Dr. Shipman Case Study and Drug Regulations

Drugs subject to special regulations due to their potential for misuse or harm.

Changes in legislation regarding controlled drugs were influenced by events like the Shipman murders.

Controlled drugs are categorized into schedules according to their potential for harm.

Controlled drugs are categorized into classes and schedules in the UK, based on their potential for abuse.

Legal requirements for controlled drugs, like safe custody and record-keeping, decrease as control levels lessen.

Drugs restricted due to potential harm or misuse, legally controlled substances.

UK law prohibiting possession, supply, manufacture, and import/export of harmful drugs, unless permitted by the Secretary of State.

Controlled substances permitted for medical use under certain regulations.

UK regulations controlling medicines for human use, usually permissive, part of EU framework.

Regulations about the use of controlled drugs, allowing exceptions for medicine, part of the Misuse of drugs Act.

Dr. Shipman prescribed large doses of diamorphine (30mg) to patients, often in single ampoules.

Mrs. Brant was the pharmacist who dispensed most of Dr. Shipman's diamorphine prescriptions.

The prescriptions for 30mg diamorphine ampoules, frequently in single doses, were unusual compared to standard treatment protocols for acute MI.

Mrs. Brant believed Dr. Shipman's prescriptions were for legitimate medical purposes related to suspected chest pain or heart attacks.

Multiple patients received single 30mg diamorphine ampoules from the same doctor, which raised concerns about potential wastage and the validity of the prescribed doses.

Opiates and stimulants requiring a prescription and specific handling procedures. Includes safe storage and record-keeping.

A Schedule 2 prescription can be used only within 28 days.

All Schedule 2 drugs, except quinalbarbital, must be kept securely, including those returned by patients and expired stock (until disposed).

All Schedule 2 drug transactions (incoming and outgoing stock) must be documented in a specific register.

Only authorized prescribers can administer or direct the administration of Schedule 2 drugs (CDs).

Drugs with special controls due to misuse potential.

Changes in CD laws, often due to events like the Shipman murders.

Categories for CDs based on potential harm.

To limit misuse and reduce harm caused by certain drugs.

Rules for handling, storing, and recording CDs vary by schedule.

Legal status of cannabis for medical purposes under current regulations.

Legal changes regarding controlled drugs following the Shipman murders.

Drugs with special regulations due to their potential for misuse or harm.

UK law controlling dangerous drugs, prohibiting possession, supply, and manufacture, except when allowed by regulations or licence.

Regulations under the 1971 Act, granting exceptions for medicinal use of controlled drugs.

UK regulations governing all medicines for human use within the EU framework.

To limit drug misuse and reduce harm.

Laws about controlled drugs in the UK.

Legally permitted use of controlled drugs for medical reasons.

Coexistence of CD laws with general medicine legislation.

Differences in how different drugs (like alcohol, tobacco, and cannabis) are controlled.

Drugs with strict regulations due to potential for abuse or harm.

Dr. Shipman's case of murdering patients with diamorphine highlighted issues in CD regulations.

Law controlling certain drug to prevent misuse

Shipman used diamorphine to kill his patients

Changes in laws regarding CDs, often spurred by harmful practices

Categories for CDs based on their potential for harm.

Control limits drug-related harm and misuse.

The law about controlling substances is very stringent.

Shipman's misuse of prescribing drugs

Drugs legislation which aims to improve regulations on drugs

The Shipman case led to changes in controlled drug legislation, emphasizing stricter controls and record-keeping.

Controlled drug prescriptions are valid for a maximum of 28 days after issuing by a doctor.

A standardized form used for private prescriptions of controlled drugs in the UK National Health Service (NHS).

A designated individual responsible for ensuring the safe and proper handling of controlled drugs within an organization.

The body that oversees the management and control of controlled drugs within health and social care settings.

A maximum amount of controlled drugs permitted on a single prescription.

Recommended practice for maintaining records of controlled drug balances in stock, not a legal requirement.

The RPSGB fitness to practice committee determined that Mrs. Brant had no wrongdoing related to unusual prescriptions

A pattern of prescribing that deviates significantly from typical practice and raises suspicion.

An individual within an organization who is responsible for ensuring the safe and proper handling of controlled drugs.

Opiates and stimulants requiring strict prescription and handling procedures, including specific storage and record-keeping.

Drugs less prone to misuse and harm than Schedule 2, but still requiring safe custody for most, with specific exceptions.

Mostly benzodiazepines and 'z' hypnotics requiring restrictions similar to Schedule 3, with some exceptions for imports/exports, possession, and labeling.

Drug preparations containing controlled drugs at low levels, exempt from most restrictions due to lower abuse risks.

Cannabis-based medicinal products are classified as Schedule 2 CDs, but raw cannabis remains Schedule 1.