Intended for healthcare professionals

Rapid response to:

Head To Head

Should primary care be nurse led? Yes

BMJ 2008; 337 doi: (Published 04 September 2008) Cite this as: BMJ 2008;337:a1157

Rapid Response:

Can nurses change other prescriptions?

If you look at responsibilities in a SSEPR (single shared electronic
patient record), one of the issues identified [1] is the responsibility
for overall management of the record - including prescribing.

Nurses can be Independent Prescribers but can they cancel
prescriptions initiated elsewhere or for different conditions, and does
their enhanced training cover this routine GP function?

In a chronic condition - such as diabetes - starting one medication
will often mean discontinuing something else - which may have been
prescribed for a dual purpose.

Who is responsible?

[1] summer conference 1st July 2008 stream 2 15:20
"Safety in single shared electronic patient records"

Competing interests:
None declared

Competing interests: No competing interests

22 September 2008
Mary Hawking
Kingsbury Court Surgery, Dunstable LU5 4RS