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an overiew of non medical prescribing across one strategic health authority a questionnaire survey非医疗处方的overiew卫生战略部门一个问卷调查
Courtenay et al. BMC Health Services Research 2012, 12:138
/1472-6963/12/138
RESEARCH ARTICLE Open Access
An overiew of non medical prescribing across
one strategic health authority: a questionnaire
survey
Molly Courtenay*†, Nicola Carey† and Karen Stenner
Abstract
Background: Over 50,000 non-medical healthcare professionals across the United Kingdom now have prescribing
capabilities. However, there is no evidence available with regards to the extent to which non-medical prescribing
(NMP) has been implemented within organisations across a strategic health authority (SHA). The aim of the study
was to provide an overview of NMP across one SHA.
Methods: NMP leads across one SHA were asked to supply the email addresses of NMPs within their organisation.
One thousand five hundred and eighty five NMPs were contacted and invited to complete an on-line descriptive
questionnaire survey, 883 (55.7%) participants responded. Data was collected between November 2010 and
February 2011.
Results: The majority of NMPs were based in primary care and worked in a team of 2 or more. Nurse independent
supplementary prescribers were the largest group (590 or 68.6%) compared to community practitioner prescribers
(198 or 22.4%), pharmacist independent supplementary prescribers (35 or 4%), and allied health professionals and
optometrist independent and/or supplementary prescribers (8 or 0.9%). Nearly all (over 90%) of nurse independent
supplementary prescribers prescribed medicines. Approximately a third of pharmacist independent supplementary
prescribers, allied health professionals, and community practitioner prescribers did not prescribe. Clinical
governance procedures were largely in place, although fewer procedures were reported by community practitioner
prescribers. General practice nurses prescribed the most items. Factors aff
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