Shared care prescribing

Abstract

Shared care prescribing enables a hospital specialist to transfer certain aspects of a patient’s care, including the prescribing and monitoring of medication, to their GP. This process requires a shared care agreement involving the patient, GP and specialist, ensuring the patient is stable on the medication before the GP takes over. The arrangement includes ongoing specialist reviews, access to specialist advice for the GP, a clear plan of care with defined protocols and a statement of monitoring arrangements.

Get full access to this article

View all access options for this article.

References

All Wales Prescribing Advisory Group (2006). Appendix 1. Defining shared care. Available at: https://awmsg.nhs.wales/files/guidelines-and-pils/shared-care-defining-shared-care-pdf [Accessed January 2025].

All Wales Therapeutics and Toxicology Centre (AWTTC) (2021) hared care prescribing and monitoring guidance. Available at: https://awttc.nhs.wales/files/guidelines-and-pils/shared-care-prescribing-and-monitoring-guidance-pdf/#:∼:text=%E2%80%9CA%20simple%20definition%20of%20shared,in%20reviews%20by%20the%20specialist [Accessed 7 January 2025].

British Medical Association (BMA) (2024). General practice responsibility in responding to private healthcare. Available at: www.bma.org.uk/advice-and-support/gp-practices/managing-workload/general-practice-responsibility-in-responding-to-private-healthcare [Accessed 7 January 2025].

Carrington

McAloon

, (2018) Why shared-care arrangements for prescribing in attention deficit hyperactivity disorder may not be accepted. European Journal of Hospital Pharmacy, 25(4): 222–224. DOI: 10.1136/ejhpharm-2015-000743.

Chana

Porat

Whittlesea

Delaney

(2017). Improving specialist drug prescribing in primary care using task and error analysis: an observational study. British Journal of General Practice, 67(656), pp. e157–e167. doi: 10.3399/bjgp17X689389.

Derbyshire Medicines Management, n.d. Shared care guidelines. Available at: www.derbyshiremedicinesmanagement.nhs.uk/medicines-management/clinical-guidelines/shared_care_guidelines [Accessed 5 January 2025].

General Medical Council (GMC), n.d. Good practice in prescribing and managing medicines and devices: Shared care. Available at: www.gmc-uk.org/professional-standards/the-professional-standards/good-practice-in-prescribing-and-managing-medicines-and-devices/shared-care [Accessed 7 January 2025].

NHS England (2018). Responsibility for prescribing between Primary and Secondary/Tertiary Care. Primary Care Delivery – Policy and Strategy OaID. Available at: www.england.nhs.uk/wp-content/uploads/2018/03/responsibility-prescribing-between-primary-secondary-care-v2.pdf [Accessed January 2025].

NHS England, n.d. Shared care protocols. Available at: www.england.nhs.uk/medicines-2/regional-medicines-optimisation-committees-advice/shared-care-protocols/ [Accessed 7 January 2025].

10.

Newlove-Delgado

Blake

Ford

Janssens

(2019). Young people with attention deficit hyperactivity disorder in transition from child to adult services: a qualitative study of the experiences of general practitioners in the UK. BMC Family Practice. DOI: 10.1186/s12875-019-1046-0.

11.

Price

Becker

Ward

, et al. (2024). Support for primary care prescribing for adult ADHD in England: national survey. British Journal of General Practice, 74(748): e777–e783. DOI: 10.3399/BJGP.2023.0595.