Shared Care. 4.4.1 Shared care agreements are a specific approach to the seamless prescribing and monitoring of medicines which enables patients to receive care in an integrated and convenient manner. Shared care is a particular form of the transfer of clinical responsibility from a hospital or specialist service to general practice in which prescribing by the primary care prescriber, or other primary care prescriber, is supported by a shared care agreement.
4.4.2 When a specialist considers a patient’s condition to be stable or predictable, they may seek the agreement of the primary care prescriber concerned (and the patient) to share their care. In proposing shared care agreements, a specialist should advise which medicines to prescribe, what monitoring will need to take place in primary care, how often medicines should be reviewed, and what actions should be taken in the event of difficulties. Classification:
4.4.3 At a system level, medicines and conditions suitable for shared care are usually identified through a traffic light system determined by an Area Prescribing Committee (APC). Shared care typically applies to medicines for which a shared care agreement must be in place before prescribing responsibility is transferred. This contrasts with medicines which are categorised as suitable for routine prescribing in primary care, or those that should remain the responsibility of specialist prescribers only. All prescribers have a responsibility to be aware of medicines identified through the traffic light system, so that prescribing decisions can be made most effectively.
4.4.4 At an individual patient level, patients themselves and/or carers must be centrally involved in any decision-making process. They should be supported by good quality information that helps them to both come to an informed decision about engagement in a shared care arrangement and sets out the practical arrangements for ongoing supplies of medicines. Given the increasing use of, and benefits derived from, the Summary Care Record and other digital innovations, it is important that a comprehensive primary care record is in general practice, particularly in situations where not all medicines for a patient are prescribed by their primary care prescriber and supplied by their community pharmacy.
4.4.5 When clinical responsibility for prescribing is transferred to general practice, it is important that the primary care prescriber, or other primary care prescriber, is confident to prescribe the neces...
Shared Care. If we are unable to offer you a place for all your entitled funded hours you may wish to share your early education funding with another local provider. We work in partnership with the following providers to enable eligible children to access their full entitlement with planned transitions: [insert names of local providers or signpost parents/carers to family information service email XXX@xxxxxxxxxxxx.xxx.xx]
Shared Care. Introduction Inclusion criteria for shared care Exclusion criteria for shared care Name, strength and formulation of medication Licenced indications Adult dosage and administration Contraindications and cautions Side Effects
Shared Care. It is the responsibility of the MSK Service to request shared care with a GP. The key principle is that the GP is provided with enough information to ensure that the transfer of prescribing or shared care is undertaken safely and given the opportunity to accept prescribing responsibility before the transfer takes place. The sole responsibility for on- going prescribing and monitoring will lie with the initiating MSK Service, if shared care arrangements are not agreed by the GP. The following conditions must be met before the shared care takes place: The drugs are classified as suitable for shared care in the formularies and the responsibilities of all parties are clearly defined; Treatment is in accordance with the effective shared care agreement; If there is disagreement about where prescribing of an individual patient’s treatment should best take place, the case should be referred to the CCG Medicines Management teams who will seek resolution between parties concerned. Disagreements over the principles of prescribing responsibility, not individual disagreements that are resolved case by case, should be resolved at the Area Prescribing Committee. Care should be taken to ensure that the patient does not suffer as a consequence and co-operation on both sides is sought in achieving resolution in difficult situations. The Service should ensure that patients are fully informed of the risks and benefits of treatments recommended to them, and are counselled appropriately on how to use prescribed or recommended medicines. The Service should train patients requiring biologic treatments for rheumatoid arthritis and osteoporosis how to self-administer subcutaneous injections where appropriate. The Service will be expected to develop patient information materials in conjunction with the CCGs’ Medicines Management teams.
Shared Care. Supporting GP practices providing shared care as part of the Community Based Services for drugs and alcohol, to achieve positive outcomes for substance misusing service users, to successfully complete treatment within the primary care setting, and to achieve sustainable recovery.
Shared Care. 22.1 ‘Shared care’ is defined as one (1) employee under this Agreement providing care for two or more clients simultaneously during the course of a single shift.
22.2 Where an employee performs shared care as described at 22.1, she/he shall be paid at Grade 3, Year 1.
22.3 Where an employee performs shared care and is already classified at Grade 3 or above, no additional amount shall be paid.
