Shared care is an agreement between the family physician and the patient`s advisor for the use of a specific drug for a given condition in a predefined manner, in which an approved directive, co-written in basic and secondary care, is available. Prescribers are reminded that the doctor who prescribes the drug is legally responsible for the clinical responsibility of the drug and the consequences of its use. A circular from the Ministry of Health first outlined the principles of common care. This was EL91 (127) and can be accessed below: AMBER drugs – the prescription must be initiated in secondary care (hospital) and can be handed over to primary care after a formal request is, in most cases, supported by a common care directive, written to cover the indication in this directive. AMBER with drugs FOR SHARED SOINS requires full monitoring and must be appointed by the Eastern Lancashire Medicines and Therapeutics Committee. Medically prescribed primary care is advised not to prescribe these drugs unless they have been properly informed of their responsibilities for monitoring, adverse events and letter interactions and are happy to assume responsibility for the prescription. This letter, which sets out these responsibilities, should be accompanied by a copy of the locally approved joint care document, if any. First-time prescribers should then inform secondary care of their intentions as soon as possible by letter and then proceed with the transmission of care when needed. .
This will ensure absolute clarity as to who will take over the prescription and all of the supervisory tasks associated with it. Here you will find standard formulations for consultants who request joint care for a single patient. This form can be inserted to the family doctor after outpatient or hospital consultation in clinic/exit letters. Family physicians must respond to the request for shared care within 14 days of receipt. A standard response form can be find here. If shared care is not accepted, the answer must indicate a reason. Please do not accept any liability for prescribing unless you receive a reference to a current common care directive or a copy of this directive. NHS Stockport supports the use of the Red Amber Green red light system proposed by the Greater Manchester Medicines Management Group. This system provides professional instructions where the prescription of liability for a small number of specialized drugs should be found. It was designed to balance patient safety and clinical responsibility with the inconvenience caused to patients who need to be accessed by the hospital.
Funding should never be the reason for the use or denied of shared care. A common health care directive describes how drug prescribing responsibilities can be shared between the specialist physician and a primary care prescriber. First-time care prescribers are invited to participate. If they are not able to perform these tasks, they are not obliged to do so. In this case, all clinical responsibility of the patient for this diagnosed condition remains with the specialist. GREENdrugs – Prescription can be initiated in primary supply. These drugs may include those that would not normally be initiated by a non-specialized family physician without prior expertise. RED Drugs – Prescription should remain in secondary care (hospital) for these drugs.
On this page, you`ll find all GMMMG-approved shared care protocols. All CPS must continue to be approved by the Trust Drug and Therapeutics Committee and its local GCC. The distribution of care involves communication between the specialist physician, primary care prescriptions and the patient. The intention to share care is usually explained to the patient by the prescriber who introduces treatment.