Prescriptions

To use the above service you will need to register for Patient Access.

Prescribing Hub

All medication requests for patient’s registered with Tyntesfield Medical Group are processed by the Prescribing Hub based at Brockway Medical Centre. The Prescribing Hub is staffed by a team of highly trained prescription clerks between 9am and 5pm from Monday to Friday.

The Prescribing Hub can be contacted directly via your normal Surgery telephone number, selecting option ‘4’ for prescriptions. Alternatively, the direct telephone number for the Prescribing Hub is 01275 465119. Please note this number is for prescription queries or problems only, the Prescribing Hub will not routinely accept requests for medication via this telephone number - please see 'How to order Medication' section below for more details on how to request medication.

Enquiries and prescription requests can also be sent via email directly to the Prescribing Hub at tyntesfield.prescribing@nhs.net  Please send one email per patient.

What is a Repeat Prescription?

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. You are responsible for ordering your regular medication before you run out, this will not be done automatically by the Surgery. Please see ‘How to order medication for further details on how to request prescriptions for medication from the Surgery.

When a medication is newly commenced, it will often be done as an ‘acute’ prescription. If it is to be continued long-term, it will not normally appear on your list of repeat medication until after a review by a Doctor or Nurse or until the Doctor is satisfied that the treatment is appropriate to continue.

How to order Medication

There are several ways that medication can be ordered from the Surgery:

 

Preferred routes for ordering prescriptions  (These ensure there is a clear audit trail and we can turnaround your prescription request in a more timely manner.)

 

  1. NHS App - The quickest and easiest way to get your medication is to sign up to the NHS App.  Available in the App store (Apple or Android). It’s easy to use and you can order medication quickly and see when it has been approved by a GP. For more information and instructions on setting up the NHS App go to nhs.uk/nhsapp.  The NHS App also allows you to obtain an NHS COVID pass, obtain confirmation of the dates of your COVID vaccinations, obtain confirmation of upcoming appointments, some details of your GP health care record such as blood test results, other immunisations and medications. This ensures there is a clear audit trail and we can turnaround your prescription request in a timelier manner.

 

  1. Online via Patient Access – Patient Access is an NHS service which allows you to book appointments and order medication online. You will need to register for this service in person at the Surgery with some photo ID (passport or driving licence).

 

Other routes for ordering prescriptions

 

  1. Via email directly to the Prescribing Hub at tyntesfield.prescribing@nhs.net – please provide your name, date of birth, address and specify which medication you are requesting and where you would like your prescription to be sent/left for you to collect. Please do not use this method for urgent requests
  2. In person at the Surgery – you can either drop in your completed prescription counterfoil (the right-hand side of your prescription) or pick up a prescription ordering slip from the reception desk 
  3. Through your nominated Pharmacy – please discuss this with your pharmacy team.  Please note this request can take up to 2 working days to reach us in the prescription hub. 

Prescribing Policy

All  prescriptions requests have to be approved by a Doctor. This can take a little time as the doctors have other tasks to do in the surgery. As a consequence the prescribing hub will require 4 working days to process all prescription requests.

There is currently a nationwide NHS campaign to tackle wasted medicines – details of which can be found on www.medicinewaste.com. It is estimated that as much as £300million is wasted every year on unused or partially used medication. Wasted or unused medicine is a serious and growing problem within the NHS that we can all help tackle.

In order to ensure the careful monitoring of medicines and to help support this campaign, the Practice will only routinely issue medication that is due within the next 10 days. If you need your repeat medication earlier than usual for example, for a holiday, please specify this within your repeat prescription request.  

 

Prescribing requests for extended trips abroad

 If a person is going to be abroad for more than three months, we are only able to supply a prescription for up to 3 months to enable sufficient medication for you to get to your destination and find an alternative supply of medication.  This is in line with NHS guidance SI04E0048_COVER (legislation.gov.uk)

Patients are responsible for ensuring that any drugs they take into a country confirm to local laws. It is the patient’s responsibility to research the availability of their medications in the country of travel, you can contact the manufacturer (details in the leaflet/PIL) in the box of medication.  Some UK prescription only medicines can be purchased without a prescription from pharmacies in some countries .

Local Pharmacies

Boots, 29-30 Somerset Square, Nailsea, BS48 1RQ. 01275 856 855

 

Day Lewis, 82B High Street, Nailsea, BS48 1AS. 01275 852516

  

Cohens, 27 Weston Road, Long Ashton, BS41 9AA. 01275 392289

 

Cohens, 1 West Town Road, Backwell, BS48 3HA. 01275 462386

 

Towerhouse Pharmacy, Towerhouse Medical Centre, Stock Way South, Nailsea, BS48 2XX. 01275 855109

Electronic Prescription Service (EPS)

The Electronic Prescription Service (EPS) is a NHS service that allows us to send your prescriptions directly to any pharmacy of your choice in England. This paper-free prescription service means that you do not have to come into the surgery to collect your prescription. Prescriptions will be sent directly from the Practice to your nominated Pharmacy.  If you are on holiday or working away, we can also send a “one-off” prescription electronically to a different pharmacy in England.

The progress and whereabouts of your prescription can also be tracked by the Practice staff, reducing the risk of missing or lost prescriptions.

EPS is a secure and confidential service. Your electronic prescription will only be seen by the same people that can already see your current paper prescriptions (GP practices, pharmacies and NHS prescription payment and fraud agencies). 

We encourage all patients to register for this free service. If you would like your prescriptions to be sent electronically please contact the Prescribing Hub to inform them of your nominated pharmacy. You can also change your nominated pharmacy at any time by contacting the Prescribing Hub directly.

Prescription Synchronisation

Unfortunately due to lack of capacity we do not have the capacity to offer this service at the current time.  We are hoping to reinstate this service sometime in the new year.

NHS England guidance on minor ailments

The NHS currently spends around £136 million a year on prescriptions for medicines that can be bought from a pharmacy or supermarket, such as paracetamol. By reducing the amount it spends on over-the-counter (OTC) medicines, the NHS can give priority to treatments for people with serious conditions, such as cancer, diabetes and mental health problems.

Generally, you will not be able to get a prescription for OTC medicines for a range of minor health conditions. Instead, OTC medicines are available to buy in a pharmacy or supermarket. The team of health professionals at your local pharmacy can offer help and clinical advice to manage minor health concerns. If your symptoms suggest it's more serious, they'll ensure you get the care you need. You can buy OTC medicines for any of these conditions:

 

 

Acute sore throat

Minor burns and scalds

Travel sickness

Mild cystitis

Coughs and colds

Haemorrhoids

Dry Skin

Cradle cap

Minor pain or fever

Dandruff

Hay fever

Mild acne

Dry eyes

Mouth ulcers

Oral Thrush

Nappy rash

Infrequent cold sores

Indigestion and heartburn

Sunburn or sun protection

Insect bites and stings

Diarrhoea (adults)

Infrequent constipation

Head lice

Earwax

Threadworms

Conjunctivitis

Ringworm or athletes foot

 

 

Tyntesfield Medical Group will generally no longer provide treatment on prescription for these minor ailments listed above, even if you are entitled to free prescriptions. You may still be prescribed a medicine for a condition on the list if:

  • You need treatment for a long-term condition, for example regular pain relief
  • You need treatment for more complex forms of minor illnesses, for example migraines that are very bad and where OTC medicines do not work;
  • You need an OTC medicine to treat a side effect of a prescription medicine or symptom of another illness, such as constipation when taking certain painkillers;
  • The medicine has a licence that does not allow the product to be sold to certain groups of patients. This could include babies, children or women who are pregnant or breastfeeding;
  • The person prescribing thinks that a patient cannot treat themselves

 Prescribers will generally no longer prescribe probiotics, some vitamins or minerals. You can get these from eating a healthy, varied and balanced diet, or buy them at your pharmacy or supermarket.

NHS Community Pharmacy Consultation Service

The NHS Community Pharmacist Consultation Service (CPCS) offers patients same day minor illness consultations with a community pharmacist. The NHS developed the service to allow GP surgeries to refer patients with certain minor illnesses to community pharmacy.  Pharmacist are highly trained are highly trained healthcare professionals with 5 years of training and spend a high percentage of their time helping patients with minor illness symptoms.  The pharmacist will deliver convenient, same-day consultations with clinical advice and, where indicated, the purchase of any over-the-counter medicine the patient may need.

This new service can support general practice to ensure patients are seen by the right healthcare professional, in the right place, at the right time and will help make more GP appointments available for those with more complex illnesses. 

 

How does the service work?

When a patient with minor illness symptoms contacts their GP practice requesting an appointment the care navigator or receptionist will ask them a series of questions using a standard appropriate symptom checklist.  If their symptoms are appropriate, the GP practice can refer them for a consultation with a community pharmacist.  With the patient’s consent, the practice team can send an electronic referral message to the pharmacy the patient has chosen, to support safe follow up and audit.

 

Following the referral, the pharmacist will contact the patient the same day by phone and either carry out the consultation by telephone, or arrange for the patient to attend the pharmacy, if appropriate. Some patients may be offered a video consultation by the pharmacist.

The pharmacist will take the patient’s clinical history and ask about symptoms and any current medication. Following the consultation, the pharmacist will offer clinical advice and may sell the patient an over the counter product if appropriate and they agree.

 

Pharmacists are trained to recognise ‘red flag’ symptoms suggestive of more serious illness and after initial triage, where symptoms do suggest something more serious, the pharmacist will help the patient to arrange an urgent GP appointment using the practice’s dedicated professional number or escalate to an urgent care setting such as the emergency department, if needed.

The pharmacist will make a record of the outcome of the consultation and send it to the patient’s GP by secure digital message.

Prescription Fees

Help with NHS costs

In England, around 90% of prescription items are dispensed free. This includes exemptions from charging for those on low incomes, such as:

 

  • Those on specific benefits or through the NHS Low Income Scheme
  • Those who are age exempt
  • Those with certain medical conditions
  • More information is available at NHS Choices

NHS Charges

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

  • Prescription (per item): £9.35
  • 12-month prepayment certificate (PPC): £108.10
  • 3-month PPC: £30.25

If you will have to pay for four or more prescription items in three months or more than 14 items in 12 months, you may find it cheaper to buy a PPC.

  • Telephone advice and order line 0845 850 0030
  • General Public - Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website