Patients without an EPS nomination will automatically have their prescriptions sent electronically. Patients with a nomination may also choose to have a Phase 4 prescription if they don’t wish to use their nomination for that prescription.
A token (patients may refer to this as a ‘paper copy’) must be printed for all Phase 4 prescriptions, even if you are prescribing remotely.
Tokens contain the same information as an FP10 such as the medications prescribed, quantity, dosage and instructions. However, as this is not the legal prescription, you do not need to sign this by hand.
Without a Phase 4 token, patients won’t be able to get their medication as the barcode needs to be scanned by the dispenser, such as a community pharmacy or DAC, to retrieve the prescription from the NHS Spine.
Acute and repeat prescriptions
Acute prescriptions and repeats, where each is issued separately (not repeat dispensing) for patients without a nomination, require the patient be given a token each time a prescription is issued.
Repeat Dispensing (RD) or batch prescribing
Electronic repeat dispensing (eRD) for patients with a nomination will not be affected by Phase 4.
If a patient is part way through a paper-based RD regime when Phase 4 is switched on, that batch will continue on paper until it is complete and the final issue dispensed. If a new batch is prescribed after this, it will be issued using eRD.
In Phase 4, eRD prescriptions for patients without a nomination are issued in the same way as eRD for those with a nomination. Guidance on how to cancel items on eRD prescriptions is available from your prescribing system supplier.
Unlike a paper-based RD batch, patients without a nomination will receive one token which will cover the entire regime. They will need to present this to a dispenser at each issue.
Dispensers have access to the EPS Prescription Tracker and can use this to check the dispensing intervals of any previous issue and that these are appropriate for the prescribed dose and quantity. Patients can also speak to their local pharmacy or DAC about leaving this token with them if they would like them to dispense future issues in the batch.
If an eRD regime has been issued whilst a patient does not have a nomination, then all issues will remain non-nominated, even if a nomination is set during the regime.