Unit 4 - Prescribing Partnerships

Prescribing Partnerships


Prescribing partnerships and supplementary prescribing

Supplementary prescribing hinges on the formation of a voluntary partnership between an independent prescriber and a supplementary prescriber.

Such partnerships may be easier to establish where the partners work in close proximity. Where healthcare professionals work remotely, or are responsible for wide geographical areas or numerous general practices, it may be preferable for the prescribing partners to have access to electronic patient records. It is good practice to consider the patient as an equal partner, too, as this helps to promote patient ownership of, and concordance with, treatment.

Because supplementary prescribing is primarily a team approach, it is essential to develop a clear understanding of individual roles and responsibilities, as well as to maintain frequent communication between partners.

The prescribing partnership and potential conflict

Areas of potential conflict:

  • Unequal power and responsibilities within the prescribing partnership
  • Lack of trust or credibility between individuals
  • Organisational and service issues related to the provision of training and development opportunities
  • Responsibility for the development, maintenance and review of the clinical management plan (CMP)
  • Perceived poor prescribing practice within the team.

Consider the above points and reflect on how you, as a prescribing partner, may be able to forestall these areas of potential conflict before they arise.

Reflective Activity

Reflective activity

Consider the policies and protocols you have explored in this unit and take appropriate action in your working environment to ensure that the prescribing process is in step with the principles of safety, appropriateness and cost-effectiveness.

Discuss this with relevant personnel, such as medical colleagues and pharmacists.

Consider how the evidence base reviewed in this unit could be used in your own evidence base.


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