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Psychiatric Bulletin (2008) 32: 136-139. doi: 10.1192/pb.bp.107.016311
© 2008 The Royal College of Psychiatrists
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Supplementary prescribing: a new way of working for psychiatrists and nurses

Giles Harborne, Consultant Psychiatrist and Clinical Director

Wrexham Community Mental Health Team, 16 Grosvenor Road, Wrexham LL11 1BU, email: giles.harborne{at}new-tr.wales.nhs.uk

Adrian Jones, Nurse Consultant

Llwyn-y-Groes Psychiatric Unit, Wrexham

Declaration of interest

G.H. and A.J. have received unrestricted travel and educational grants from Eli Lilly and Janssen.

AIMS AND METHOD

To describe the implementation of supplementary prescribing and nurse-led care in an acute in-patient unit. The issues of delegation and distribution of responsibility were explicitly addressed. Structures were developed for training and supervision, to ensure improved medicines management in the acute setting.

RESULTS

We present our five-step model of nurse-led in-patient care and our experience of using a clinical management plan for 33 patients.

CLINICAL IMPLICATIONS

Implementation of supplementary prescribing provides a model for new ways of working, requiring engagement of both doctors and nurses, clear delegation and distribution of responsibilities, and well-developed governance structures.


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eLetters:

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Supplementary prescribing: sustainable or not
L S Choong
PB Online, 4 Apr 2008 [Full text]
Supplementary Prescribing – community or acute in-patient setting
Rahul Tomar
PB Online, 14 Apr 2008 [Full text]
Supplementary Prescribing: A long way to go
Vineet Padmanabhan
PB Online, 14 Apr 2008 [Full text]
Supplementary Prescribing
Imran Mushtaq, et al.
PB Online, 23 Apr 2008 [Full text]
Supplementary Prescribing - is it a new way of working?
Dr.Arvind Sharma
PB Online, 3 Jun 2008 [Full text]

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2008 The Royal College of Psychiatrists.