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Asynchronous Medicines Legislation for Non-Medical Prescribing
Journal of Law and Medicine
|August 24, 2018
Summary
Australian health practitioner prescribing regulations vary significantly. Discrepancies exist between national guidelines, Pharmaceutical Benefits Scheme (PBS) formularies, and state/territory laws, risking non-compliance for non-medical prescribers.
Area of Science:
- Health Policy
- Pharmaceutical Regulation
- Medicines Management
Background:
- National registration of Australian health practitioners aims to improve workforce mobility.
- Non-medical prescribers (nurses, podiatrists, optometrists) operate under National Boards and jurisdictional legislation.
- Prescribing is further regulated by Pharmaceutical Benefits Scheme (PBS) benefits and formularies.
Purpose of the Study:
- To compare National Board and PBS prescribing formularies with Australian state and territory medicines legislation.
- To identify discrepancies in prescribing regulations for non-medical health practitioners.
- To assess the risk of legislative breaches due to asynchronous policy changes.
Main Methods:
- Comparative analysis of National Board prescribing formularies.
- Examination of Pharmaceutical Benefits Scheme (PBS) prescribing formularies.
- Interrogation of state and territory medicines legislation pertaining to non-medical prescribing.
Main Results:
- Significant discrepancies were found between approved formularies for non-medical prescribers, PBS formularies, and jurisdictional legislation.
- Legislation varies across Australian states and territories regarding non-medical prescribing.
- Asynchronous legislative changes create potential for unintentional or intentional breaches.
Conclusions:
- Inconsistent medicines legislation poses a risk to health practitioners, potentially leading to breaches.
- There is a need for consistent legislation and uniform commencement across all Australian jurisdictions.
- Harmonisation of prescribing regulations is crucial for safe and effective non-medical prescribing.
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