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Prescriptions

Ordering your Prescription

Please allow 72 working hours for prescriptions to be processed and remember to take weekends and bank holidays into account. Prescriptions will be ready to collect after 4pm. Urgent requests will be ready for collection at 6:15pm the same day.

Not registered for online services yet?

To request medication without the requirement to log on to Online Services, you can request your repeat medication with the Repeat Prescription Request Form.

If you would like to collect your prescriptions from a specific chemist please let reception know. The options are Boots, Abbey, The Brow, Leavesden Pharmacy and Abbots Langley Pharmacy.

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NHS App

Download the NHS App, or open the NHS website in a web browser, to set up and log in to your NHS account. Owned and run by the NHS, your NHS account is a simple and secure way to access a range of NHS services online, including appointments, prescriptions and health record.

Download on the App Store
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NHS App

Not registered for online services yet?

To request medication without the requirement to log on to Online Services, you can request your repeat medication with the Repeat Prescription Request Form.

Prescriptions and pharmacies

Order repeat prescriptions, find prescription charges and learn how pharmacists can help you with medicines and medical advice.

Your Repeat Medication

If you need regular medication and your doctor does not need to see you every time, you will be issued with a ‘repeat prescription’. When you collect a prescription you will see that it is perforated down the centre. The left-hand side is the actual prescription. The right-hand side (re-order slip) shows a list of medicines that you can request without booking an appointment to see a doctor. Please tear off this section (and keep it) before handing the prescription to the chemist for dispensing.

Run out or just about to run out of medication requests
Unfortunately a small minority of patients are repeatedly running out (or just about to run out) of their medication. Urgent requests of this nature cause a great deal of disruption to the smooth running of the practice. Please be aware that such requests will be questioned very carefully by the reception staff and may well be refused by the GP.

How to order your medication

By post

You can post your prescription slip or written request to us at the Practice.

In person

You can order in person by returning the right-hand half of a previous prescription for the required medications. Please tick the required items and leave the slip in the box provided in the surgery lobby.

Telephone

We do not accept requests for repeat prescriptions by telephone. This prevents dangerous errors being made and leaves the telephone lines free for urgent matters.

Additional information

Antibiotics

Each year 25% of the population visit their GP for a respiratory tract infection (eg sinus, throat or chest infection). These are usually caused by viruses.

For patients who are otherwise healthy, antibiotics are not necessary for viral infections.

Antibiotics only work for infections caused by bacteria.

Taking unnecessary antibiotics for viral infections should be avoided because they may not be effective next time you have a bacterial infection.

Community Pharmacy Emergency Supply Service 

In an emergency, when the surgery is closed, a pharmacist can supply repeat medications without a prescription if the pharmacist deems that there is an immediate need for the medicine.  

Generic named drugs

In accordance with NHS recommendations most prescriptions will have the generic name rather than the brand name. The effectiveness and safety of the generic preparation is identical to that of the brand name. If you are at all uncertain please check with us.

A generic drug or other product is one that does not have a trademark and that is known by a general name, rather than the manufacturer’s name.

Going Abroad?

If you are concerned about taking medication abroad you can visit your local community pharmacy who are well placed to provide the information that is needed, and can also advise on a wide range of travel-related health issues.

Hospital and Community Requests

When you are discharged from Hospital you should normally receive seven days supply of medication.

On receipt of your discharge medication, which will be issued to you by the Hospital, please contact the Surgery to provide them with this information before your supply of medication has run out.

Hospital requests for change of medication will be checked by a prescribing clinician first, and if necessary a prescribing clinician will provide you with a prescription on request. 

Information for patients requesting diazepam for a fear of flying

The Doctors have taken the decision not to prescribe diazepam in cases where the there is a fear of flying. There are a number of reasons for this that are set out below.

  1. Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
  2. Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours.
  3. Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience the opposite effect and may become aggressive. Benzodiazepines can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
  4. According to the national prescribing guidelines that doctors follow (the British National Formulary, or BNF) benzodiazepines are not allowed to be prescribed in cases of phobia. Thus your doctor would be taking a significant legal risk by prescribing diazepam for fear of flying as it is going against these guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
  5. Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.
  6. Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.

We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.

Easy Jet – Tel 0203 8131644
Fearless Flyer EasyJet

British Airways – Tel 01252 793250
Flying with confidence

Virgin – Tel 01423 714900
Flying without fear

Medicines requested by Hospital Specialists

Specialists will often suggest particular medication at a hospital appointment and ask us to prescribe for you. To ensure your safety we do need to receive written information from the specialist before prescribing. Sometimes a medicine is suggested that is not in our local formulary. There is nearly always a close alternative, and specialists are told that we sometimes make suitable substitutions when you are referred. We will always let you know if this is the case.

Medication reviews

Patients on repeat medication will be asked to see a doctor or practice nurse at least once a year to review these regular medications and notification should appear on your repeat slip.

Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions.

Non-repeat items (acute requests)

Non-repeat prescriptions, known as ‘acute’ prescriptions are medicines that have been issued by the Doctor but not added to your repeat prescription records. This is normally a new medication issued for a trial period, and may require a review visit with your Doctor prior to the medication being added onto your repeat prescription records.

Some medications are recorded as acute as they require to be closely monitored by the Doctor. Examples include many anti-depressants, drugs of potential abuse or where the prescribing is subject to legal or clinical restrictions or special criteria. If this is the case with your medicine, you may not always be issued with a repeat prescription until you have consulted with your Doctor again.

Over the Counter Medicines

A GP, nurse or pharmacist will generally not give you a prescription for over-the-counter (OTC) medicines for a range of minor health conditions.

Prescribing over-the-counter medicines in nurseries and schools

GPs are often asked to prescribe over-the-counter medication to satisfy nurseries and schools. This is a misuse of GP time, and is not necessary.

When on holiday in the UK or living temporary outside the Practice area

If you are staying outside the practice area for holidays, work etc. we are unable to send prescriptions by post/email/fax. You should register with a practice as a temporary resident and request the medication. The Practice will contact us to confirm what medication you are currently being prescribed. Alternatively depending on your location some pharmacies may be able to provide the medication for you. The Electronic prescription service (EPS) can also provide guidance and information.

Stopping over medication of people with a learning disability, autism or both (STOMP)

STOMP stands for stopping over medication of people with a learning disability, autism or both with psychotropic medicines. It is a national project involving many different organisations which are helping to stop the over use of these medicines.  STOMP is about helping people to stay well and have a good quality of life.

Your Home Medicine Cupboard

It is well worth keeping a small stock of useful medicines at home in your (locked) first aid cupboard. For instance, pain killers (analgesics) such as Paracetamol, Ibuprofen or aspirin (children under 16 and people with asthma should not take aspirin), or Ibuprofen syrups  for children, Mild laxatives, Anti-diarrhoeal medicines, Indigestion remedy (for example, antacids) Travel sickness tablets, and Sunscreen – SPF15 or higher Sunburn treatment (for example, calamine). For more detail see NHS UK Medicine Chest.

Diazepam

We do not prescribe diazepam for patients having MRI scans or other investigative procedures. We have a duty of care to provide safe, consistent, and appropriate care for our patients.  We have outlined our reasons for this below: 

  • Small doses of benzodiazepines such at 2mg diazepam are probably sub-therapeutic for most adults for any effective sedation. Conversely anxiolytics can have an idiosyncratic response in patients, and even very small doses can cause increased agitation in some subsets of patients.
  • A patient may take a sedative ‘an hour’ before their assumed procedure, to then attend the hospital to find their procedure has been delayed, therefore the timing of the anxiolytic being sub optimal.
  • GPs are not regularly involved, skilled, trained or appraised in sedation skills.
  • All hospital consultants, both those requesting imaging and those providing it, have access to the same prescribing abilities as GPs. If a patient needs a certain medication to enable an investigation to go ahead, they are just as well positioned to provide a prescription, either through the hospital pharmacy or a hospital FP10.
  • The Royal College of Radiologists’ own guidelines on sedation for imaging makes no mention of GP involvement or provision of low dose anxiolytics and stresses the importance of experienced well-trained staff involved and the monitoring of sedated patients: https://www.rcr.ac.uk/sites/default/files/publication/Safe_sedation.pdf

You may wish to discuss next steps with your radiologist or consultant.