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Emperors Gate, Stevenage, Herts SG2 7QX | Telephone: 01438 742639

28 Day Prescribing Policy

The NHS recognises that a 28-day repeat prescribing interval makes the best possible balance between patient convenience, good medical practice and minimal drug wastage.

The British Medical Association notes that “Prescribing intervals should be in line with the medically appropriate needs of the patient, taking into account the need to safeguard NHS resources, patient convenience, and the dangers of excess drugs in the home.”

The benefits of 28-day prescribing include:

  • Reducing the amount of medicine which is currently wasted when your doctor stops or changes your medicine.
  • Reducing the potential for error when your medication is changed in the middle of supply.
  • Increased safety as you will not have multiple containers of the same medicine meaning it is likely to reduce the number of mistakes made by, for example, elderly patients, and it will also reduce the risk of potential poisoning of young children.
  • Many medicines are supplied in 28-day packs, allowing you to check that you have taken your medication each day. You will start and finish the container of each medicine on the same day of the week, meaning it will be easier for your doctor to review all of the repeat medicines you are taking and to see when you have not ordered your medicines.
  • Financial losses due to medicines waste represent a direct loss to patient care. Since 28-day prescribing reduces medicines waste, this in turn has a positive impact on patient care.

Studies in the UK and abroad have shown significant savings and a reduction in waste with 28-day prescribing. NICE Guidelines support 28 day prescribing and recommend that medicines are prescribed for no more than 30 days (prescribing larger quantities puts the supply chain at risk).

The surgery will provide you with a prescription for an interval that is clinically appropriate for you, taking into account all sort of issues, such as how stable your condition is, how long we expect you to take the medicine for, any side-effects you may experience, whether or not your medicine may change in the future, and any monitoring required. For some patients on certain medicines at a stable dose (e.g. contraceptives & HRT), your doctor may decide it is appropriate to issue prescriptions for prescribing intervals longer than 28 days and for medicines that are taken “as required” or for creams and certain inhalers your medicines may only be available on the normal repeat basis when you will make the request in the usual way in writing.

This policy is at the discretion of individual doctors to be implemented when appropriate for suitable patients.

For certain patients on stable doses, we can move their prescriptions to the Electronic Repeat Dispensing system (eRD). Your medication can be issued for a number of months at a time, you simply collect from your pharmacy each month without having to contact or request from the surgery. Prescriptions on eRD will still be 28 day intervals.

The vast majority of patients collecting repeat prescriptions do not pay prescription charges; therefore there will be no difference to these patients in terms of cost due to 28-day prescribing. If you do have to pay prescription charges, then it may be beneficial for you to buy a Prescription Prepayment Certificate especially if you are taking 3 or more medicines on a regular basis. More information is available on this website www.services.nhsbsa.nhs.uk/buy-prescription-prepayment-certificate

Please be reminded we do not accept prescription requests over the telephone – where possible please use the NHS app to request your repeat medication. 

 

Opening Times - King George Surgery

  • Monday
    08:00am to 06:30pm
  • Tuesday
    08:00am to 06:30pm
  • Wednesday
    08:00am to 12:30pm
    01:30pm to 06:30pm
    We are closed for staff training 12.30-1.30pm
  • Thursday
    08:00am to 06:30pm
  • Friday
    08:00am to 06:30pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED

Opening Times - Manor House

  • Monday
    08:00am to 05:00pm
  • Tuesday
    08:00am to 05:00pm
  • Wednesday
    08:00am to 12:30pm
    01:30pm to 05:00pm
    We are closed for staff training
  • Thursday
    08:00am to 05:00pm
  • Friday
    08:00am to 05:00pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED
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