While the majority of requests from secondary care to primary care to take over prescribing responsibility are appropriate, occasionally they are not. Any requests from secondary care (or other provider) to prescribe a drug which is not endorsed for use in primary care should be reported on the form below. This allows the CCG to monitor and report back on all such requests. In addition, it will be necessary for individual GPs to communicate directly with the requester to explain that they will not be able to take on the prescribing as suggested.
The CCG collates information on such requests so they can be raised directly with the providers to minimise future (inappropriate) requests or to prompt review of prescribing guidance where appropriate.

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* 1. Practice name

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* 2. Date of Breach

Date

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* 4. Please specify site (e.g. Alexandra Hospital, Evesham Community Hospital, BMI Healthcare, Gloucester Royal Hospital)

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* 6. Consultant (or other healthcare professional advising) Including job title

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* 7. Was a Treatment Advice Note received (TAN)

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* 8. Please indicate which area the Provider Contract is believed to have been breached, by selecting the relevant option(s) below. NB. Medicines include prescribable (FP10) appliances e.g. dressings, devices

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* 9. Action taken by practice

 
Thank you for taking the time to report this breach

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