North Glen Medical Practice, 1 Huntsmans Court, Glenrothes, KY7 6SXTel: 01592 620 062
Upcoming Public Holidays and Staff Training days when the Surgery is closed.
Staff Training :-T.B.C
Public Holidays:-Tuesday 25th December 2018 Wednesday 26th December 2018
OUT OF HOURS
If you have a serious or urgent problem requiring care before the surgery reopens it will be provided by NHS 24. If a visit or attendance at an out of hours centre is required this will be carried out by GPs at Glenrothes Hospital, Lodge Rise, Glenrothes KY7 5TG. To contact NHS 24, dial 111 or telephone the usual surgery telephone number. An answering machine message will inform you how to contact NHS 24.
Please allow plenty of time in advance of these closed dates for prescriptions and be aware that although completed by the Surgery may take longer to dispense from your local Pharmacist.
If you take medication on a long- term basis, you can ask for a repeat prescription by:
Your prescription will be available for you to pick up within a maximum of 48 working hours from ordering from the Surgery
All Glenrothes pharmacies operate a collection scheme, which may be helpful to you. 48 hours notice is required for prescription orders, more at weekends and bank holidays. Please be aware that it may take longer to dispence from your local Pharmacies to which we have no control.
If sent to a local Pharmacist, it may take the dispensing chemist longer to process dependant on various factors.
Please remember this service is only available for patients ordering repeat prescriptions agreed with the doctor.
Controlled Drugs Policy Update
Please be aware that North Glen Medical practice has updated its policy for the prescribing of all controlled drugs in line with national guidance.
Drugs for Pain and Attention Deficit Hyperactivity Disorder
e.g.Buprenorphine (Butrans, Transtec), Dexamfetamine, Fentanyl (Abstral, Durogesic, Matrifen), Methylphenidate (Concerta XL, Equasym XL, Ritalin), Morphine (MST, Oramorph, Sevredol, Zomorph), Oxycodone (Oxycontin, OxyNorm) & Pethidine.
Changes you may notice:
· The quantity of drug will be reduced to a maximum of 28 days’ supply.
· You may be asked to switch to an alternative drug or preparation.
· You may be asked to reduce your use of a particular drug, with support from your GP or other services.
· The drug may be removed from repeat prescription if it is only intended for short-term use.
· You may have to see your GP before further prescriptions will be issued.
· You may be asked to attend for more frequent medicine reviews with your GP.
Drugs for Anxiety and Insomnia – additional restrictions to those listed above.
e.g.Drugs known as benzodiazepines i.e. Chlordiazepoxide, Clonazepam, Diazepam, Loprazolam, Lorazepam, Lormetazepam, Nitrazepam, Oxazepam, Temazepam and those called Z drugs i.e. Zaleplon (Sonata), Zolpidem (Stilnoct) & Zopiclone (Zimovane).
Repeated use of these tablets over a long period of time is no longer recommended and patients will be encouraged to reduce and stop these medicines altogether.
As it is recommended that you do not stop taking these tablets suddenly, patients will be invited to attend for review with their usual GP. The dose will then be reduced slowly through a planned timetable for stopping these tablets, to minimise the withdrawal effects which can sometimes occur following long term use of this type of drug.
To ensure a consistent approach, patients will be asked to agree a ‘contract’ for the withdrawal of the drug with their GP. This outlines the planned dose reduction and any rules associated with this reduction. Patients will also be asked to nominate a pharmacy to which all prescriptions will be sent. Prescriptions for these drugs occasionally get lost or stolen, so this ensures the prescription arrives at the pharmacy safely and in time for the medicine to be dispensed.
Please note - Prescriptions for drugs for anxiety or insomnia:
· Will not be replaced if lost
· Will not be issued early.
Under these circumstances, please do not ask reception staff to request a further supply or ask triage staff for a GP appointment, as they will be unable to fulfil such requests.
Further information about any of the details above can be obtained through discussion with your GP.
Changes to the law surrounding the supply of medicines coming into force from 1st April 2019 mean that prescriptions for gabapentin and pregabalin will be more tightly controlled.
Gabapentin and pregabalin are safe and effective for conditions such as neuropathic pain relief, anxiety or epilepsy when taken as prescribed by your GP or specialist. However, there are increasing reports of patients coming to harm when it is misused and this is the reason for the additional controls. You may be asked to attend the practice for review of your medicine.
A prescription for gabapentin or pregabalin prescription now requires the following before it can be supplied by the pharmacy.
These changes will take time to put in place, so please be patient whilst we try to ensure the prescriptions we issue are legally correct. If they are not correct, the pharmacy cannot dispense them.
If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC.
There is further information about prescription exemptions and fees on the NHS website
From 1st June 2017, the way you order your online prescriptions will change. We have recently changed our IT service provider and the next stage is to integrate our online services, and, if you haven’t already, you will now need to register, at a different website in order to continue to order your prescriptions online, the website link will be changed from the 1st of June 2017. If you are already registered via our current website link you will soon receive an email/letter with instructions on how to access the new integrated system. Please register within 14 days of receipt to access the new system. In addition to repeat medication ordering, the new service also includes, a free downloadable App (for android and iOS devices) and the app will be further developed further over the coming years, We hope you agree that these developments are worthwhile.If you would like to register for our new online services or have further questions please ask/call our Reception. As we stopped accepting prescription requests over the telephone in September 2014, here are alternative ways of ordering your prescriptions:
• Arrange with a local pharmacy to order your prescription• Come into the surgery and order at the desk• Post your request to us (by using the tick sheet on the tear-off white slip attached to your prescription if you wish)• Bring your request into the surgery and put in the prescription collection box located in reception• Alternatively you can order online by following the link https://patient.emisaccess.co.uk/account/login?ReturnUrl=%2F
In the last year alone, 28 tonnes of unused medicines waste was returned. The cost to NHS Fife was over £2.1 million.
Our key messages to our patients are:
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