nurse and midwife prescribing
The nurse or midwife prescriber together with their employer must put in place specific actions regularly to evaluate the safety, effectiveness, appropriateness and acceptability of their prescribing.
In addition to the existing (and proposed) central and local systems for monitoring the number and cost of items prescribed by nurse and midwife prescribers, each prescriber is responsible for his/her individual practice, and must carry out regular audits of his/her prescribing practice and take part in the clinical governance activities of their employing organisation.
Assistance with identifying audit methodologies and interpreting findings should be available through the employing organisations' normal clinical governance mechanisms.
LIST OF ABBREVIATIONS
BNF British National Formulary
DN District Nurse
NES NHS Education for Scotland
GP10N Prescription form for use by District Nurse/Health Visitor prescribers and Extended Formulary nurse/midwife prescribers'
HBPN Prescription form for use by Hospital-Based Prescribing Nurses
HV Health Visitor
MCA Medicines Control Agency
NPF Nurse Prescribers' Formulary
NPEF Nurse Prescribers' Extended Formulary
CSA Common Services Agency
PSD Practitioner Services Division of the CSA
ISD Information and Statistics Division of the CSA
PCIG Primary Care Information Group of the CSA
NMC Nursing and Midwifery Council
SPA Scottish Prescribing Analysis
LHCC Local Health Care Co-operatives
SEHD Scottish Executive Health Department
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