General Practitioner. Name (please print) Signature Date Please keep a copy of this agreement for your own records and forward the original to the above named Consultant. In the patient's notes, using the appropriate Read Code listed below, denote that the patient is receiving treatment under a shared care agreement. GP Prescribing System Read Code Description GP Prescribing System Read Code Description
General Practitioner. Upon admission into the Home, you will be required to register with a medical General Practice, if you are not already registered locally. The Home Manager will assist with the registration, if necessary.
General Practitioner. (“GP”) You may retain or choose your own GP where practicable. The Home will assist you to find a GP if you so wish.
General Practitioner. 1. Monitor patient’s overall health and well-being.
General Practitioner. A general practitioner (GP) is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues. GPs call on an extensive knowledge of medical conditions to be able to assess a problem and decide on the appropriate course of action. They know how and when to intervene, through treatment, prevention and education, to promote the health of their patients and families.
General Practitioner. Prescribe dose of valganciclovir in response to changes in creatinine clearance as recommended by hospital medical staff • Monitor for adverse drug reaction or drug interaction and liaise with the hospital consultant regarding any complications of treatment • Although patients will be seen regularly in clinic following transplant, GP practices may be requested on rare occasions to take blood tests in between clinic visits. These results would then be reviewed by transplant unit staff and any required dose adjustments recommended to the patient and GP. Patient, Relatives, Carers • Be aware of potential for dose to change according to renal function • Be aware of need to use contraception where appropriate • As listed in NHS Lothian Policy and Procedures for the Shared Care of Medicines • Be aware dosages alter according to treatment doses versus prophylaxis doses. Support and Advice for the GP Specialist Team Numbers Transplant Unit Xxxx Tel: 0000 000 0000 Renal Transplant Pharmacist – 0131 536 1000 Bleep 2294 Liver Transplant Pharmacist – 0000 000 0000 Bleep 5132 Contact details of the patient’s consultant and their secretary are provided on the discharge letter – telephone directly if the enquiry is urgent. For less urgent enquiries, use the renal transplant e-mail – XxxxxXxxxxx@xxxxxxxxxx.xxxx.nhs.uk – checked Monday to Friday during normal working hours, response time is 1-2 days. Shared Care Agreement Valganciclovir for the prevention of CMV infection in solid organ transplant Key information on the medicine Please refer to the current edition of the British National Formulary (BNF), available at xxx.xxx.xxx, and Summary of Product Characteristics (SPC), available at xxx.xxxxxxxxx.xxx.xx for detailed product and prescribing information and specific guidance. Background to disease and use of drug for the given indication Cytomegalovirus (CMV) is a common virus that is part of the herpes family of viruses. Valganciclovir is a pro-drug of ganciclovir and inhibits replication of human herpes viruses by inhibiting viral DNA synthesis. It can be used to reduce the risk of CMV infection in immunosuppressed patients.
General Practitioner. Prescribing of ciclosporin therapy as recommended by consultant. • Liaison with the hospital consultant regarding any complications of treatment. • Although blood level monitoring is routinely carried out by the specialist team during clinic visits, in exceptional circumstances the team may request that the GP arranges for blood tests to be taken locally for patient convenience – see Monitoring section below. • It is important that the patient is maintained on the same brand of ciclosporin. The Neoral® brand is used in NHS Lothian. Patient, Relatives, Carers • Importance of maintaining treatment with the same brand of ciclosporin (Neoral®). Support and Advice for the GP Specialist Team Numbers Transplant Unit Xxxx: 0131 242 2068 Renal Transplant Pharmacist: 0131 536 1000 Bleep 2294 Liver Transplant Pharmacist: 0131 536 1000 Bleep 5132 The names and contact details of the patient`s consultant and their secretary are given on the discharge letter. Please phone directly if there is an urgent enquiry. The renal transplant team e-mail – XxxxxXxxxxx@xxxxxxxxxx.xxxx.nhs.uk can be used for less urgent enquiries. It is checked during normal working hours, Monday to Friday and the response time is 1-2 days. Key information on the medicine Please refer to the current edition of the British National Formulary (BNF), available at xxx.xxx.xxx, and Summary of Product Characteristics (SPC), available at xxx.xxxxxxxxx.xxx.xx for detailed product and prescribing information and specific guidance. Background to disease and use of drug for the given indication Ciclosporin, a calcinuerin inhibitor, is licensed for use in the prevention of graft rejection following organ transplantation. It acts as a powerful immunosuppressant selectively inhibiting adaptive immune responses. It appears to specifically act on lymphocytes mainly helper T cells, and inhibits the production of lymphokines including interleukin 2.
General Practitioner. To contact the referring consultant without delay if they do not wish to enter into a shared care agreement. • Where appropriate to continue the prescriptions of midodrine in accordance with the instructions from the consultant. • To undertake ongoing monitoring as agreed with the consultant, including monitoring side effects of treatment, and seek advice from the consultant if necessary. • To deal with the general health issues of the patient. • To liaise with the consultant regarding any complications of treatment. • To check for possible drug interactions when newly prescribing or stopping concurrent medication.
General Practitioner. To monitor overall health and well-being of the patient Consider request to prescribe under shared care arrangements and reply only if you do not agree to share care, in a timely manner within 14 days as outlined on page 8 with clinical reasons and return to Consultant and Pharmacy department. To prescribe methotrexate at the recommended dose and formulation. Adjust the dose as advised by the specialist. Always prescribe oral methotrexate using multiples of the 2.5mg strength tablet, DO NOT use 10mg strength tablet. Prescribe folic acid tablets and anti-emetics as appropriate (see support medicines section) Ensure patient understands that dosing is ONCE WEEKLY and which warning symptoms to report. To report any adverse events to the specialist team and the CHM and stop treatment on their advice or immediately if an urgent needs arises. Arrange on-going monitoring at the recommended frequencies (see monitoring section) and ensure that test results are recorded in the monitoring booklet. Ensure compatibility with other concomitant medication. To report any worsening of control of the condition to the consultant or specialist nurse Ensure the patient is offered an annual flu vaccination and one off pneumococcal vaccination Whenever DMARD prescribing is undertaken by someone not in the GP practice, it is expected that the DMARD will be added to the patients repeat screen as zero dispensed to ensure all prescribers are aware when issuing other prescriptions. For patients on subcutaneous injections prescribe Sharpsguard disposal unit 1litre Purple lid Patient Report to specialist or GP if there is not a clear understanding of their treatment and discuss any concerns in relation to treatment Report any adverse effects to the Specialist whilst taking Methotrexate, especially unexplained bruising/bleeding, mouth ulcers, sore throat or cough which should be reported immediately. Report any changes in disease symptoms to Specialist whilst taking Methotrexate. Inform GP or specialist of any other medicines being taken including over-the-counter products. Alert GP and/or specialist of any changes of circumstance which could affect management of disease e.g. plans for pregnancy Try to avoid contact with chickenpox or shingles if no definite history of chickenpox and report any such contact urgently to their GP and/or specialist Carry and present their methotrexate booklet to their GP, Consultant and community pharmacy at each prescribing and dispensing activity Attend f...
General Practitioner a physician registered as a general practitioner in the register of the Huisarts, Verpleeghuisarts en arts voor verstandelijk gehandicapten Registratie Commissie (HVRC) [General Practitioners, Nursing Physicians and Doctors for the intellectually disabled Registration Committee] of the Koninklijke Nederlandsche Maatschappij tot bevordering der Geneeskunst [Royal Dutch Medical Association].
