Having been made redundant this year as an ANP who saw nearly all the 'on the day' patients because , according to the CCG , ' ANP appointments don't count for access ' and the partners were advised they were in potential breech of contact for not providing GP appointments ... Would someone please sort out this mess before bringing another group of workers in to it?
Always interested to hear how others manage their skill mix ... But if your GPs see all the chronic disease and all the walk ins and minor illness what do the nurses do ?
I agree , if just smears, ears and imms not much need for nurse prescribing skills and status quo - but as this doesn't work for so many partnerships what's special about how you work together ... something's got to give on this model surely or do you practice in Heartbeat land ?
Dissociating the prescriber from the patient consultation is a high risk IMO . Just last week I had to correct a prescription added to records by the GP in response to elevated BP and cholesterol as the patient was breast feeding and keen to fall pregnant quickly again
Safer for considered holistic assessments not 'tick box' 'task focused' care
Which is where right person right time approach saves lives as well as pennies
Just saying ....
Nurses led long term condition management ?
Advanced nurse practitioners managing on the day requests and minor ailments ?
Both need prescribing skills to complete episodes of care and both are cost effective
Research consistently shows no difference in outcomes between Medical and non medical prescribing - whatever the anxieties are about training models.
The funding for training of non medical prescribers has been affected by health economics so there has been a slow down in the number completing training which will influence these figures.
All staff groups should receive standardised training that meets the specific needs of the job as well as addresses the underlying principles involved in working in health with vulnerable people. Not only are HCAs not working to nationally agreed standards but practice nurses and nurse practitioners are not required to either.
Until employers are penalised for not requiring or releasing staff for the correct training and until funding is made available to meet these needs then status quo.
The key to safety is in the PGD's which include specific indications for when the drugs will be issued.
For example if the PGD for doxycycline states for use as anti malarial rather than for respiratory infection there is little risk of 'over prescribing'