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Electronic Repeat Dispensing

Electronic Repeat Dispensing

Electronic Repeat Dispensing
In response to COVID-19, we are supporting the wider deployment of Electronic Repeat Dispensing (eRD) across GP practices. 
The information below describes the benefits of eRD as well as covering  
details of implementation in GP practices and pharmacies.         
 
Training and Implementation Essentials:
Outline - explanation of the NHS response needed for eRD during the Covid-19      crisis and support for primary care to deliver that response. 

Short video - training module from NECS provides the complete 'How to' guide
including SystmOne, EMIS and Vision. 
 
Link to the eRD handbook, a comprehensive guide to eRD set-up -  

Electronic Repeat Dispensing Handbook

Link to example of a local implementation process for eRD [Wessex]  
Electronic Repeat Dispensing (eRD) enables patients on long- term, stable 
prescriptions to receive their medication at a pharmacy of their choice for 
up to 12 months, using the power of the Electronic Prescription Service 
(EPS).   
 
Benefits of eRD in response to COVID-19:
   >   Reduces footfall to the GP practice and to thecommunity pharmacy,  
        supporting social distancing
   >   Reduces workload for prescribers allowing better prioritisation of
        resources
   >   Controlled management of the supply chain reducing the number of 
        temporarily unavailable medicines
   >   Effective eRD can save up to 46 minutes a day of GP time
   >   If 80% of all repeats issued as repeat dispensing, 2.7 million GP hours
        could be saved
 
Which patients are suitable?
   >   Patients on stable therapy
   >   Patients with long-term conditions 
   >   Patients on multiple therapy e.g. hypertension, diabetes, asthma etc
   >   Patients that can appropriately self-manage seasonal conditions
 
Producing the prescription:
   >   Producing an eRD prescription is very similar to producing normal EPS
        prescription
   >   An eRD prescription can contain up to four items
   >   All the items on an eRD prescription must be in the dictionary of 
        medicines and devices
   >   It is good practice to include a message to the patient reminding them
        to collect their medicines every 28 days
   >   Please view electronic repeat dispensing guidance for advice on 
        managing PRN medication
 
Dispensing the prescription:
   >   The dispensing site must ensure that their staff are competent to 
        provide eRD
   >   The dispensing site must establish that the patient is takingor using their
        medication appropriately and they should ask the following questions:
 
          >  Have you seen any Health Professional (GP, Nurse or Hospital 
               Doctor) since your last repeat was supplied? 
          >  Have you recently started taking any new medicines either on 
              prescription or that you have bought over the counter?
          >  Have you been having any problems with your medication or 
              experiencing any side effects? 
          >  Are there any items on your repeat prescription that you don't need
              this month? 
   >   The first issue of an eRD prescription is downloaded from the NHS spine
         in the same way as other EPS Release 2 prescriptions. 
   >   After the first issue has been dispensed to the patient, the dispensing 
        site must send a dispense notification to the  NHS Spine.
   >   The next issue of an eRD prescription automatically becomes available
        seven days before it is due.
   >   After each subsequent issue has been dispensed to the patient, the 
        dispensing site must send a dispense notification to the NHS Spine.
        This allows the next issue  to be downloaded automatically on time. 
        
What do patients need to know?
   >   Please click to view information for patients
   >   If you are contacting patients to switch them over to eRD
        North East Hampshire and Farnham developed a script to support such
        calls.