NHS Prescriptions for POMs Quiz
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Questions and Answers

What is the maximum validity period for a prescription from the appropriate date?

  • 3 months
  • 1 month
  • 6 months (correct)
  • 12 months

    • Which of the following is NOT a required detail on a prescription for POMs?

  • Address of the patient (correct)
  • The date of issuance
  • An indication of the kind of practitioner
  • Address of the appropriate practitioner

    • In the case of repeatable prescriptions without specified repeats, what is the maximum allowed dispensing?

  • Twice
  • Five times
  • Once (correct)
  • Three times

    • What must be done if less than the full amount of a prescribed medicine can be supplied?

    <p>Provide an owing slip for the remainder</p> Signup and view all the answers

    Which type of practitioner is permitted to write NHS prescriptions for POMs?

    <p>A registered practitioner in the UK or an approved health professional from an approved country</p> Signup and view all the answers

    What is required if a patient is under 12 years old regarding prescriptions?

    <p>The child's age must be indicated</p> Signup and view all the answers

    When prescribing by brand name, what is required for dispensation?

    <p>Only the prescribed branded product may be dispensed</p> Signup and view all the answers

    How many times can an oral contraceptive prescription be dispensed in total?

    <p>Six times</p> Signup and view all the answers

    Which of the following practitioners is NOT considered an appropriate prescriber for Prescription Only Medicines (POMs)?

    <p>Pharmacy technician independent prescriber</p> Signup and view all the answers

    What is essential information that must be included in a private prescription?

    <p>Signature of the practitioner</p> Signup and view all the answers

    In terms of legal requirements for prescriptions, which of the following statements is correct?

    <p>Private prescriptions must have a date when signed.</p> Signup and view all the answers

    What is NOT a requirement for post-dated prescriptions?

    <p>Name of the practitioner</p> Signup and view all the answers

    Which of the following options is essential for ensuring the authenticity of a prescription?

    <p>Verification of the practitioner's signature.</p> Signup and view all the answers

    What is one key difference between NHS and private prescriptions?

    <p>NHS prescriptions require additional patient information.</p> Signup and view all the answers

    Which of the following is a legal requirement on an NHS prescription?

    <p>Drug strength</p> Signup and view all the answers

    Why might an alternative brand not be dispensed when prescribed a POM?

    <p>The prescriber specifically forbids it.</p> Signup and view all the answers

    How must the date on a private prescription be documented?

    <p>As the date when it was signed by the practitioner.</p> Signup and view all the answers

    What signature is required for electronic prescriptions to be legally valid?

    <p>Advanced electronic signature</p> Signup and view all the answers

    Which of the following must be recorded for each supply of a Prescription Only Medicine (POM)?

    <p>Date of sale or supply</p> Signup and view all the answers

    How long must prescription records for POMs be kept from the last entry date?

    <p>2 years</p> Signup and view all the answers

    What must be done with undispensed tokens of an electronic prescription?

    <p>Cancel them on the NHS spine</p> Signup and view all the answers

    Which type of prescription is considered legally valid even if faxed?

    <p>Faxes can confirm existence but are not legally valid</p> Signup and view all the answers

    Which of the following is NOT a legal requirement for non-UK prescriptions?

    <p>Patient’s allergies</p> Signup and view all the answers

    What does an advanced electronic signature ensure?

    <p>It can be linked to the data in such a way that changes are detectable</p> Signup and view all the answers

    What is the requirement for keeping records of NHS prescriptions?

    <p>Good practice suggests keeping records even if it's not legally required</p> Signup and view all the answers

    What should pharmacists do if they suspect a prescription is forged?

    <p>Contact NHS Counter Fraud Service and inform the prescriber</p> Signup and view all the answers

    Which of the following medications is exempt from restrictions on administration by non-practitioners?

    <p>Glucagon injection</p> Signup and view all the answers

    What should a pharmacist do if they receive a prescription from a non-approved country?

    <p>Do not dispense and advise the patient on alternative routes</p> Signup and view all the answers

    When must entries for a drug supply be made in the POM register?

    <p>On the same day as the sale or supply</p> Signup and view all the answers

    Study Notes

    NHS prescriptions for POMs

    • NHS prescriptions are valid for 6 months
    • They should be written on carbon paper or similar material
    • The prescription must contain the following information
      • The prescriber’s address
      • The date of the prescription
      • The type of prescriber (e.g., doctor, dentist)
      • Name and address of the patient
      • The age of the patient if they are under 12 years of age

    Repeatable Prescriptions

    • Must be dispensed within 6 months of the date
    • Repeat prescriptions can only be dispensed once unless its for oral contraceptives
    • Oral contraceptives can be dispensed six times in total

    ### Additional Considerations

    • Separate requirements for prescribing controlled drugs (e.g., opioids, stimulants)
    • Medicines should be supplied in full when presented with a valid prescription
    • If a pharmacy is unable to supply the full quantity of a prescribed medicine, an owing slip should be issued.
    • Dispensing must match the requirements of the prescription, including strength, dose, frequency, and quantity.
    • Brand name prescriptions must only be dispensed as the brand prescribed. Generic or alternative brands should not be dispensed.

    ### Approved Practitioners

    • Doctors are referred to as ’registered medical practitioners’
    • Community Practitioner Nurse Prescribers may prescribe a limited range of medicines from the Nurse Prescribers’ Formulary for Community Practitioners (NPF)
    • Supplementary prescribers prescribed under the instruction of a doctor or dentist.
    • Independent prescribers can prescribe from a wider range of medicines.
    • These include the following professions:
      • Nurses
      • Pharmacists
      • Optometrists
      • Physiotherapists
      • Podiatrists
      • Therapeutic Radiographers
      • Paramedics

    Important Meanings

    • ’An indication of the kind of appropriate practitioner giving it’- this refers to what type of prescriber is issuing the prescription. For example, a doctor or dentist.
    • ’The appropriate date’ refers to the date the prescription was written if it is a private prescription.
    • ’The appropriate date’ refers to the date the prescription is signed if it is an NHS prescription.
    • ‘Post-dated prescription’ - a prescription that has a future dated as the date on the document.
    • Private prescriptions must follow the same legal requirements as NHS prescriptions
    • Private prescriptions can be written on any material and do not require a specific form
    • The date on a private prescription is the date it was signed

    Electronic Prescriptions

    • Electronic prescriptions must have an ‘advanced electronic signature’
    • The electronic signature must be uniquely linked to the prescriber and cannot be altered
    • All drugs can be sent as electronic prescriptions

    Prescription Records

    • A record of each supply of a Prescription Only Medicine (POM) must be kept unless
      • It is a ‘health prescription’
      • It is a prescription for an oral contraceptive
      • It is a record for a controlled drug that is already included in a separate CD (Controlled Drug) register
      • It is a record for a medicine supplied as part of wholesale dealing where the invoice (or a copy) is retained for two years
    • Records may be kept in a bound book or electronically

    Faxed Prescriptions

    • The use of fax machines to transmit confidential information is discouraged
    • Faxed prescriptions are not legally valid prescriptions
    • Dispensing a prescription against a fax is associated with several risks
    • Dispensing a controlled drug from a fax is a criminal offence

    ### Photos or Emails of Prescriptions

    • Photos or emails of prescriptions are not legally valid prescriptions
    • They can be used for the patient to confirm what has been prescribed and for sharing with other healthcare professionals

    Forged Prescriptions

    • Dispensing a forged prescription is a criminal offence
    • The law allows for a ‘due diligence’ defence, where the pharmacist has reasonable grounds to believe that the prescription is genuine

    ### Non-UK Prescriptions

    • Prescriptions from ‘approved countries’ from ‘approved health professionals’ are legal in the UK
    • ‘Approved countries’ include EEA countries and Switzerland
    • ‘Approved health professionals’ include medical professionals who have prescribing rights in their own country. This may include chiropodists, podiatrists, nurses (including community nurses), optometrists, paramedics, pharmacist, physiotherapists, and therapeutic radiographers
    • Non-UK prescriptions must include:
      • The patient’s full name and date of birth
      • The prescriber’s full name, professional qualifications, direct contact details, and work address
      • The name of medicine, pharmaceutical form, quantity, strength, and dosage details
      • The prescriber’s signature
      • The date of issue

    ### Administration of a POM

    • It is unlawful to administer a parenteral POM to someone else other than yourself unless you are an appropriate practitioner or acting under the direction of an appropriate practitioner
    • Certain healthcare professionals are exempt for specified POMs under certain conditions. This may include midwives and paramedics
    • Certain healthcare professionals can also administer medicines in accordance with a Patient Group Direction (see separate lecture)
    • There are no legal restrictions on the administration of non-parenteral POMs but organisations should have policies in place.

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    Related Documents

    POMs 2024 PHA221 PDF

    Description

    Test your knowledge on NHS prescriptions for Prescription Only Medicines (POMs) with this informative quiz. Learn about valid prescription durations, necessary information, and guidelines for repeat prescriptions and controlled drugs. Perfect for healthcare professionals or students in pharmacy studies.

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