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Medicines administration legal framework

Norma Barrow made this Freedom of Information request to East of England Ambulance Service NHS Trust

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Dear East of England Ambulance Service NHS Trust,

I am looking for information with regards to the legal frameworks relied upon in your service to carry, dispense and administer POMs.
In a CQC report "British Red Cross Society, British Red Cross, Birmingham" Date of inspection visit: 26 March and 5 June 2019, Date of publication: 25/10/2019 the CQC stated that. --" non-healthcare professionals carried prescription only medication, including salbutamol inhalers, salbutamol nebulisers and glycerol trinitrate (GTN) spray” and “The Human Medicines Regulations 2012 state that prescription only medication (POM) can be administered by any person providing that medication has been specifically prescribed for the individual."

1. Do your non-prescriber staff routinely carry, dispense and administer POMs.

2. For each administration of a POM by your non-prescriber staff has that medication has been specifically prescribed for the individual.

3. Has the CQC previously raised the issue of POM medication being administered having not been “specifically prescribed for the individual” to you in any previous inspection?

a. Can you provide any details of this, time frame, report title, response etc.

4. Do you have non-healthcare professionals whom respond on behalf of your service whom carry, dispense and administer POMs?

a. Can you clarify what medication these non-healthcare professionals carry?
b. Can you confirm the legal framework replied upon for these medicines to be administered (by medication name, class, GSL, P, POM and form parenteral / non- parenteral)?

Yours faithfully,

Norma Barrow

FOI, East of England Ambulance Service NHS Trust

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FOI, East of England Ambulance Service NHS Trust

1 Attachment

Dear Norma

 

Further to your email dated 28th February 2021, please find the Trust's
response below.  Your request has been allocated the following reference:
32112, please could you quote this reference in any future correspondence
with the Trust.

 

I am looking for information with regards to the legal frameworks relied
upon in your service to carry, dispense and administer POMs.

 

In a CQC report "British Red Cross Society, British Red Cross, Birmingham"
Date of inspection visit: 26 March and 5 June 2019, Date of publication:
25/10/2019 the CQC stated that. --" non-healthcare professionals carried
prescription only medication, including salbutamol inhalers, salbutamol
nebulisers and glycerol trinitrate (GTN) spray” and “The Human Medicines
Regulations 2012 state that prescription only medication (POM) can be
administered by any person providing that medication has been specifically
prescribed for the individual."

 

1.      Do your non-prescriber staff routinely carry, dispense and
administer POMs.

           All clinicians carry and administer POMs inline with JRCALC and
local guidelines.

 

2.      For each administration of a POM by your non-prescriber staff has
that medication has been specifically prescribed for the individual.

            No, medication given for emergency use following Reg 17 & 19
of the Human Medicines Regulation 2012.

 

3.      Has the CQC previously raised the issue of POM medication being
administered having not been “specifically prescribed for the individual”
to you in any previous inspection?

            No

 

a.         Can you provide any details of this, time frame, report title,
response etc.

N/A

 

4.      Do you have non-healthcare professionals whom respond on behalf of
your service whom carry, dispense and administer POMs?

            Yes

 

a.         Can you clarify what medication these non-healthcare
professionals carry?

They all carry a full drugs bag in line with EEAST formulary.

 

b.         Can you confirm the legal framework replied upon for these
medicines to be administered (by medication name, class, GSL, P, POM and
form parenteral / non- parenteral)?

We use the Humans Medicine Regulation 2012, along with JRCALC and local
guidelines, with regards all medications used by any member of EEAST.

 

 

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[1][East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have
a right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [2]www.ico.gov.uk/

 

Under the Accessible Information Standard the Trust is required to ask our
FoI applicants equality and diversity questions. You are under no
obligation; however we would be grateful if you could complete the form
attached and email this back to us.

 

Please do not hesitate to contact me should you require any further
information.

 

Kind regards 

 

FoI Officer

East of England Ambulance Service NHS Trust

 

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

 

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We don't know whether the most recent response to this request contains information or not – if you are Norma Barrow please sign in and let everyone know.