Self Care Medicines.
The Medicine Optimisation Team of the Cambridgeshire CCG has instructed us to stop prescribing treatments that are available over the counter, inexpensive and used intermittently. This includes hay fever medication which we are therefore no longer routinely issuing and instead asking patients if they are able to purchase themselves.
The main reason for this rationing is the very challenged financial position of the Cambridgeshire health economy which if not addressed will result in cuts to important services which will affect us all but we must also remember that there are advantages to buying these medications as it promotes self care, independence and reduced reliance on the surgery.
At The Spinney we understand that such changes are not popular but all of us must do what we can to protect our fragile health economy and we will prescribe for those patients unable or unwilling to support our local NHS in this way.
Important - New Prescription System
We can now utilise the new Systm1 Online prescription ordering facilities as well as online appointment bookings and cancellations. To enable you to utilise these services you need to register by completing a form and attending the surgery with identification to enable us to provide you with the password you will require.
Online services registration form
If you have registered with the new system, SystmOne then please click here to order your prescription.
Patients on long-term medication can order repeat prescriptions in a number of ways:
If you live in one of the villages surrounding St. Ives or more than 1 mile from the surgery we would like to encourage you to use our dispensary. We have trained staff available to dispense your medication every day.
If you have an arrangement for a local chemist to receive your prescription you will now need to contact the chemist to inform them that you have ordered your repeat prescription and request that they collect it.
This is a change from the existing scheme so please make sure you inform your chemist each time you order and they will arrange collection.
The practice policy is to prescribe 28 days supply. A second prescription can be obtained for holidays. Please make this clear on your request.
For some medical conditions the “batch prescribing” facility is available. Please ask your doctor for information. Unfortunately due to Department of Health regulations this is not permissible for dispensing patients.
Self Care Medication
Patients on repeat medication will be asked to see either a doctor, nurse practitioner or practice nurse at least once a year to review these regular medications.
Please allow two full working days between requesting and collecting your medication.
Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.
These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.
If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC.
There is further information about prescription exemptions and fees on the NHS website
An NHS prescription for regular medication will be given to cover the three month period providing the GP is happy that any monitoring required is up to date and satisfactory.
The patient will remain registered with the practice.
An NHS prescription for one month's supply of regular medication will be provided. This allows sufficient time for the journey to be undertaken and a suitable medical practitioner to be engaged in the overseas country.
The patient will be removed from the practice list.
No medication other than that which a patient takes on a regular basis will be prescribed. This includes antibiotics, treatments for diarrhoea or any other 'just in case' treatment. If the patient is already abroad, no prescriptions can be issued. NHS prescriptions or medication cannot be sent abroad.
If the practice is aware that you are travelling abroad for longer than three months and does not take the appropriate action, as stated above, it could be considered to be acting in a fraudulent manner.
Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery.
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