You should be aware that the number of CD prescriptions sent via EPS will increase significantly as more GP practices have the functionality switched on.
It is important that all staff working in your pharmacy, including locums, are aware of the roll out.
As patients can nominate any EPS Release 2 enabled pharmacy in England, you could receive an electronic CD prescription at any time, even if there are no GP practices close to you currently live with CD functionality. GP practices taking part in the EPS Phase 4 pilot will prescribe CDs electronically both for patients with nominations and for those without (on Phase 4 tokens).
If you receive a prescription for a Schedule 2 or 3 CD via EPS, you should dispense it as you would any other electronic prescription.
Words and figures
In order to meet legislative requirements requiring quantities of CDs to be expressed in words and figures, the prescribing system will automatically populate this information in both formats in the prescription message. This will display the details for both prescribers and dispensers. The quantity in words and figures will be included in the ‘message to pharmacy’ field of the prescription message.
Because not all dispensing systems are able to endorse electronic prescriptions for oral liquid methadone with a packaged dose endorsement (PDn), a paper FP10 prescription will still need to be generated for this drug. Prescribers are being asked not to prescribe oral liquid methadone using EPS.
If you receive an EPS prescription for oral liquid methadone and do not need (or want) to claim the PD fee for each ‘separate’ container, you can submit a claim. If you want to claim the fee, you will need to ask the prescriber to issue a paper FP10 prescription.
Prescribers won’t be able to use EPS for prescribing in instalments (FP10MDA prescribing).
You should advise patients who already have a nomination that most of their items, including Schedule 2 and 3 CDs, will now be sent automatically to their nominated pharmacy. These patients will not receive a separate paper prescription for Schedule 2 or 3 CDs anymore (except for oral liquid methadone or any instalment FP10MDA prescriptions).
You should advise patients who previously did not have a nomination because they received Schedule 2 or 3 CDs and did not want split prescriptions to consider setting a nomination.
A method of ‘marking’ the prescription ‘at the time of supply’ should be decided to ensure compliance with the Misuse of Drug Regulations. The dispense notification is suitable for this but, depending on local system configuration, another patient medication record (PMR) process that records a date and leaves an electronic audit trail may be more suitable.
Physically marking the EPS dispensing token (FP10DT) is not a suitable method as it is not the legal prescription. Dispense notifications should be sent as close as possible to the time the patient was given the medication.
Capturing a signature for the collection of Schedule 2 and 3 CDs
You will be aware of the best practice guidance regarding the capture of a signature on the back of an FP10 from the person collecting a Schedule 2 or 3 CD. This guidance also applies to EPS prescriptions and the signature can be captured on the back of a dispensing or prescription token, with these tokens being sent to the NHSBSA in the same month the claim is submitted.
For age exempt patients (under 16 years of age or 60 years of age and over), there is no requirement to capture a signature for exemption from prescription charges and so only age exempt tokens that also capture a signature for collection of a Schedule 2 or 3 item should be sent to the NHSBSA.
All other tokens (non-age exempt and charge paid) must be sent to the NHSBSA as normal.
||Prescription contains a Schedule 2 or 3 CD
||Prescription does not contain a Schedule 2 or 3 CD
- is under 16 years of age
- is 60 years of age or over
|Send 'signed Schedule 2 or 3 CD collected' token to NHSBSA
||Do not send token to NHSBSA
|All other exemptions and prescription charge paid
||Send 'signed Schedule 2 or 3 CD collected'/'signed exemption or charge paid' token to NHSBSA
||Send 'signed exemption or charge paid' signed token to NHSBSA