Pharmacists and nurses as independent prescribers: exploring the patient's perspective.
BACKGROUND
Little is known about patients' opinions upon the development of non-medical prescribing (NMP).


OBJECTIVE
To explore the opinions of patients on the development of NMP.


METHODS
In-depth interviews using qualitative methodology (Interpretative Phenomological Analysis). Eighteen interviews were undertaken in Bristol (Sites 1 and 3), Swindon (Site 2) and Brighton (Site 4). [Site 1 = primary care, GP prescriber (n = 5), Site 2 = secondary care, consultant prescriber (n = 5), Site 3 = primary care (n = 5) and Site 4 = secondary care (n = 3) (both pharmacist supplementary prescribers.] Participants (n = 18) were randomly sampled from patients under the care of the participating prescriber. Participants were aged between 42 and 81 years of age (n = 11 male and n = 7 female). Interviews took place between January and August 2006.


RESULTS
Participants expressed concerns about clinical governance, privacy and whether sufficient space were available to provide the service in community pharmacies. Participants acknowledged the expert drug knowledge of pharmacists and their accessibility. These factors enhanced acceptability of this role for pharmacists. Nurses were highly regarded, accepted and preferred as prescribers with few concerns.


CONCLUSIONS
The results indicate support for pharmacists and nurses as prescribers, which aid successful implementation. Further research may be needed to evaluate the level of understanding that the public has of NMP and their views of the service once NMP is more widely established. Stakeholders should be mindful that the public may be hesitant regarding the professionalism, quality and clinical governance standards of clinics in community pharmacies in particular.
Department of Pharmacy and Pharmacology, University of Bath, Claverton Down, Bath, UK. rachel.hobson@wiltshire.nhs.uk
Rachel J
RJ
Hobson
Jenny
J
Scott
Jane
J
Sutton
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D011307:Drug Prescriptions; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009726:Nurses; D017060:Patient Satisfaction; D010595:Pharmacists; D024382:Professional Role; D013222:State Medicine; D006113:United Kingdom