NHS REPEAT DISPENSING - CPPE

Clinical vignette 7
Surj, a new member of staff, asks you to talk him through how the process of repeat
dispensing works for a patient using the service. He is also interested in how patients
are selected for the service.
The bottom line
Use the flowchart on page 15 of Booklet 1 to guide Surj through the patient
journey.
The steps involving the surgery are shown on the left in red. The steps involving
the pharmacy are shown on the right in green. The patient’s journey is shown in
the centre in blue.
focal point NHS repeat dispensing – Book 2
Explain to Surj that once a batch has been created, the patient only has to visit
the pharmacy for their medication, as indicated by the large grey circular arrow.
Supporting the statements
The patients most suited to the scheme are those with a stable condition and whose
medication is unlikely to change – changes to medication are more time-consuming
to implement than if the patient were given regular repeat prescriptions.
Patients on fewer than five medicines are also more suitable as there is less chance of
a change to any one of them.
The service does not suit patients who want to collect their medicines from different
pharmacies.
Advise Surj if there are certain groups of patients suggested by the local practice
and/or the PCT.
Clinical vignette 8
You are a new GP and Mr Brown comes to see you. He has been using the repeat
dispensing service for two months but you think he needs a medication change from
ramipril 5 mg to ramipril 10 mg.
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