[log in to unmask],Net writes:
>Hmm - what if the GP disagrees with the private opinion?
>I am still refusing to prescribe tolcapone to a really nice pt of mine
>(all NHS - so apols for mixing me threads) - the consultant is deffo
>miffed and says his local advisory committee (with GPs on it) say that
>GPs can prescribe.
>I disagree - esp with two poisonous new drugs recently withdrawn - I
>think with a this new drug then the specialist can carry the can which
>means signing the scripts.
>I am well dug in.
>Thoughts?
I had this argument with a consultant locally (different drug and
specialty) who said that in his experience this was always to do with
budgets! To the family, while indicating that he was unable to write
prescriptions....
So I sent them back with an FP10 headed for the patient in question,
for the consultant to write and carry any prescribing responsibility,
and in indication that I would regard him as my bona fide deputy if any
questions arose in the HA.
Soon afterward the patient's treatment stabilised, and I now provide
follow up prescriptions of those drugs which he has demonstrated a long
term need for and which appear to be evaluated in him now.
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