Julian,
I was thinking that guidelines might be trying to make a distinction
between nurse/pharmacist prescribers and GP's - in a way which wouldn't
upset the new prescribers. (GP's are used to it ;-))
As an aside PMI but how are GPSIs defined?
Jeff
> It isn't the number, it's whether you dumb everything down to
> the lowest
> common denominator.
Apparently we do.
> People who are not GPSIs may nonetheless have significant
> expertise and be
> able to make sensible decisions.
Agreed - I was suggesting that the newer prescribers were perceived to have
less experience of prescribing; and that GPs are less likely to be
constrained by guidelines. They are after all guidelines not
straightjackets.
If I was prescribing independently - having gone down the patient self
guided CBT and fluoxetine route I don't any longer believe I should initiate
dosulepin - but ought to refer on.
If you or Declan believe differently within the bounds of your own expertise
so be it.
> We're told that patients
> can do this, so
> it's a little hard to see how the notion that GPs can't do
> this is justified.
I've yet to see it suggested that a patient suffering from depression can
initiate their own treatment with a tricyclic anti-depressent.
Jeff
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