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Home > Pharmacy Law and Ethics > Pharmacy Law and Ethics - Controlled Drugs

Pharmacy Law and Ethics - Controlled Drugs

Misuse of Drugs Act 1971

Source: legislation.gov.uk
Pharmacy Resource: Act
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Last Checked: 23/10/13 Link Error: Report It

 

The Misuse of Drugs Regulations 2001

Source: legislation.gov.uk
Pharmacy Resource: Regulations
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Last Checked: 23/10/13 Link Error: Report It

 

List of Drugs Currently Controlled Under the Misuse of Drugs Legislation

The following is a list of the most commonly encountered drugs currently controlled under the misuse of drugs legislation showing their respective classifications under both the Misuse of Drugs Act 1971 and the Misuse of Drugs Regulations 2001.

Source: gov.uk
Pharmacy Resource: List
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Last Checked: 23/10/13 Link Error: Report It

 

Controlled Drug Regulations

Destruction of Patient Returned and Stock Controlled Drugs
Monitoring and Inspection Arrangements
Patient Drug Record Cards
Record Keeping Requirements

Source: psnc.org.uk
Pharmacy Resource: Various
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Last Checked: 25/06/15 Link Error: Report It

 

A guide to good practice in the management of controlled drugs in primary care (England)

This third edition of the controlled drugs guide (CDG) takes into account the significant legislative changes, introduced by the Government to strengthen the governance arrangements for controlled drugs (CDs) since publication of the first edition in December 2005. A number of changes affecting the prescribing, record keeping and destruction of CDs were introduced as a result of amendments to the Misuse of Drugs Regulations (MDRs) 2001. The Health Act, which received royal assent in July 2006, enabled Regulations to be laid relating to governance and monitoring of CDs which came into effect in England on 1 January 2007. Since then further changes have been introduced which have been included in this third edition of the CDG.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

Royal Pharmaceutical Society Guide: Controlled Drugs

This guide is for pharmacists dispensing NHS prescriptions for schedules 2 and 3 controlled drugs.

The guidance covers the basic requirements for controlled drug prescriptions. It details the key elements that are required on a controlled drugs prescription and offers some practical advice on each element.

Source: rpharms.com
Pharmacy Resource: Guide
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Last Checked: 03/04/17 Link Error: Report It

 

Safer management of controlled drugs: a guide to good practice in secondary care (England)

This document is intended to provide guidance on good practice for the management of controlled drugs (CDs) in secondary care in England. It aims to set out robust systems for procuring, storing, supplying, transporting, prescribing, administering, recording, and disposing safely of CDs, whilst at the same time helping to ensure appropriate and convenient access for those patients that require them.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Royal Pharmaceutical Society Guide: Safe Custody of Controlled Drugs

This guidance is aimed at pharmacists working in registered pharmacy premises. It may be of interest to pharmacists working in other settings. It explains which CDs require safe custody, including patient returns and out-of-date or obsolete CDs. It also contains information on which standards the CD cabinet, safe and rooms must comply with and guidance on key responsibilities and a key log.

Source: rpharms.com
Pharmacy Resource: Guide
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Last Checked: 03/04/17 Link Error: Report It

 

Safer management of controlled drugs: changes to record keeping requirements (for England only).

This guidance is intended to inform and support relevant healthcare professionals and organisations in implementing changes to record keeping requirements for controlled drugs (CDs), required by changes made to 'The Misuse of Drugs Regulations 2001' set out in SI 2006/1450 and SI 2006/2178.

This guidance also informs and supports implementation of the changes required to the format on the Controlled Drugs Register (CDR), and the headings/titles of the columns used to capture the mandatory fields of information. This replaces the interim guidance published in October 2007.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Guidance on the destruction of controlled drugs - new role for Accountable Officers

This guidance is to inform relevant health and social care professionals and organisations about changes to the role of Accountable Officer for controlled drugs which now enable them to authorise people, or groups of people to witness the destruction of controlled drugs.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Environment Agency
T28 - sort and denature controlled drugs for disposal

This exemption allows pharmacies and other similar places to comply with the requirements of the Misuse of Drugs Regulations 2001 by denaturing controlled drugs (making them unsuitable for consumption).

Source: gov.uk
Pharmacy Resource: Exemption
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Last Checked: 09/04/14 Link Error: Report It

 

Environment Agency Position Statement
Denaturing of controlled drugs at a place other than the premises of production

If you comply with the requirements below, we will allow the denaturing of controlled drugs at a place other than the premises of production.

Source: gov.uk
Pharmacy Resource: Position Statement
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Last Checked: 09/04/14 Link Error: Report It

 

NHS Swindon
Standard Operating Procedure: Controlled Drugs Destruction

Source: swindonpct.nhs.uk
Pharmacy Resource: SOP
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Last Checked: 23/10/13 Link Error: Report It

 

Handbook for controlled drugs accountable officers in England

The purpose of this handbook is to help Accountable Officers (AOs) to fulfil their role, particularly for those new to the post. The handbook will emphasise legal requirements as well as provide recommendations for further reading. The handbook is intended to supplement existing guidance produced by the Department of Health (DH) to underpin the regulations and will complement any additional face to face training designed to support AOs.

Source: webarchive.org.uk
Pharmacy Resource: Handbook
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Last Checked: 23/04/15 Link Error: Report It

 

The Controlled Drugs (Supervision of Management and Use) Regulations 2013

Source: legislation.gov.uk
Pharmacy Resource: Regulations
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Last Checked: 23/10/13 Link Error: Report It

 

Controlled Drugs (Supervision of management and use) Regulations 2013: Information about the Regulations

These changes continue to promote good governance concerning the safe management and use of controlled drugs in England and Scotland, has been published.

This information is intended for organisations that are required to appoint a controlled drugs accountable officer and other organisations and individuals in the health and social care sectors with a responsibility or interest in ensuring effective systems for the safe and effective management and use of controlled drugs.

These have been laid before Parliament. They come into force on 1 April 2013.

Source: gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Register of accountable officers in England

We record the details of healthcare organisations' accountable officers in an online register, which we update whenever we are notified of changes.

Source: cqc.org.uk
Pharmacy Resource: Register
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Last Checked: 16/06/14 Link Error: Report It

 

Controlled Drug Prescribing

Safer Management of Controlled Drugs - Controlled drug prescribing

Source: nhsbsa.nhs.uk
Pharmacy Resource: Prescribing and Dispensing Information
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Last Checked: 23/10/13 Link Error: Report It

 

Home Office Circular 008/2014
The changes under the act cover control of NBOMe and benzofuran compounds, lisdexamphetamine, zopiclone, zaleplon, tramadol and reclassification of ketamine

A Change to the Misuse of Drugs Act 1971: control of NBOMe and benzofuran compounds, lisdexamphetamine, zopiclone, zaleplon, tramadol and reclassification of ketamine.

Source: gov.uk
Pharmacy Resource: Circular
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Last Checked: 16/06/14 Link Error: Report It

 

Home Office Circular 008/2014
The changes under the act cover control of NBOMe and benzofuran compounds, lisdexamphetamine, zopiclone, zaleplon, tramadol and reclassification of ketamine

A Change to the Misuse of Drugs Act 1971: control of NBOMe and benzofuran compounds, lisdexamphetamine, zopiclone, zaleplon, tramadol and reclassification of ketamine.

Source: gov.uk
Pharmacy Resource: Circular
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Last Checked: 16/06/14 Link Error: Report It

 

Controlled drug changes to the legal classifications of tramadol, lisdexamfetamine, zopiclone and zaleplon – check your prescriptions are legal
NHS West Essex Clinical Commissioning Group

Legislation was laid before parliament on 20th May 2014 and the following legislative changes will come into force on Tuesday 10 June 2014:

Source: westessexccg.nhs.uk
Pharmacy Resource: Guidance
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Last Checked: 16/06/14 Link Error: Report It

 

Royal Pharmaceutical Society Support Alert: Changes to legislation: tramadol, lisdexamfetamine, zopiclone and zaleplon

Changes to legislation affecting tramadol, lisdexamfetamine, zopiclone and zaleplon have come into force today (10th June 2014).

Further information on the changes including professional guidance and frequently asked questions is available in our recently published Support Alert.

Source: rpharms.com
Pharmacy Resource: Support Alert
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Last Checked: 16/06/14 Link Error: Report It

 

Drug misuse and dependence: UK guidelines on clinical management

Drug Misuse and Dependence: UK Guidelines on Clinical Management – hereafter referred to as the 2007 Clinical Guidelines – is intended for all clinicians, especially those providing pharmacological interventions for drug misusers as a component of drug misuse treatment.

Source: nta.nhs.uk
Pharmacy Resource: Guidelines
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Last Checked: 23/10/13 Link Error: Report It

 

Guidance for the use of substitute prescribing in the treatment of opioid dependence in primary care

Royal College of General Practitioners Substance Misuse & Associated Health
Substance Misuse Unit
Royal College of General Practitioners Sex, Drugs and HIV Group
Substance Misuse Management in General Practice
The Alliance

This guidance is to aid primary care clinicians and others in the use of substitute medication for opioid dependence when prescribing for maintenance or detoxification.

Source: rcgp.org.uk
Pharmacy Resource: Guidance
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Last Checked: 02/12/16 Link Error: Report It

 

Controlled Drug Prescription Forms & Validity

Computer Generation
Validity of Form
Repeat Dispensing
Owings
Length of Treatment
Prescription Writing Requirements
Amending Typographical Errors
Identity Checks / Collection of Prescriptions for CDs
Requisitions for Schedule 1, 2 and 3 Controlled Drugs
Private Prescriptions for Schedule 2 & 3 CDs

Source: psnc.org.uk
Pharmacy Resource: Various
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Last Checked: 25/06/15 Link Error: Report It

 

How to Write an Instalment (Blue) Prescription for Methadone and other controlled drugs

Source: rotherhamccg.nhs.uk
Pharmacy Resource: Procedure
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Last Checked: 26/05/15 Link Error: Report It

 

Good Practice Checklist for Prescribers - Methadone & Buprenorphine Prescriptions

Prescribers should use an instalment dispensing prescription for methadone or buprenorphine maintenance treatment.

Source: smmgp.org.uk
Pharmacy Resource: Checklist
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Last Checked: 23/10/13 Link Error: Report It

 

Guidance on Turning Point instalment prescriptions for Controlled Drugs

Some community pharmacists have expressed doubts around the legal validity of date(s) on our controlled drug instalment prescriptions (FP10MDA). The purpose of this information is to provide clear guidance to colleagues.

Source: psnc.org.uk/swindon-and-wiltshire-lpc
Pharmacy Resource: Guidance
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Last Checked: 07/12/13 Link Error: Report It

 

Controlled Drugs Frequently Asked Questions

Does midazolam need to be stored in a CD cabinet?
Do CDs carried in a GPs bag for a home visit need a register?
How often should stock checks be carried out?
How do you dispose of patient returned CDs in practice?
Does the signature and the name stamped on the prescription have to match?
Can non-medical prescribers prescribe temazepam, diazepam and clonazepam?
How long is a prescription for a schedule 2, 3, and 4 CD valid?
Do private prescriptions for schedule 2 and 3 CDs have to be written on special stationery?
Where can practices storing CD obtain registers?
Is there a requisition form for ordering a stock of CDs?

Source: webarchive.org.uk
Pharmacy Resource: Frequently Asked Questions
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Last Checked: 23/10/13 Link Error: Report It

 

Checklist - Prescription Requirements for Controlled Drugs

Source: webarchive.org.uk
Pharmacy Resource: Checklist
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Last Checked: 23/10/13 Link Error: Report It

 

Safer Management of Controlled Drugs: Changes to Requirements for Requisitions for the Supply of Schedule 1, 2 and 3 Controlled Drugs

This guidance is to inform and support relevant health and social care professionals, organisations and suppliers of Controlled Drugs in implementing changes to the requirements in respect of requisitions used for the supply of schedule 1, 2 and 3 Controlled Drugs for use in the community.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Requisitions for schedule 1, 2 and 3 controlled drugs

This information is provided to inform and support relevant health and social care professionals, organisations and suppliers of controlled drugs in implementing changes to the requirements in respect of requisitions used for the supply of schedule 1, 2 and 3 controlled drugs for use in the community.

Source: nhsbsa.nhs.uk
Pharmacy Resource: Prescribing and Dispensing Information
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Last Checked: 23/10/13 Link Error: Report It

 

Q & A on Controlled Drug Requisitions (FP10CDFs)

Source: webarchive.org.uk
Pharmacy Resource: Questions and Answers
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Last Checked: 22/11/13 Link Error: Report It

 

GP practices — Ordering and collection of Controlled Drugs (CDs)

If CDs from Schedule 2 or 3 are needed for practice stock or a doctor’s bag, they must be ordered using a written requisition.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

GP Practices — Receiving CDs and CD Registers

When CDs are received into the practice, from a community pharmacy or wholesaler, the responsible person should check that the correct item has been delivered and then sign the delivery note (if one has been provided) — even if it has already been signed for when collecting the CDs from the pharmacy.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

GP Practices — Storage of CDs

All Schedule 2 CDs plus temazepam, flunitrazepam, buprenorphine and diethylpropion from Schedule 3 (for further information see A guide to good practice in the management of controlled drugs in primary care (England), third edition 2009), should be stored securely in accordance with the Misuse of Drugs Act Safe Custody Regulations, which state that:

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

Controlled Drug Updates – 1

The first addition includes guidance for GPs who store CDs within their practice or in the Doctors Bag

  • Storage of CD’s within the GP practice
  • Access to the CD cabinet
  • CD’s in the Doctors Bag
Source: medicinesmanagement.doncasterpct.nhs.uk
Pharmacy Resource: Newsletter
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Last Checked: 23/10/13 Link Error: Report It

 

Transferring Stock CDs to a Doctor's Bag: Process & Record Keeping

A ‘doctors bag’ is a locked bag, box or case for home visits, etc. Which should be kept locked at all times, except when in immediate use

Source: medicinesmanagement.doncasterpct.nhs.uk
Pharmacy Resource: flowchart
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Last Checked: 23/10/13 Link Error: Report It

 

GP practices — Prescribing of Controlled Drugs

Prescriptions for CDs can now be computer generated (as well as handwritten) but must still be signed by the prescriber.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

Guidance on the safe prescribing and dispensing controlled drugs

Prescribers have a duty to ensure that they are not creating, or contributing to, an addiction problem when prescribing drugs with a potential to be abused or cause addiction. . They also have a duty to prevent patients who abuse drugs from obtaining those drugs on prescription by deception.

Source: neneccg.nhs.uk
Pharmacy Resource: Newsletter
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Last Checked: 23/10/13 Link Error: Report It

 

GP practices — Controlled Drugs governance

Healthcare organisations are responsible, through their normal clinical governance arrangements, for monitoring all aspects of the use and management of Controlled Drugs (CDs) by all healthcare professionals who they employ, or with whom they contract.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Last Checked: 23/04/15 Link Error: Report It

 

How should dentists prescribe, store, order and dispose of controlled drugs?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

Dentists must use the private prescription form FP10PCD** when prescribing Schedule 2 and 3 controlled drugs. A dentist can prescribe privately any Schedule 2 or 3 controlled drug on an FP10PCD form, as long as it meets the dental needs of the patient.

Source: sps.nhs.uk
Pharmacy Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Private controlled drugs prescriptions and dental prescribing

A number of changes are being implemented to the way in which controlled drugs are prescribed and dispensed. The changes came into force on 1st April 2006 and subject to Parliamentary approval, will be given statutory backing by amendments to the Misuse of Drugs Regulations in early summer 2006. This paper highlights the key changes for private controlled drugs (CDs) prescribers.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Publication
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Last Checked: 23/10/13 Link Error: Report It

 

Nurse and pharmacist independent prescribing, 'mixing of medicines', possession authorities under patient group directions and personal exemption provisions for Schedule 4 Part II drugs

This circular draws attention to the contents of Misuse of Drugs (Amendment No 2) (England, Wales and Scotland) Regulations 2012 (SI 2012/973), which comes into force on 23 April 2012.

Source: gov.uk
Pharmacy Resource: Circular
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Last Checked: 23/10/13 Link Error: Report It

 

Nurse and pharmacist independent prescribing changes announced

The agreed changes to the Misuse of Drugs Regulations 2001 relating to nurse and pharmacist independent prescribing of controlled drugs (Misuse of Drugs (Amendment No.2) (England, Wales and Scotland) Regulations 2012 (Statutory Instrument 2012/973)) came into force on 23 April 2012 and are summarised below.

Source: gov.uk
Pharmacy Resource: News
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Last Checked: 23/10/13 Link Error: Report It

 

Changes to controlled drugs legislation for nurse and pharmacist independent prescribers - came into force on 23rd April 2012

Amendments to the Misuse of Drugs Regulations were laid before Parliament on 30th March 2012 and come into force on 23rd April 2012. The amendments relate to nurse and pharmacistindependent prescribing, and mixing of controlled drugs.

Source: neneccg.nhs.uk
Pharmacy Resource: Newsletter
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Last Checked: 23/10/13 Link Error: Report It

 

Royal Pharmaceutical Society Guide: Independent Prescribing of Controlled Drugs

Sections on this page

  • What changed?
  • What should I consider before prescribing controlled drugs?
  • Where can I check if an independent prescriber is not known to me?
  • Miscellaneous FAQs
  • Where to go for more information
Source: rpharms.com
Pharmacy Resource: Guide
Register to Access Content: Yes - content available to members of the RPS

Last Checked: 03/04/17 Link Error: Report It

 

Controlled drugs: Veterinary medicines
Veterinary Medicines Directorate

Veterinary surgeons, pharmacists and anyone involved in prescribing, supplying, keeping records of, storing, disposing or destroying veterinary medicines that contain controlled drugs (CDs) must comply with the law on the misuse of drugs and veterinary medicines.

This guidance clarifies what these legal requirements are for veterinary surgeons, pharmacists and others on specific veterinary issues where it may not be easy to find this in the misuse of drugs legislation.

Source: vmd.defra.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 25/06/15 Link Error: Report It

 

NHS Swindon
Controlled Drugs Management Guide for Independent Contractors

This guidance combines the legal and regulatory framework with what is deemed to be good Independent Contractor for the management of controlled drugs (CDs). This guidance is for all Independent Contractors (GP, Dentists, Optometrists, and Pharmacists). However, it is noted that each of these contractors will have their own professional guidance.

Source: swindonpct.nhs.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Safer management of controlled drugs: Guidance on standard operating procedures for controlled drugs

Best practice guidance on standard operating procedures for the use and management of controlled drug

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Guidance for writing an SOP for controlled drugs

The regulations made under the Health Act 2006 introduced standard operating procedures (SOPs) for the use and management of controlled drugs. Each healthcare organisation is required to have SOPs for the use and management of CDs. SOPs are a practical measure to help ensure good practice standards around the safe management of controlled drugs (CDs).

Source: northlancshealth.nhs.uk
Pharmacy Resource: Guidance
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Last Checked: 23/10/13 Link Error: Report It

 

Best Practice Points for Dealing with Difficult to Manage Patients Who Are Taking Drugs Liable to Abuse or Diversion

This document has been produced to help GP practices and community pharmacists work in a collaborative and mutually supportive way to manage difficult patients, who try to obtain excess quantities of medicines prone to abuse or diversion.

Source: webarchive.org.uk
Pharmacy Resource: Guidance
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Last Checked: 22/11/13 Link Error: Report It

 

Prescribing for Ex-offenders

Prisoners released from prison unexpectedly can take an FP10 or FP10[MDA] to a community pharmacy to obtain their medicines free of charge until they can arrange to see their GP or register with a new GP.

Source: nhsbsa.nhs.uk
Pharmacy Resource: Various
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Last Checked: 23/10/13 Link Error: Report It

 

Controlled drugs: licences, fees and returns | Home Office

This guide explains how individuals travelling and companies can apply for controlled drug licences. It contains details of the application process, fees and other requirements including licensee statements and annual returns.

Source: gov.uk
Pharmacy Resource: Guide
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Last Checked: 23/10/13 Link Error: Report It

 

Travelling abroad with controlled drugs

If you are traveling abroad for a period of over three months, you will need to have a personal licence for carrying controlled drugs.

Source: medicinesmanagement.doncasterpct.nhs.uk
Pharmacy Resource:
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Last Checked: 05/12/13 Link Error: Report It

 

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