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Shared care

When clinical, and therefore prescribing, responsibility for a patient is transferred from hospital to GP, it is of the utmost importance that the GP has full confidence to prescribe the necessary drugs. It is, therefore, essential that a transfer involving drug therapies with which GPs would not normally be familiar should not take place without full local agreement and the dissemination of sufficient information to individual GPs.
When a consultant considers a patient's condition is stable, he may seek the agreement of the GP concerned to share care. In proposing a shared care arrangement, a consultant may advise the general practitioner which medicine to prescribe. Where a new, or rarely prescribed, medicine is being recommended, its dosage and administration must be specified by the consultant so that the GP is properly informed and can monitor treatment and adjust the dose if necessary. In addition, when a treatment is not licensed for a particular indication, then full justification for the use of the drug should be given by the consultant to the GP.

Walford D. Responsibility for prescribing between hospitals and GPs
NHS Executive Circular. EL (91) 127, November 1991

Documents

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ATOMOXETINE
Date Posted: 08 - Jun - 2018
Body System: Nervous system
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AZATHIOPRINE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Blood and blood-forming organs Gastro-intestinal system Musculoskeletal system Skin
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CICLOSPORIN for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Genito-urinary system Musculoskeletal system Nervous system Respiratory system Skin
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DAPSONE for dermatology indications
Date Posted: 26 - Apr - 2018
Body System: Skin
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DEXAMFETAMINE
Date Posted: 30 - Nov - 2016
Body System: Nervous system
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GUANFACINE
Date Posted: 30 - Nov - 2016
Body System: Nervous system
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LEFLUNOMIDE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Musculoskeletal system Respiratory system Skin
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LISDEXAMFETAMINE
Date Posted: 30 - Nov - 2016
Body System: Nervous system
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Lithium treatment in adults
Date Posted: 05 - Nov - 2018
Body System: Nervous system
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MERCAPTOPURINE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Gastro-intestinal system Musculoskeletal system
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METHOTREXATE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Gastro-intestinal system Musculoskeletal system Nervous system Respiratory system Skin
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METHYLPHENIDATE
Date Posted: 30 - Nov - 2016
Body System: Nervous system
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MYCOPHENOLATE MOFETIL for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Gastro-intestinal system Genito-urinary system Musculoskeletal system Nervous system Skin
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PENICILLAMINE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Gastro-intestinal system Musculoskeletal system
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RILUZOLE
Date Posted: 27 - Sep - 2017
Body System: Nervous system
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SODIUM AUROTHIOMALATE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Musculoskeletal system
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SULFASALAZINE for patients within adult services
Date Posted: 27 - Sep - 2017
Body System: Gastro-intestinal system Musculoskeletal system