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Non-medical prescribing: audit, practice and views
R Gumber1, D Khoosal, N Gajebasia
1Leicestershire Partnership NHS Trust, Gipsy Lane, Leicester, UK. gumber@doctors.org.uk
Journal of Psychiatric and Mental Health Nursing
|November 11, 2011
Summary
Non-medical prescribers in a UK mental health service largely met UK Standards for prescribing. However, gaps in training and supervision were identified, alongside valuable psychiatrist support.
Area of Science:
- Healthcare Policy
- Clinical Pharmacy
- Mental Health Services
Background:
- Non-medical prescribing is a growing area of clinical practice.
- UK Standards have been established to guide non-medical prescribing.
- Mental health services increasingly utilize non-medical prescribers.
Purpose of the Study:
- To assess compliance with UK Standards for non-medical prescribing in a mental health setting.
- To evaluate the effectiveness of existing monitoring arrangements for non-medical prescribing.
- To identify areas for improvement in non-medical prescribing practices and support.
Main Methods:
- A questionnaire survey was distributed to 24 non-medical prescribers within a UK Mental Health Trust.
- Respondents provided demographic data, details on prescribing practices, and rated their experience.
- An 83% response rate was achieved, providing comprehensive data on prescribing practices.
Main Results:
- The majority of non-medical prescribers met the UK Standards for prescribing.
- Shortfalls were observed in the uptake of training and supervision among prescribers.
- Prescribers from specific teams (Community Drug Team, Older People's Service) used a narrower range of drugs but prescribed more frequently.
Conclusions:
- Non-medical prescribing generally adheres to UK Standards within this mental health service.
- There is a need to address deficits in training, supervision, and experience for some non-medical prescribers.
- Collaboration with psychiatrists is valued, and non-medical prescribers perceive benefits for patients.
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