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Published 27 November 2009, doi:10.1136/bmj.b4835
Cite this as: BMJ 2009;339:b4835
Nigel Hawkes, freelance journalist
1 London
nigel.hawkes1@btinternet.com
Despite doctors objections, other health professions are getting increasing rights to prescribe. Nigel Hawkes investigates
| The first 150 words of the full text of this article appear below. |
The entitlement to write prescriptions was once the doctors prerogative. It signified knowledge, authority, and the exercise of a power sanctioned by social and professional consent.
Today, nearly 10 years after the NHS Plan promised to expand the role of nurses, prescribing has been dragged from the grasp of a reluctant medical profession. Nurses and pharmacists who are appropriately qualified now have access to the whole of the British National Formulary. Later this year, they will also be permitted to prescribe unlicensed medicines for the first time. Physiotherapists, podiatrists, and radiographers already have some prescribing rights and could soon have more.
This change has happened piecemeal and, in the eyes of many doctors, without adequate safeguards. The profession has opposed every step in the process, many doctors claiming that it is unsafe to allow unqualified people to prescribe powerful medicines on the basis of a few weeks training. In
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