A prescriber is a healthcare professional who can write a prescription. The MHRA (Medicines and Healthcare Regulatory Agency) is able to determine which company, agency, or pharmacy is able to prescribe medicine.
There are two categories: independent and supplementary prescribers. Prescribers can either be NHS or private companies.
1) Independent Prescriber – someone able to prescribe medicines under their own initiative.
2) Supplementary Prescriber – someone able to prescribe medicines as per a pre-concurred mind plan that has been drawn up between a doctor and their patient.
Different types of prescribers hold different prescribing rights. It is important for pharmacy contractors to be able to identify which products each type of prescriber is entitled to prescribe.
Independent prescribers will assess a person’s health and make clinical decisions to help manage an expat’s condition, including any medication that is required.
- Doctors – such as your GP or a hospital doctor
- Dentists – who may prescribe medication to treat a condition affecting your teeth
- Nurse Independent Prescribers – who can prescribe any medicine for any medical condition within their competence, including some controlled medicines under the Misuse of Drugs legislation
- Pharmacist Independent Prescribers – who can prescribe any medicine for any medical condition within their competence, including some controlled medicines
- Optometrist Independent Prescribers – who can prescribe any medicine for conditions that affect the eye and surrounding tissue, but can’t prescribe any controlled medicines independently
- Physiotherapists – healthcare professionals who use physical techniques, such as massage and manipulation, to promote healing
- Podiatrists – foot care specialists
- Therapeutic radiologists – specialists in using radiation to treat cancer and some other medical conditions
Supplementary prescribers are optional prescribers in that they work with continuing care once an independent prescriber has set up a pharmaceutical management. They work with the independent prescriber to fulfil a clinical management plan agreed between the prescribers and you.
- Therapeutic radiographers
Supplementary prescribers are able to prescribe controlled medicines under the clinical management plan. If a medication is not listed on the clinical management plan, then it cannot be prescribed by the secondary prescriber.
Nurse practitioners should be able to prescribe without physician involvement. Practice authority is the ability of a Nurse Practitioner to work to the extent of his or her training, education, and certification.
A large component of this authority is the power to prescribe medications, often with differing levels of physician oversight. States fall into three broad categories: restricted, reduced, and full practice authority.
The MHRA (Medicines and Healthcare Regulatory Agency) was amended to include the prescribing of controlled drugs and substances as within the scope of practice for nurse practitioners (NPs).