The common use of care involves communication between the specialist, the family physician and the patient (and/or the caregiver). The intention to share care must be explained to the patient by the doctor who introduces the treatment. It is important that patients are consulted on treatment and agree. Patients receiving the given medication should be followed regularly, which provides opportunities to discuss drug therapy. Prescribers are reminded that the doctor who prescribes the drug is legally responsible for the clinical responsibility of the drug and the consequences of its use. A circular from the Ministry of Health first outlined the principles of common care. This was EL91 (127) and can be accessed below: If you share responsibility for the care of a patient with a colleague, you must be competent to exercise your share of clinical responsibility. You must: If you were prescribing on the recommendation of another doctor, nurse or doctor, you must ensure that the prescription is required for the patient and as part of your skills. Click on your area below to continue. Drugs are categobated in the BNF.
If the drug you are looking for is not mentioned, then there is currently no common care available. Ketamine for Complex Pain in Palliative Care Patients A Joint Care Agreement (ACS) outlines ways to allocate responsibilities in managing the prescribing of a drug between the specialist and the general practitioner. Locally approved documents on the common care agreement, which contain details on common care, can be developed for complex treatments that are used regularly in a specialized environment. These documents are known in NHS Lothian as Shared Care Agreements (SCA). These documents provide additional guidance for family physicians for complex treatments that are commonly used in a specialized environment and may be permitted to be used in primary care. However, it is not necessary to have a locally authorized document to share care. Presentation materials for local shared care facilities are available on the NHS Lothian intranet via this link. All approved Shared Care Agreements (SCAs) are listed on this page. These will be developed as part of the implementation of the new policy. Shared care resources are available at the National Prescription Centre; Midlands Therapieics Review – Advisory Committee, which concluded 16 Effective Shared Care Agreements for a large number of drugs/indications; UK Medicines Information, which has published numerous joint care protocols/agreements; and Keele School of Pharmacy, which publishes a toolkit for effective shared care agreement “to help health professionals develop their own common care agreements to support locally agreed prescriptions.” They should take into account the wishes of a patient if he wishes another person, . For example, a parent, partner, friend, caregiver or lawyer is either involved in discussions or helps them make decisions.
In these circumstances, you must follow the guidelines set out in paragraphs 7 to 21. Sometimes it is difficult to give patients as much information or decision-making assistance as you like, due to time constraints or limited resources available. To help you, you need to consider the role that other members of the health team could play and other sources of information and assistance available. These may include, for example, patient information brochures, advocacy services, expert programs for patients, or support groups for people with certain diseases.