Electronic Repeat Dispensing (eRD)

Electronic Repeat Dispensing (eRD) was introduced in July 2009 as a non-compulsory method of dispensing prescriptions electronically. From April 2019, as stated in the GP contract, eRD became a contractual obligation for all patients where it is clinically appropriate and the patient consents.

  • eRD means patients who regularly get the same medication don’t need to contact their GP practice every time they need a repeat prescription. This provides greater efficiency for practices and patients whilst enabling the pharmacy to manage the patient’s clinical care.

  • Once a patient has been identified as suitable for eRD, the prescriber will review and synchronise all of their current medication. The prescriber will create a batch of prescriptions for a set length of time that is then digitally signed using their smartcard pin.

  • All issues within the batch are sent immediately to the Spine. All prescriptions are linked by the same barcode, but they are all separate issues. The duration between each issue is set in the clinical system and is dispensed at those intervals by the nominated pharmacy.

  • Good communication between all parties is essential.

Shropshire CCG has developed some guidance and leaflets in collaboration with our Local Pharmacy Committee and Telford and Wrekin CCG to enable practices to take advantage of the benefits eRD may offer.

In response to the COVID-19 outbreak NHS England have recommended that eRD is used where possible to help manage the workflow pressures of medication ordering.

General responsibilities for practices, pharmacies and patients

Recommended standard operating procedure for initial implementation

Sample crib sheet for telephoning patient to enrol into service

Patient resources

Recommended searches to identify potential patients appropriate for eRD


NHSBSA have generated lists of patients who potentially might be suitable for eRD here.

Metric

Description

Patients on single medication for the last 12 months

Use as a metric for priority 1 cohort.
Identify patients on a single unchanged medication for the last 12 months on EPS.

Patients on two medications for the last 12 months

Patients have been included on the basis that they have received at least 12 prescriptions for the same two medications, in the 12 month period specified.

Patients may have received more than one prescription in any given month, so there may be gaps in any individual patient's prescribing history.

Patients on three medications for the last 12 months

Patients have been included on the basis that they have received at least 12 prescriptions for the same three medications, in the 12 month period specified.

Patients may have received more than one prescription in any given month, so there may be gaps in any individual patient's prescribing history.


To request more information about this service, please email: nhsbsa.epssupport@nhs.net

Useful resources: