Electronic Prescription Service

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Electronic Prescription Service Moving to Release
2
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Prescriptions - the need for change
With about 1.5 million prescriptions being issued
every working day in England and this figure
expected to rise by over 5 each year we need
to change from a paper-based prescription system
to an electronic one which is more efficient.
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In addition

• About 70 of prescriptions are repeats so we need
  a system designed for this pattern of prescribing
  
• Future strategy for pharmacists requires them to
  become better integrated into the primary care
  team. Integrated IT will help to support this
• The development of the NHS Care Records Service
  (NHS CRS) requires the electronic capture and
  recording of prescribing and dispensing
  information

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Overview of implementation
R1 Initial implementer sites
R2 Initial implementer sites
National deploymentof Release 1
National deploymentof Release 2
FullEPS
Release 1
Release 2
No. of sites
Time
Transition with both Releases operating
Transition with Release 1 operating in some
places only
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Release 2 Initial implementers
Wave 1 1. Berkshire East 2. Leicestershire
County Rutland 3. Liverpool 4. Southwark 5.
Sunderland Wave 2 6. Berkshire West 7.
Birmingham East North 8. Blackburn with
Darwin 9. City Hackney 10. Haringey 11. Isle
of Wight 12. Leeds 13. North East Lincolnshire
14. Nottingham City 15. Nottingham County 16.
Suffolk 17. Trafford
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The nomination process
Patient or their representative
can set at their nominated dispenser at any EPS
location
up to 3 dispensers
Dispensing GP Practice
GP
Community Pharmacy
Dispenser
Appliance Contractor
HealthSpace
Patients can view the status of dispensers online
at www.nhs.uk
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Release 1
Electronic messaging
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Release 2
Electronic messaging
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Prescription token content (LHS)

• The left hand side of the prescription token will
  contain the same information as an FP10. In
  addition, the following information will be
  printed
• Whether the prescription has been nominated or
  not
• A barcode and prescription ID
• Text in the signature box to invalidate the
  prescription as legally valid

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Dispensing token content (LHS)

• The left hand side will contain the same
  information as on a prescription token, except
• If the token is used when returning a
  prescription to the EPS and given to the patient,
  then no dispenser details are printed
• Pre-printed information within signature area

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Electronic Repeat Dispensing
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Initiating electronic repeat dispensing

• Patients must consent to share information
  between their prescriber and dispensers. Existing
  agreements in place for paper based repeat
  dispensing can be used for electronic repeat
  dispensing this is not related to PDS consent

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Initiating electronic repeat dispensing

• Paper based repeat dispensing prescriptions are
  not migrated to electronic repeat dispensing when
  a GP Practice implements EPS Release 2
• If a patient can be transferred manually from
  paper based repeat dispensing to electronic
  repeat dispensing, the prescribing systems will
  notify the prescriber

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Changes to paper-based repeat dispensing

• A patient will always receive a prescription
  token when they receive a repeatable prescription
• The patient can use the prescription token to get
  medication dispensed from any EPS Release 2
  dispenser.
• When a patient changes their nominated dispenser,
  all repeatable prescription issues not downloaded
  will transfer to the new nominated dispenser

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Availability of the next issue

• All items on a repeatable prescription issue must
  be processed (dispensed or not dispensed) before
  the next issue can be released
• The dispenser can retrieve the next issue at any
  point after the subsequent issue has been
  completed using the prescription ID.

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What is electronic cancellation?
Electronic cancellation enables a prescriber (or
authorised person in the GP practice with
cancellation rights on their smartcard) to cancel
an electronic prescription at any point prior to
it being dispensed. GP clinical systems will
allow cancellation of either whole prescriptions
or individual items on that prescription
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cfh.eps_at_nhs.net www.connectingforhealth.nhs.uk/eps