Requesting Repeat Prescriptions

10th January 2022Patient information, Prescriptions

The quickest and easiest way to order your repeat prescription is via the NHS App – search your app store or download here. (https://www.nhs.uk/using-the-nhs/nhs-services/the-nhs-app/). Using the app, you can order medications, view your medication records and book telephone call backs.

Remember to nominate your chosen pharmacy so that we can send your prescription electronically. During the coronavirus pandemic this is especially important for reducing non-essential visits to the practice, helping us to ensure social distancing can be maintained.

Other ways you can order your repeats:

  • Ask reception for your PIN number for patientaccess.com
  • Request through your regular pharmacy
  • Place your repeat slip in the box in the entrance area

PLEASE NOTE THAT FOR SAFETY REASONS AND TO KEEP OUR PHONE LINES FREE, WE ARE UNABLE TO TAKE REPEAT PRESCRIPTION REQUESTS OVER THE PHONE.

Practice Policies on Prescribing

10th January 2022Medicines, Patient information, Prescriptions

Jubilee Street Practice has a comprehensive repeat prescribing policy to ensure the safety of our patients and to make sure we are using medicines appropriately. Our policy is regularly reviewed to ensure we keep up to date with the latest guidance.

Key information for our patients:

  • Our standard repeat prescription duration is up to two months (usually this will be 56 days). In exceptional circumstances, NHS England allows us to issue up to a 12 week maximum supply.
  • We aim to review all prescription requests within two working days but if your request is straightforward they will often be issued earlier than this.
  • If you request a medicine that is not on your repeat list, or order it earlier than it appears to be due, your request may be rejected and you may be contacted by the practice and asked to provide more information. This will usually be via text message.
  • For safety reasons, some medications may not appear on your repeat list. This may be because we need to review how well they are working for you with regular monitoring, or because they are a higher risk or ‘controlled’ medication.
  • Please be aware that ‘Repeat dispensing’ refers to a batch prescription that you do not need to order each time. Normal ‘repeat’ medications will need to be requested each time you require them.
  • It is best practice for ALL repeat medications to be reviewed on at least an annual basis. Sometimes your GP or pharmacist will be able to do this from your notes but we may also call you to discuss or ask you to attend an appointment if you take more than 10 medicines regularly or take medicines that require blood tests or other monitoring. This is an opportunity to ask questions about your medicines and to discuss how well they are working for you.

Why am I being advised to reduce or stop my stomach acid medication?

10th January 2022Medicines, Patient information, Prescriptions, Safety Alert

Proton Pump Inhibitors (or PPIs) are a group of medicines used to reduce stomach acid and include omeprazole, lansoprazole, esomeprazole and pantoprazole. These medicines are very commonly prescribed but many patients continue taking them for longer than they may need. Usually a course of two to three months is sufficient to help heartburn or indigestion to settle.

As with any prescription medication, PPIs can cause side effects which are more likely if you take a high dose or use them for a long period of time. More and more evidence is coming out that suggests this group of medications may be linked to more problems than we knew about previously. We are therefore re-assessing which of our patients these medicines remain the best choice for.

What are the possible risks from long-term use of a PPI?

10th January 2022Medicines, Patient information, Prescriptions, Safety Alert
  • Increased risk of serious stomach infections including Clostridium difficile
  • Increased risk of bone fractures
  • Decreased absorption of nutrients including magnesium, calcium, and vitamins
  • Reduce the effectiveness of other medicines you may take including medicines used to prevent heart attack and stroke
  • May increase risk of kidney disease, pneumonia, dementia and certain cancers – more research is being done on all these possible links.

Always speak to your GP or pharmacist before stopping prescribed medicines. PPIs should be reduced slowly to minimise rebound symptoms. If you have a history of stomach ulcers or bleeding, or have severe symptoms it is likely that continuing your PPI is the best option – your GP can help you to make this decision.

For information on what you can do to help with heartburn and indigestion yourself, see our Self Care and Common Conditions section of the website for some useful links.

Creams and ointments for eczema and other skin conditions

10th January 2022Medicines, Patient information, Prescriptions

These are known as ‘emollients’ and are really important for the maintenance and treatment of dry skin conditions where they need to be used frequently to prevent dryness and itching – often up to four or five times a day.

Funding on the NHS is only for diagnosed skin conditions. Mild dry skin is something most people experience from time to time and simple emollients (moisturisers) can be purchased from any supermarket, health shop or pharmacy.

Due to the large quantities of these products prescribed by GP practices, we are asked to prescribe from an approved list of cost-effective products. Many of these contain exactly the same ingredients as more well-known brands, for example ‘Zerodouble’ is the same as ‘Doublebase’ and ‘Aproderm’ is very similar to ‘Aveeno’.

Bath and shower emollients are no longer recommended on the NHS because a large UK study on children with eczema found that using these products made no difference to the improvement of eczema compared to just using leave on emollients. Instead, we recommend using your normal emollient as a soap or dissolved in bath water. You can find more information about the study here: https://www.nhs.uk/news/pregnancy-and-child/bath-oils-childhood-eczema-provide-no-clinical-benefit/

Changes to Prescription Ordering

10th January 2022Patient information, Prescriptions, Safety Alert

From December 1st 2020 we will no longer be accepting prescription requests made by email.

In the interest of safety and efficiency, we kindly request that all online requests are made using the NHS App, or on Patient Access (pin required). These services mean you can quickly and conveniently order your repeat prescriptions and your request will come straight through to our clinical system. There is also a box to send any comments or questions relating to your request and the option to change your nominated pharmacy.

Since the start of the pandemic, we have seen a huge increase in the number of emails the practice receives each day and managing email prescription requests has become unsustainable for our team. We have also become aware that errors are more likely when medications are requested by this method as our non-clinical team have to correctly identify the required item on the system.

If you need any help with how to order your prescriptions please ask the reception team. For patients who do not have internet access, we will continue to accept paper requests via the box at reception and orders made through local pharmacies.