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MPs want 'serious' shortages defined before granting pharmacists power

Anne Marie Morris MP: Government must ensure sufficient clinical input has been sought
Anne Marie Morris MP: Government must ensure sufficient clinical input has been sought

The government must clarify what constitutes a “serious” shortage before it grants pharmacists the power to dispense an alternative without a prescription, MPs have said.

The Human Medicines (Amendment) Regulations 2019 order – which came into force in February – includes provisions to allow pharmacists to dispense an alternative in accordance with a “serious shortage protocol” – rather than the prescription and without contacting the GP – that could be announced by the government in the event of a national medicines shortage.

The Department of Health and Social Care (DH) told C+D in March that it would only announce a protocol in an “exceptional and rare situation”, when other measures taken “behind the scenes” have been “exhausted or are likely to be ineffective”.

But Conservative MP Ann Marie Morris – chair of the all-party parliamentary group on the access to medicines and medical devices – told C+D that “clarification from the government is needed on what level of shortage [is considered] serious enough to trigger a protocol”.

“The government also needs to confirm who will be consulted on in the decision to trigger the protocol and that sufficient clinical input has been sought when publishing guidance to pharmacists to substitute medicines,” Ms Morris said.

Speaking to C+D after the parliamentary group met to discuss the protocol on Tuesday (April 30), Ms Morris said it will be asking the government to “address the concerns raised with the group by stakeholders impacted by the protocol”.

Clinically chaired group

Ahead of the order coming into force in February, pharmacy minister at the time Steve Brine told parliament that the government would only announce a protocol “if clinicians think it is appropriate” and “when other mitigation measures have been exhausted”.

It was in the process of creating a “national, clinically chaired group” with “national oversight at senior doctor level” to advise ministers on when pharmacists should supply an alternative, Mr Brine said at the time.

Read a GP's view on the shortages protocol for pharmacists

What do you think constitutes a serious medicines shortage?

SP Ph, Community pharmacist

I wish MPs had defined BREXIT before a referendum vote, FMD before implementation etc etc.

Kevin Western, Community pharmacist

How about " would you like your mother/father/cchild to go without this medicine if they needed it?"

If the answer is yes, it may even save the nhs a few bob.

Leon The Apothecary, Student

Fun Fact: Ann Marie Morris Generally voted against laws to promote equality and human rights according to her voting record.

That seems like someone I would want to voice an opinion on providing care in the community.

Adam Hall, Community pharmacist

MPs need to make up their mind - allow us to ease GP workload and be part of the primary care team, or have run back to the GP for every little thing. Don't care which, just get on and stop mucking about!!!

ANDREW MILLAR, Community pharmacist

Spot on Adam Hall

ANDREW MILLAR, Community pharmacist

Spot on !!

Leon The Apothecary, Student

MPs need to make up there mind about insert name of the current issue that needed to be resolved yesterday ideally but still is ongoing today.

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