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Medicines Management Policy - Dudley Primary Care Trust

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4.0 Security and Safe Handling of Prescriptions<br />

Thefts and losses over recent years of prescription forms in general have<br />

dramatically increased and the security of prescription forms are the<br />

responsibility of the prescriber. Stock levels of the forms held should be kept to a<br />

minimum.<br />

4.1 General security<br />

The prescription form must only be produced when needed and never left<br />

unattended. When not in use they must be placed in a locked drawer/secure<br />

stationery cupboard. When on patient visits the prescriber must keep the<br />

prescription pad on their person. Prescription forms should never be left in a car.<br />

If prescription pads are taken off PCT premises, they must be kept safe and<br />

secure from other family members and visitors. Under no circumstances<br />

should blank prescription forms be pre-signed before use.<br />

4.2 In the event of loss or suspected theft.<br />

All prescribers should follow the procedures below:<br />

• The prescriber should immediately contact their line manager. For community<br />

nurses this will be their line manager and for practice nurses, their practice<br />

manager.<br />

• The manager will then inform the Personal Assistant to Specialists in<br />

Pharmaceutical Public Health, (SiPPH) <strong>Dudley</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Trust</strong><br />

Direct Line: 01384 366589, Fax: 01384 241115<br />

• The Personal Assistant will then inform the Head of Security, the Counter Fraud<br />

Specialist and activate the cascade system by notifying the local community<br />

pharmacists through the “Early Warning System”.<br />

• A Senior Pharmacist will review the circumstances and decide upon any<br />

necessary additional action.<br />

• Prescribers will be asked to temporarily write/sign prescriptions in red or green<br />

coloured ink.<br />

• The incident must be logged on Sentinel.<br />

• The police should also be informed by the manager as soon as possible after<br />

the loss/theft is confirmed, giving details of the approximate number of<br />

prescriptions stolen, their identification numbers, and where and when they<br />

were stolen.<br />

• A crime reference or loss reference number should be recorded against each<br />

incident.<br />

4.3 Recording of prescription numbers<br />

It is good practice at regular intervals to note the prescription number issued to<br />

a patient in the patient’s notes so that should prescription pad or individual<br />

prescription be stolen the prescriber is able to indicate how many forms have<br />

been taken.<br />

17

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