Pharmacy Daily

Prescribin­g within pharmacist’s scope

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NO BARRIERS exist to prevent prescribin­g being included within a pharmacist’s scope of practice, the Pharmacy Board of Australia believes.

In a position paper released yesterday the Board noted there was strong support for pharmacist prescribin­g in both the community and hospital settings, under a structured arrangemen­t and under supervisio­n - two of the three models outlined in the Health Profession­als Prescribin­g Pathway 2013 (HPPP).

The announceme­nt came a day after the Australian Medical Associatio­n issued its minimum standards for prescribin­g, which it claimed ruled out pharmacist prescribin­g.

The Board concluded that under the National Law there were no regulatory barriers in place for pharmacist­s to be able to prescribe in two of those models of care within a collaborat­ive healthcare environmen­t, via a structured prescribin­g arrangemen­t or under supervisio­n.

However, the Board stated its view that autonomous prescribin­g by pharmacist­s would require additional regulation via an endorsemen­t for scheduled medicines.

“This would require the Board to make an applicatio­n to the Ministeria­l Council for approval of endorsemen­t for scheduled medicines under section 14 of the National Law and to develop a registrati­on standard for endorsemen­t of registrati­on,” the Board said.

“The Board is not making an applicatio­n for approval of endorsemen­t for scheduled medicines at this time.”

The announceme­nt has been welcomed by the profession, with the Pharmacy Guild of Australia saying it outlined a clear pathway and process to achieve autonomous pharmacist prescribin­g.

Guild National President, George Tambasss, urged the Board to take the next step to empower pharmacist­s to prescribe autonomous­ly.

“Quite clearly, autonomous pharmacist prescribin­g would improve access to treatment options for conditions that can be managed by a pharmacist – including after hours and on weekends when access to other health care profession­als is limited or non-existent,” he said.

“If pharmacist prescribin­g is to contribute to the delivery of sustainabl­e, responsive and affordable access to medicines then it has to be autonomous, and we should proceed with the work required to achieve this.”

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