Views on dispensing a private prescription issued by a consultant for his own use

[Defblade]

This is a question for the new body to decide policy.
johnep

The GMC already has a policy that they shouldn't do it except in a genuine emergency, for clear and simple reason of an obvious massive conflict of interest. I don't really need the GMC to tell me that it's not right (although their guidence is a useful backup) and it shouldn't need any reinforcement from any other body. The prescribers in question rarely argue much because they know it's wrong, too. Why do you feel as you wrote?

"Policy" has little to do with it in my case, it's my own personal professional ethics coupled with the cojones to say "no" to someone who is not used to hearing it (on top of the usual toddler tantrum tactics of addicts who aren't about to get what they crave).

[johnep]

Will the co always back you up if you refuse to accept scripts written for his family by a Dr? Unfortunately, if it not in the SOP then you will be damned if you do and condemned if you don't.
AMs will always kowtow to complaining Drs.
johnep

[Defblade]

AMs will always kowtow to complaining Drs.
johnep

AMs can shove it up their blank or blanks.

However - I no longer hold a mangerial position for one of the lesser multiples (tho I made sure we parted on good terms, no sense burning your bridges unnecessarily) and as a locum, after a similar incident (vet trying to prescribe for his children, as he had on many many previous occasions), I was no longer booked into a multiple branch where previously my bookings had been made a year ahead...

[bobbin]

AMs can shove it up their blank or blanks.

However - I no longer hold a mangerial position for one of the lesser multiples (tho I made sure we parted on good terms, no sense burning your bridges unnecessarily) and as a locum, after a similar incident (vet trying to prescribe for his children, as he had on many many previous occasions), I was no longer booked into a multiple branch where previously my bookings had been made a year ahead...

It's a very sad reflection of the way that the multiples view their employees when they are incapable of supporting their pharmacists and staff in cases like this........ but are all too willing to kiss the backsides of customers who make unjustified complaints.

[bobbin]

Will the co always back you up if you refuse to accept scripts written for his family by a Dr?

No. I imagine that they would provide the doctor with vouchers for the shop.

[Ally]

Interesting question! Id have to say i wouldnt give it. I would justify myself by from a patient care point of view. Firstly any patient receiving that higher quantity i would ting their GP and question it. Since Dr is self prescribing a controlled drug likely to be misused and a addictive one i would suggest she find herself a Dr. Any protest i would refer her to GMC.

Problem with this is would the society look after us if the Dr was to complain. My old tutor use to dispense tons of temazepam from a one dr surgery about 20 yrs ago. He rang society with his concerns who basically fobbed him off saying as long as the rx is legal blah blah blah..... But if you think about the shipman case, pharmacists involved were questioned as to why they were dispensing rxs for one ampoule of cds and not querying the scripts. U just cant win! But in this case i would suspect misuse. I wouldnt really want to send a dr to work abroad doped up at night because she cant sleep. Look at that german dr who came over here to work the weekend and his first patient he gave an overdose to...

Similar situation i was in was a hospital dr who rang to ask me to give him diazepam, temazepam and mesazaline for ulcerative colitis for 2months. Said he was a locum. Told him to bring his gmc card, driving licence, credit or debit card for proof of signature, prescription, any boxes he had that had been dispensed before, also give him an well inflated price and that due to the nature of the drugs he would only receive a 7 days supply so he'd have to arrange to see his doctor. Needless to say he never showed up.

[lamzee]

Ask if his wife is registered with the friend as GP.

Sorry to be hung up on techicalities, but registration with the GP is not necessary, as " registration" is an NHS contract thing and the rx in question is private. If you went to one of those posh bupa clinics you could get a private Rx but not be registered with the prescriber.

[johnep]

No! too much effort for the Dr, he/she just wants to get their NHS script for themselves and their children while doing their shopping in the store/supermarket.
Who polices whether or not a particular pt is registered with a particular Dr.
It is mainly hospital Drs who have to write private scripts as they do not have an NHS pad with them.
Thought good point about only allowing 5 days supply on these type of scripts.
johnep