Repeat Prescriptions

 

All requests for repeat medication will take 3 working days to process. 

When you put your medication request in it will be ready as follows:

  • Monday: Friday
  • Tuesday: Monday
  • Wednesday: Tuesday
  • Thursday: Wednesday
  • Friday: Thursday

Acute prescriptions have a turnaround of 5 working days. Please do not request a prescription for mediation that has not been prescribed for over a year – this will need a Dr’s appointment. Please check whether the medication is available over the counter, and purchase over the counter where possible.

Prescriptions for over the counter medication

Patients are encouraged to only visit their GP when they need to, thus giving patients greater control over their health.

Orchard Surgery is keen to empower our patients to have the confidence and information to look after themselves when they are able. Patients are encouraged to only visit their GP when they need to, thus giving patients greater control over their health.

There are many cases, where patients are able to purchase medications which are available from community pharmacies, supermarkets or grocery stores, reducing the number of GP consultations, so GP’s are able to focus on caring for the higher risk patients, such as the very young, elderly , those with long term conditions. Many of these treatments are more expensive when prescribed on the NHS compared to when they are purchased in pharmacies or supermarkets.

The Cambridge and Peterborough Integrated Care System has introduced the following principles which Orchard Surgery will be following:

  1. Patients are expected to keep a small supply of simple treatments at home in order to manage minor ailments at home
  2. After seeking appropriate advice from a pharmacist or other health care professional, it is expected where available, patients will purchase their medicine over the counter
  3. Medication will not be routinely prescribed when it is for symptomatic relief for short term conditions that will resolve on their own
  4. It is recommended that the following conditions should not routinely be prescribed in primary care – this list is not exhaustive:
    • Pain relief
    • Coughs and Colds
    • Antihistamines and allergy
    • Thrush (max 2 episodes in 6 months)
    • Gastrointestinal
    • Dermatology
    • Eye conditions
    • Heartburn & Indigestion
    • Cold sore treatment
    • Oral health
    • Earwax removal
    • Head lice & Threadworm treatments
    • Nutrition and Food Supplements

Patients needing regular treatment with over the counter medication for a chronic condition will still be prescribed their medication

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In Person

  • When we are open: Patients can drop their repeat slip in the box located in the waiting room.
  • When we are closed: Drop your repeat slip in the post box currently on the door to the roadside entrance, with the required items clearly marked.
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Use the NHS App

Owned and run by the NHS, the NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet.

The simplest and quickest way to order your repeat medication is by using the NHS App which links directly to your Prescription record at the Practice.

DOWNLOAD THE NHS APP

Image of the NHS App

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Order Online with SystmOnline

SystmOnline Logo

You can order your repeat prescription online using SystmOnline.

The simplest and quickest way to order your repeat medication is by using SystmOnline which links directly to your Prescription record at the Practice.

ORDER ONLINE

Image of family using SystmOnline
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By Post

Send it to us remembering to enclose a stamped addressed envelope if you want us to post it back to you.

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Private Prescriptions

Please be aware, that if you have been seen privately for a single episode of care (such as an operation), and short-term medication is prescribed, this medication should be prescribed by the private hospital. The surgery would not be able to prescribe this medication. 

If during a private consultation, a long term condition is identified which would need medication prescribed, the surgery would only be able to take over the prescribing from the private doctor, if we can be satisfied that the prescribing is appropriate, responsible, and is something that we would prescribe for our other NHS patients with the same diagnosis. When the surgery prescribes medication, they take on the full responsibility for your care, even if the medicine is recommended for you by a different doctor. For this reason, we would not prescribe if:

  • We have inadequate communication from the private doctor to explain the reason why they wish to prescribe the medication
  • The medication is not prescribed on the NHS
  • The medication is specialist only prescribing, and we do not have the expertise to safely monitor the medication
  • The use of medication is not compatible with national or local prescribing guidelines
  • The medication is not licenced in the UK ,or is being used for a purpose not included in it's UK licence
  • We believe the medication is inappropriate for you
  • You are seen by a Private GP without a GP referral
  • If we cannot be sure the private doctor is aware of your medical history

Please, in line of the above, consider all potential costs when accessing a private consultant, and include any potential medication costs.

Please note we will NOT accept prescription requests over the telephone.

Our Dispensary

 

From Monday 11th March 2024 our hatch opening times are changing to the following:

Day Monday Morning 9am to 12:45am Afternoon 3pm to 5:45pm
Day Tuesday Morning 9am to 12:45am Afternoon 3pm to 5:45pm
Day Wednesday Morning 9am to 12:45am Afternoon 3pm to 5:45pm
Day Thursday Morning 9am to 12:45am Afternoon 3pm to 5:45pm
Day Friday Morning 9am to 12:45am Afternoon 3pm to 5:45pm
 

Patient Enquires: Please bear with us as we recruit new staff for our dispensary - please see the revised opening times until further notice. We apologise for any inconvenience caused. If you have any medication queries, please choose option 3 from our telephone menu - our reception staff our not trained to answer those, and will be unable to help. 

Please do not ask the receptionists about medication queries, they are not trained to answer those, and will be unable to help.

 

Dispensary Line Opening Times

Phone Lines Open: Weekdays from 10am to 12.45pm and 3pm to 5pm

We can supply medicines direct from our dispensary to all patients who live more than a mile, as the crow flies, from a chemist. Please check with the dispensers if you are unsure whether you are eligible.

Medication Reviews

Patients on repeat medication will be asked to see either a doctor, or practice nurse at least once a year to review these regular medications.

For medications on repeat you need to allow 3 full working days

For all other medication requests you need to allow up to five (5) working days.

If you have run out of your repeat medication, we will be able to provide you with a 7 day emergency supply, with the rest of the repeat available to you after 3 full working days. The emergency supply will be available after a GP has finished their clinic and reviewed your meds.

Prescription Delivery Service

A free Prescription delivery service is in operation for dispensing patients.

Operating on Tuesday and Friday a driver will travel around the Practice area to deliver prescriptions direct to patient’s homes.

Is this of interest?

  • If you are a registered patient with the Orchard Surgery
  • If you are a dispensing Patient
  • If you do not pay, or have prepaid for your prescriptions

An application form needs completing; this can be collected from the dispensary or printed out via the link below.

Any queries please contact a member of the management team at the Practice

Dispensary Delivery Application

Information on prescriptions after a private consultation

The below information explains how a prescription issued after a private consultation is different to an NHS prescription and how you can get your medicine.


Why am I being given a private prescription?

If you have seen a doctor or other healthcare professional privately and they need you to start a treatment, you may be issued with a private prescription.

Private doctors are not allowed to issue NHS prescriptions. This is because private consultations are not part of the NHS treatment pathway. 


What is the difference between a private prescription and an NHS prescription?

With a private prescription you will need to pay for the full cost of the medicine plus a dispensing fee. The pharmacy will calculate the total cost, and this is paid by you or your medical insurance company. The total cost can vary at different pharmacies, so it is worth asking more than one pharmacy how much they will charge you to dispense the prescription. Sometimes private prescriptions cost less than the NHS prescription charge.

With an NHS prescription you pay an NHS prescription charge per item (a fixed tax) unless you are entitled to free NHS prescriptions. The current cost of the prescription charge is available here.

You can get more information about whether you are entitled to free NHS prescriptions here.


How do I get my medicines if they are on a private prescription?

If you have been given a private prescription by your healthcare professional, you can have this dispensed at a pharmacy of your choice. A private prescription is normally written on letterheaded paper and has all the information about the medicine and how you need to take it.

The pharmacy will inform you how much they will charge you to dispense the prescription. The pharmacy has to keep the private prescription for their records once your medicine has been dispensed.


Can I ask my GP for an NHS prescription if I have seen the clinician privately?

If you enter the NHS for further treatment after your initial prescription was dispensed privately, then your GP may be able to issue a prescription on the NHS. However, there are a number of reasons that your GP may not be able to transfer your private prescription onto an NHS prescription. These include:

  • The medicine being recommended on your private prescription is not allowed on an NHS prescription: If a medicine is not allowed on an NHS prescription (blacklisted) then it cannot be prescribed by anyone on the NHS. 
  • The medicine being recommended is not included in your local NHS treatment pathway: In your local area the medicine may not be included in the normal NHS treatment pathway, therefore would not normally be recommended on an NHS prescription.
  • The medicine being recommended is not included in your local medicine formulary: A medicine formulary contains a list of preferred local choices. You may be offered a preferred alternative on NHS prescription instead of the medicine on your private prescription. 
  • The medicine being recommended is only suitable for specialist or specialised prescribing: In the normal NHS treatment pathway, NHS specialists and not GPs, would prescribe the medicine. So, GPs may be unfamiliar with the medicine and how it should be prescribed and reviewed. GPs would not normally prescribe these medicines on NHS prescription.
  • Your GP may not agree with the choice of medicine being recommended: Your GP may not agree with the choice of medicine recommended by your private clinician. You may be offered an alternative on NHS prescription.
  • The medicine is included further down the NHS treatment pathway: In your local area other treatments are recommended to be tried and considered first. You may be offered one of these medicines on NHS prescription first.

If I have any question or difficulty obtaining the medicines, what shall I do?

You should speak to the clinician that issued the private prescription to discuss what to do next.

They may recommend an alternative medicine, which may be prescribed by your GP on an NHS prescription.


I cannot afford to pay for the treatment privately, what can I do?

It is important to consider all potential costs when accessing a private consultant and this includes medicine costs. If your GP is unable to prescribe the medicine on an NHS prescription for one of the reasons documented, you should speak to the clinician that issued you with the private prescription to discuss what to do next.

This may include them recommending an alternative less costly medicine or one which may be prescribed by your GP on an NHS prescription.


My GP has offered me a private prescription even though I am being seen on the NHS. Why is this?

There are a few rare circumstances where NHS healthcare professionals may issue private prescriptions to their NHS patients. These are:

  • Malaria prophylaxis for protection when travelling abroad or medicines only needed in case there is an illness or injury when travelling abroad: Treatments that may be needed whilst travelling are not considered suitable for prescribing on the NHS. The traveller should pay the cost of these treatments.
  • Travel vaccines that are not allowed on the NHS, such as yellow fever or rabies vaccine: Some vaccines for travel are not allowed on the NHS and therefore travellers needing these vaccines will need to pay for them privately. 
  • Items which are blacklisted or not available for specific conditions on the NHS: In very rare circumstances, your healthcare professional may think that an item not available for prescribing on the NHS is suitable for you and with your agreement may need to issue a private prescription for this item. 

Your healthcare professional may charge you a fee for writing a private prescription.

Further Information