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COVID-19: Emergency CD law could be exploited, advisory group warns

The proposed changes could leave pharmacists vulnerable to exploitation by patients

Emergency measures set to give pharmacists the power to supply certain controlled drugs to patients without a script could be exploited, a government advisory group has warned.

The Home Office last week set out its intentions to introduce emergency measures that would allow pharmacists to supply medicines in schedule 2, 3 and part 1 of schedule 4 under the Misuse of Drugs Regulations 2001 to patients without a prescription.

The legislative change, suggested in the wake of the COVID-19 pandemic, would apply in cases where the patient is “receiving [the drugs] as part of ongoing treatment”, home secretary Priti Patel stated in a letter to the Advisory Council on the Misuse of Drugs (ACMD) last week (April 1)

The measures will “rely on the professional judgement of pharmacists, who will be working outside of the scope of their usual practice,” ACMD chair Professor Owen Bowden-Jones and Professor Roger Knaggs, chair of ACMD’s technical committee said in a joint letter replying to Ms Patel yesterday (April 7).

There is also a risk that enabling pharmacists to supply controlled drugs to patients without a prescription  could “increase the risk of the misuse and diversion of controlled drugs”, the ACMD warned.

“Patients with substance misuse issues might attempt to place pressure on a pharmacist to dispense in accordance with this measure”.

Alternatively, someone might “visit a range of pharmacists in an attempt to locate and exploit weaknesses…in order to be supplied with medicines against best practice”, the ACMD added.

ACMD “generally supportive”

However, the ACMD said it is “generally supportive” of the proposal to enable pharmacies to supply controlled drugs without a prescription during a pandemic, “where there is a risk of discontinuity of supply of repeat prescriptions”.

It recommended that national guidance is produced in consultation with the “relevant medical Royal Colleges and professional bodies”, but added that pharmacists will still “require additional support and guidance” when implementing this measure.

The ACMD is also “generally supportive” of the measure to allow the supply of these controlled drugs under a serious shortage protocol (SSP), but advised that this should be a “last resort”, it said.

However, the advisory body recommended that amendments are made to the final measure proposed, which would allow pharmacists without prescribing rights to “change the frequency of instalments on instalment prescriptions without the immediate need for a new prescription from a prescriber”.

It recommended that this should be changed so that pharmacists can “only vary the frequency of dispensing where they have consulted with the prescriber”.

7 Comments
Question: 
What do you make of the proposals?

Hackney Drug Dealer, Community pharmacist

Can anybody remember, what WERE the names of the brides' & grooms' families in Gavin and Stacey? Hmmmmm ... better not tell the advisory comittee. 

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

Turns out the Pope is Catholic as well! Who knew??

Hackney Drug Dealer, Community pharmacist

Noooo, they're a proactive team who have dynamic reactions to matters arising. 

 

Benie I, Locum pharmacist

£250 per hour for Friday and Monday......

chris langtry-lynas, Community pharmacist

no shit Sherlock? It took a professor and a special advisory group to work that one out  

 

 

Hackney Drug Dealer, Community pharmacist

ah, but you forgot the advisory sub-comittee and the focus group, there was also a zoom and skype conferencing team in discussions about which platform to use, which was more secure and which could be affected by malware and viruses. And how much to put up the premises registration fees, £365.00 had a nie ring to it. 

 

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

Or did the advisory group just read the comments on another thread on here and think 'oops.....'?

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