Shared Care. 4.4.1 Shared care agreements are a specific approach to the seamless prescribing and monitoring of medicines which enables patients to receive care in an integrated and convenient manner. Shared care is a particular form of the transfer of clinical responsibility from a hospital or specialist service to general practice in which prescribing by the primary care prescriber, or other primary care prescriber, is supported by a shared care agreement.
Shared Care. If we are unable to offer you a place for all your entitled funded hours you may wish to share your early education funding with another local provider. We work in partnership with the following providers to enable eligible children to access their full entitlement with planned transitions: [insert names of local providers or signpost parents/carers to family information service email XXX@xxxxxxxxxxxx.xxx.xx]
Shared Care. Introduction The NHS England guidance and Welsh Ministerial circular published in 2018 (Responsibility for prescribing between Primary & Secondary/Tertiary Care for England and the All Wales Communication Standards between Primary and Secondary care HC/2018/014) and the basic premise that: Transfer of prescribing and monitoring responsibility under shared care requires a formal written request from the specialist and acceptance by the primary care prescriber If the primary care prescriber is unable to take on shared care, a dialogue is required between all relevant parties to identify any further information or support to enable shared care. If shared care is not in the best interest of the patient alternative arrangements are required Patients will not be used as a conduit for transferring any information required for shared care Aligning clinical and prescribing responsibility enhances patient safety. The prescriber is responsible for ensuring that the required monitoring is undertaken and reviewing the necessary results as set out below. Prescribers are responsible for the prescriptions they sign and they must be prepared to explain and justify their decisions and actions. Details provided in this agreement combined with written correspondence from the specialist provide the information required to enable primary care prescribing. Contact details for specialist advice are provided for circumstances not covered under this agreement Shared care must be agreed before the patient is directed to primary care to avoid patients being put in a position of uncertainty where to obtain supplies of their medication. Inclusion criteria for shared care Patients appropriate for shared care include those where: Treatment is for a specified indication Prescribing has been initiated in secondary care Appropriate monitoring has been carried out by secondary care to establish a stable dose ie. dose that patient will be expected to remain on long term (usually takes 3 months) Shared care has been requested on a case by case basis and specialist team is in receipt of the acceptance signed by primary care prescriber and patient Exclusion criteria for shared care Where shared care is not appropriate: Where the patient does not consent to shared care Where the primary care prescriber does not consent to shared care Name, strength and formulation of medication Leflunomide 10mg, 15mg and 20mg tablets Licenced indications Leflunomide is a pyrimidine synthesis inhibitor that acts a...
Shared Care. 22.1 ‘Shared care’ is defined as one (1) employee under this Agreement providing care for two or more clients simultaneously during the course of a single shift.
Shared Care. Supporting GP practices providing shared care as part of the Community Based Services for drugs and alcohol, to achieve positive outcomes for substance misusing service users, to successfully complete treatment within the primary care setting, and to achieve sustainable recovery.
Shared Care. It is the responsibility of the MSK Service to request shared care with a GP. The key principle is that the GP is provided with enough information to ensure that the transfer of prescribing or shared care is undertaken safely and given the opportunity to accept prescribing responsibility before the transfer takes place. The sole responsibility for on- going prescribing and monitoring will lie with the initiating MSK Service, if shared care arrangements are not agreed by the GP. The following conditions must be met before the shared care takes place: The drugs are classified as suitable for shared care in the formularies and the responsibilities of all parties are clearly defined; Treatment is in accordance with the effective shared care agreement; If there is disagreement about where prescribing of an individual patient’s treatment should best take place, the case should be referred to the CCG Medicines Management teams who will seek resolution between parties concerned. Disagreements over the principles of prescribing responsibility, not individual disagreements that are resolved case by case, should be resolved at the Area Prescribing Committee. Care should be taken to ensure that the patient does not suffer as a consequence and co-operation on both sides is sought in achieving resolution in difficult situations. Patient Education The Service should ensure that patients are fully informed of the risks and benefits of treatments recommended to them, and are counselled appropriately on how to use prescribed or recommended medicines. The Service should train patients requiring biologic treatments for rheumatoid arthritis and osteoporosis how to self-administer subcutaneous injections where appropriate. The Service will be expected to develop patient information materials in conjunction with the CCGs’ Medicines Management teams.
