Specialist / Non-approved Medicines – GP response letter to Trusts
Dear………………………………..
Patient’s Name:
DoB:
Date:………………….
NHS No:
Address:
Hospital specialist
Hospital/Trust
Name of Drug
Dose & frequency
Indication
Intended duration
You have written to me asking me to prescribe the above treatment for this patient.
I am unable to prescribe this medication for the patient for the following reason(s):
Tick all
that apply
This is a specialist medicine recommended for hospital prescribing only
This is a specialist medicine for which I do not have the necessary prescribing information/
experience/ knowledge to accept clinical responsibility for prescribing
This is an unlicensed medicine/ dose/ duration/ indication (delete as applicable) for which I do
not have the necessary prescribing information/ experience/ knowledge to accept clinical
responsibility for prescribing
This medicine requires specialist monitoring, but you have not provided an agreed shared care
protocol
The majority of care and monitoring for this condition is provided by the hospital
The patient is in a clinical drug trial for this drug
The patient’s condition is not stable
AND/OR
You have asked me to initiate a new treatment which according to our contract should be
initiated in secondary care
The drug has not been approved for use in Hertfordshire by Hertfordshire Medicines
Management Committee (HMMC) or Primary Care Medicines Management Group (PCMMG)
This medicine appears not to be prescribed in accordance with the place in therapy approved
across Hertfordshire by HMMC or PCMMG
THE FOLLOWING ACTION IS REQUIRED OR HAS BEEN TAKEN
According to local / national guidelines I (the GP) plan to provide the following
alternative treatment: [insert name of drug]
Specialist to provide an initial prescription for the new medicine
Specialist to recommend a suitable licensed alternative
Specialist to forward an agreed shared care protocol
Specialist to recommend an alternative locally approved medicine in accordance
with local treatment recommendations / guidelines
Specialist to make the necessary arrangements for the patient to receive on-going
prescriptions and supplies from the hospital
Please contact me to confirm the action taken and/or if you wish to discuss further.
GP Name:……………………
GP Signature: …………………
Practice Details: ……………………