ELECTRONIC PRESCRIPTION SERVICE 2 Brighton and Hove City CCG EPS2 • Electronic transmission of prescriptions to a nominated pharmacy from within GP software prescribing module • Repeat and acute prescribing • ‘tokens’ ie print outs • ‘Signing scripts’ • Remote access EPS2 • Quicker • Safer • Less administrative process – scripts and submissions • Auditable • eTracker • Increases direct communication with patient and pharmacy regarding changes to repeats • Makes repeat dispensing workable & efficient • Greener EPS2 - Smartcards • Need to use smartcards • Need to make sure that PDS details are synchronised for patients on GP system • Tidy up repeat lists - same amounts and same interval and review dates – all helps • Think about repeat dispensing option – new protocol available on CCG website EPS2 – Nominated Pharmacies • • • • Nominated primary choice Appliance Contractors EPS button when using smartcard Pick list of available pharmacies by distance from patients address • Monitor – new patients and unlikely options EPS2 – non DMD medications • • • • • DMD options – look for DMD icon Split scripts – print out non DMD Controlled Drugs non EPS list of common ones on website Cavilon, fortisip/forticrème, generic emollients, paracetamol capsules,fybogel • Watch for DAC button NON DM+D MAPPED DRUGS with DM+D ALTERNATIVES Unmapped to Mapped Clinical system BNF 1 Peptac oral liquid SF → Peptac liquid (aniseed or peppermint) System 1/Emis Web GI Gaviscon Advance oral suspension SF → Gaviscon Advance oral suspension (peppermint or aniseed) System 1/Emis Web Gaviscon Original relief (aniseed) → Gaviscon Advance oral suspension ( aniseed) System 1/Emis Web Ispaghula husk GF effervescent granules → Ispaghula husk 3.5g effervescent granule sachet GF & SF System 1/Emis Web Fybogel granules GF & SF → Fybogel 3.5g effervescent granule sachet SF System 1/Emis Web BNF 2 Amlodipine (as besilate or maleate)tablets 5mg & 10mg → Amlodipine 5mg or 10mg tablets System 1/Emis Web Cardio Simvastatin oral suspension SF 20mg/5ml → Simvastatin 20mg/5ml oral suspension SF (rosemont) System 1/Emis Web Simvastatin oral suspension SF 40mg/5ml → Simvastatin 40mg/5ml oral suspension SF (rosemont) System 1/Emis Web Glyceryl Trinitrate CFC free pump spray 400mcg/dose x 180/200 dose unit → Glyceryl Trinitrate 400mcg/dose Pump sublingual spray System 1/Emis Web BNF 3 Tiotropium capsules (for inhalation) 18mcg → Tiotropium bromide 18mcg inhalation powder capsules System 1/Emis Web Resp Salbutamol breath actuated 100mcg/actuation → Salbutamol 100mcg/dose breath actuated inhaler cfc free System 1/Emis Web Ventolin evohaler 100mcg/inhalation → Ventolin 100mcg/dose evohaler System 1/Emis Web Unmapped BNF 4 to Mapped Clinical system Beclometasone extra fine particle inhaler cfc 50mcg/actuation → Qvar 50 inhaler System 1/Emis Web Beclometasone extra fine particle inhaler cfc 100mcg/actuation → Qvar 100 inhaler System 1/Emis Web Paracetamol caplets 500mg → Paracetamol 500mg tablets System 1/Emis Web Prednisolone ec 5mg tablets → Prednisolone 5mg gastro resistant tablets System 1/Emis Web CNS BNF 6 EPS2 - preparation • All prescribers use smartcards • Register known nominated pharmacies on your system – office and clinical staff • Start collecting nominated pharmacies by: – – – – – – Opportunistically with requests Posters, leaflets, website, social media Right hand side of scripts New registrations Consultations – slip of paper After two months - search all repeats (emis) EPS2 Preparation • Opportunistic change of non DMD drugs • Run search for non DMD medication and make as administrative task using protocol • Increase online prescribing requests • Information from EPS website and within GP software ‘help’ • CCG website