Non-urgent advice:
Please note that this practice follows the Prescribing Wisely Guidelines to reduce waste in the NHS.
Repeat prescriptions are medications which appear on the right hand side of your prescription, which your doctor would like you to continue on a regular basis.
How to request a Repeat Prescription
Repeat prescriptions may be ordered in several ways:
Online
We encourage all our patients to use the NHS APP – this will have all details of your repeat medication and when they are due to be repeated.
This is the quickest and safest way to request your medication.
You can also order your repeat prescriptions via Systm Online on a computer, ipad or a phone APP. The surgery will give you a log in and password to access this, please ring us to organize this.
SystmOnline
Non-urgent advice: Having Problems?
Pharmacy
If you are unable to order via the NHS APP you can ask your local pharmacy to order on your behalf. Please be aware that the pharmacies should only be ordering for people who have a genuine reason not to be able to access the NHS App.
We do not accept patient requests via our practice email due to safety reasons.
Emergency Prescription Requests
Emergency prescription requests are requests for medication which you have run out of and need, to prevent you becoming severely unwell. Emergency medications include; antiepileptic medication, insulin, inhalers and adrenaline pens for anaphylaxis. Please see our polocy below.
Emergency prescription requests cannot be used for medication which has been ordered late. You should allow 2 working days for routine repeat prescription requests. Please respect our staff, as it is your responsibility to ensure that your repeat prescription request is ordered in plenty of time.
Eastmead Surgery
Urgent Prescription Requests
Due to the increasing numbers of patients requesting their prescription on an urgent basis, the practice has needed to instate an Urgent Prescription Policy.
Requests for prescriptions outside the normal prescription protocol impacts significantly on both doctors and administration staff time as well as increasing the risk of a medication prescribing error.
Unless a medication is clinically urgent, requests will be processed routinely (over 2 working days).
As a surgery, we require a minimum of 2 working days to process a patients request for medication routinely.
Please respect our staff
- Our reception and administrative staff are to always follow this policy and they are not authorised to make any exceptions.
- Staff are not allowed to interrupt the duty GP during surgery.
- This policy is put in place to protect our patients and our staff, and we will not tolerate any abuse to or of our staff as they are following policy.
Many medications can safely be missed for a few days.
- Urgent prescription requests are requests for emergency medication which are needed within 24 hours to prevent the patient from becoming seriously ill
- Urgent prescription requests are not requests for medication which have been ordered late as it is the patient’s responsibility to ensure that repeat prescription requests are ordered in time.
- This will ensure safe prescribing and optimise access to the clinical team.
If you forget to obtain a prescription for repeat medication and run out of important medicines, you may be able to get help from your Pharmacy.
- Under the Urgent Provision of Repeat Medication Service, Pharmacists may be able to supply you with a further cycle of a previously repeated medicine, without having to get a prescription from your GP.
- If you have run out of important medication, telephone your usual Pharmacy to check that they offer this service; if they don’t, they may either direct you to another Pharmacy who does provide it, or ask you to phone 111 where you can request details of a local Pharmacy that provides the service.
You must then take with you to the relevant Pharmacy, proof of both your identification and of your medication (for example, your repeat prescription list or the empty box which should have your details printed on it).
Controlled drugs and antibiotics are not provided through this service, you will need to ring 111 for these.
Hospital Prescriptions
- When you are seen at the hospital and are given a hospital prescription, you should not leave the hospital without attending the hospital pharmacy to collect the medication.
- A hospital prescription is not valid in community pharmacies.
- Do not bring to the surgery and ask us to convert to a practice prescription – some hospital medications are not licensed to be prescribed in general practice.
Private Prescriptions
Please do not bring these to the surgery to convert to NHS prescriptions. You will need to take to a local pharmacy and pay for the prescribed items directly to them.
Holiday Medication
- Holidays are normally booked weeks or months in advance, therefore when preparing for your holiday, please remember to process a request for your routine medication allowing the normal 2 working days for processing.
- We can only provide a maximum of 2 months medication and we may request a patient to provide documents to support this request.
- We are unable to provide emergency prescriptions for holiday medication.
The following medication may be issued on an urgent same-day basis
- These are medications that the patient could endure harm within 2 working days by missing the doses
| Product | |
| Ipratropium Salbutamol Terbutaline | |
| Apixaban Edoxaba Dabigatrin Rivaroxaban Warfarin | |
| Carbamazepine Gabapentin Lamotrigine Levetiracetam Pheobarbtone Phenytoin Topiramate Valproate | |
| Aripiprazole Haloperidol | |
| Lithium Olanzapine Quetiapine Risperidone | |
| Co-beneldopa Co-careldopa Levodopa | |
| Dexamethasone Fludrocortisone Prednisolone | |
| Glyceryl trinitrate spray Isosorbide mononitrate Isosorbide dinitrate Ivabradine Nicorandil Verapamil Ranolazine | |
| Amiodarone Atenolol Digoxin Diltiazem Flecanide Propranolol (not for anxiety) Sotolol Verapamil | |
| Anticipatory drugs Cyclizine Diamorphine Glycopyronium Levomepromazine Midazolam Water for injection | |
| Bisprolol Furosemide Bumetadine | |
| All insulin Metformin Needles Test strips Sharps bins | |
| Epi pens |
New Patient Prescriptions
We recommend that you get a good supply of your regular medication from your previous GP before registering with us.
If you normally take regular repeat medication please let us know by:
- Giving us a copy of your repeat prescription slip.
- Give us a copy of your medication label on your medication box or bottle which has your name, medication dosage and date.
We will check your medication list and put them on the repeats list but we recommend you make an appointment with the Doctor or Pharmacist to have a medication review within the first month of registering with the surgery. It can take a couple of weeks for your previous records to be delivered to us from your last GP surgery. If you need medication before that, you can bring in your repeat slip and request your medication. Your doctor might need to contact you about your medication request. Please allow up to 2 working days for a prescription request.
Prescriptions Information
Requesting Online
You are able to request your repeat prescription via NHS APP
Why does it take 2 working days to process a repeat prescription request?
At Eastmead Surgery prescriptions are requested every day.
Our prescription clerk has to check your medical records to ensure that your medication request is on your repeat prescription, it then goes to our Clinical Pharmacist or Doctor to authorise and ensure that it is still appropriate for you. Once authorised, our reception team will file your prescription ready for collection.
Delays may occur if any medication requested is not on your repeat prescription list or if your medication request differs from what is on your list. Your doctor may also request that you make an appointment to have your medication reviewed.
Prescribing Wisely
Medicines and products that can be bought over the counter without a prescription
The NHS in Brent, Ealing, Harrow, Hillingdon, Hounslow, Hammersmith & Fulham, Kensington & Chelsea, and Westminster spent over £13 million in 2016 on products that can be bought without a prescription at community pharmacies.
The NHS is under pressure. Our budgets are not large enough to pay for all the treatments we would like to purchase.
We would like to spend less on medicines you can buy without a prescription so as to free up funds for other valuable NHS services. So practices across North West London will no longer routinely prescribe medicines which are available to buy over the counter in pharmacies (and, in the case of some medicines, in supermarkets and other shops too).
Website: www.healthiernorthwestlondon.nhs.uk
Requesting your repeat prescriptions
A lot of medicines are wasted – dispensed but not used. We believe that some of this waste can be reduced if people request their repeat prescriptions directly from their general practice, rather than allowing a community pharmacy to request prescriptions on their behalf. Nobody knows which medicines you are really running out of better than you (or your carer if you have one).
Website: www.healthiernorthwestlondon.nhs.uk/repeat
Non-Repeat Prescriptions
How to order a non-repeat prescription
If you have an on-going problem and would like another prescription of a medication previously prescribed to you by the doctor (but not on your repeat list) you may request another prescription. Please let us know the reason for your request and a contact number, in order for the doctor to review your request.
You can make the request online via Systm Online.
Non-repeat medication requests may take up to 2 working days to process and the doctor may wish to speak with you.
Nominate a Pharmacy
Your GP can send your prescription straight to a pharmacy/chemist electronically, to save you coming to the surgery to pick it up. In order for this to happen you need to nominate a pharmacy/chemist. To do this please log in to the online service, Systm Online . You can then pick up your medication from there, and it will save you a trip to the surgery. For more information, please visit the NHS Electronic Prescription Service Information Page.
Paper prescriptions can also be sent straight to your preferred pharmacy.
Prescription Costs
Visit NHS Choices for information on:
- Prescription charges
- Who is entitled for free prescriptions
- Medical exemptions (certain diseases will exempt you from paying for your prescription)
- Free prescriptions for cancer patients, renal dialysis patients and pregnant women
- Help for those on low income.
Private Prescriptions
A GP in the surgery at which you are registered can only provide a private prescription if the medication is not available on the NHS.
A private prescription is not written on an official NHS prescription and so is not paid for by the NHS.
The cost of a private prescription is met wholly by the patient and is dictated by the cost of the medicine plus the pharmacists charge for supplying it.
A prescription is a legal document for which the doctor, who has issued and signed it, is responsible. A doctor you see privately can’t issue an NHS prescription.