Title Page -- Copyright Page -- Contents -- Notes on Contributors -- Acknowledgements -- About the Companion Website -- Introduction -- Chapter 1 Prescribing in Context -- The prescribing journey -- Defining non-medical prescribing -- The non-medical prescribing vision -- Attitude shifts -- Non-medical prescribing, medical prescribing or prescribing -- Changes in clinical practice -- The role of non-medical prescribing -- The 6 Cs -- The economic context -- The private sector -- The public health context -- UK public health policy -- Need and expectations -- Differentiating between prescribers -- Independent prescribing -- Assessment -- Supplementary prescribing -- Nurse non-medical prescribers -- V100 non-medical prescribers -- V150 non-medical prescribing -- V300 independent/supplementary nurse prescribers -- Pharmacist non-medical prescribers -- Pharmacist supplementary prescribers -- Pharmacist independent prescribers -- Allied health professional non-medical prescribers -- Radiographer, physiotherapist and podiatrists/chiropodists supplementary prescribers -- Physiotherapist and podiatrists/chiropodists independent prescribers -- Optometrist prescribers -- PGDs -- Access to education programmes -- Criteria relevant to all -- Nurse, midwife and health visitor-specific criteria -- Allied health professional-specific criteria -- Pharmacist-specific criteria -- Optometrist-specific criteria -- Summary of the context of prescribing -- References -- Chapter 2 Professional, Legal and Ethical Issues in Prescribing Practice -- Part 1: Professional issues -- The regulatory framework for prescribing -- Part 2: Legal issues -- The UK legal system -- Legal aspects of autonomy and gaining consent -- The importance of consent -- Part 3: Ethical issues -- Ethical theories -- Ethical principles -- Further considerations in ethics -- DDE -- Conclusion.

Co-morbidity and polypharmacy -- Example 3 -- Management and avoidance of drug interactions -- Example 4 -- Extended example -- Management and avoidance of adverse medicine reactions -- The consequences of ADRs -- What do prescribers need to know? -- Key points for prescribers -- Drugs with a narrow therapeutic index or range -- Therapeutic drug monitoring -- Proprietary name prescribing -- Drug interactions -- Co-morbidity -- Lithium -- Building concordance -- Medicines management -- Why is it a priority? -- Medicines optimisation -- Other resources to support your learning -- Key textbooks -- Websites (last accessed September 2014) -- References -- Chapter 6 The Multidisciplinary Prescribing Team -- Defining 'the multidisciplinary prescribing team' -- Confusion in terminology -- The drivers in multidisciplinary team working -- The benefits to prescribing -- Prescribing a model for the multidisciplinary approach -- Putting the 'p' in MDT -- Understanding roles -- Pharmacists -- Nurse and midwife prescribers -- Allied health professionals -- Physiotherapists -- Radiographers -- Optometrists -- Podiatrists -- Non-medical prescribing lead -- The multidisciplinary non-medical prescribing team -- Benefits to patients and clients -- Commissioning and the MDPT -- Problems with multidisciplinary team working! -- Education and learning -- Conclusion -- References -- Chapter 7 Clinical Skills -- Vital signs -- Conscious level -- Respiratory rate -- Pulse oximetry -- Peak flow (peak expiratory flow rate) -- Temperature -- Pulse rate -- Blood pressure -- Additional vital signs -- Clinical examination -- Principles of clinical examination -- Examination of body systems -- ENT examination -- Examination of the respiratory system -- Abdominal examination -- Neurological examination -- Cranial nerves -- Reflexes -- Numeracy skills -- Medication review -- Conclusion.

Maintaining competence in practice and CPD -- Reflective practice -- Clinical supervision -- Appraisal -- Medicines management -- Conclusion -- References -- Patient Case Studies -- Case study 1: Harold -- Case study 2: Barbara -- Case study 3: Meihui -- Case study 4: Julie -- Case study 5: Annette -- Case study 6: Yasmin -- Case study 7: Amy -- Case study 8: Louis -- Case study 9: Viktor (with clinical management plan) -- Health Professional Case Studies -- Case study A: Debbie -- Case study B: Mark -- Case study C: Sabina -- Case study D: Farhad -- Case study E: David -- Case study F: Andrew -- Case study G: Andrea -- Case study H: Lisa -- Case study I: Christine -- Case study J: Simon and Janice -- Index -- EULA.

References -- Chapter 8 Prescribing for Specific Groups -- Prescribing in liver disease -- Liver function tests -- Signs and symptoms -- Diagnosis -- Pharmacology in liver disease -- A holistic approach to prescribing for patients with liver impairment -- Prescribing in renal disease -- Assessment of renal function -- Pharmacokinetics in renal impairment -- Pharmacodynamics in renal impairment -- Prescribing and renal impairment: Summary -- A holistic approach to prescribing for patients with renal impairment -- Prescribing in pregnancy -- Teratogenicity -- Pharmacokinetics -- Prescribing principles in pregnancy -- Finding information -- A holistic approach to prescribing for patients in pregnancy -- Prescribing in breastfeeding -- A holistic approach to prescribing breastfeeding mothers -- Prescribing for older people -- Pharmacokinetics -- Pharmacodynamics -- Drugs to be used with caution -- Points to consider when prescribing for elderly people -- A holistic approach to prescribing for older people -- Prescribing for children and young people -- Defining children and young people -- Altered pharmacokinetics -- Professional responsibilities -- A holistic approach to prescribing for children and young people -- Other groups -- Men -- BME groups -- Gypsies and travelling families -- References -- Chapter 9 Enhancing Non-medical Prescribing -- Current practice in prescribing -- UK history of prescribing -- Non-medical prescribing in other countries -- The impact of prescribing -- Prescribers -- Doctors -- Patients -- Organisation -- Issues emerging from the introduction of non-medical prescribing -- Numeracy and prescribing errors -- Lack of writing prescriptions once qualified as a non-medical prescriber -- Ageing workforce -- Infrastructures -- Clinical governance -- PACT data -- Clinical guidelines -- CPD.

Table of cases -- References -- Acts and Statutory Instruments -- Chapter 3 Factors Influencing Prescribing -- The prescriber -- Personal characteristics -- Prescriber feelings of vulnerability -- Institutional and resource factors -- Organisational issues associated with the prescribing process -- Professional issues -- The patient -- The consultation -- Patient expectations -- Patient as consumer -- Culture -- Health beliefs -- Health belief models -- The product -- Product choice -- Prescribing formularies -- External influences on prescribing practice -- The media -- Relationships with the wider multidisciplinary team -- References -- Chapter 4 Effective Consultations and 'the Consultation Umbrella' -- Presenting the consultation umbrella -- The value of therapeutic communication -- Developing relationships -- Children and young people -- The older person -- Consultation models in context -- Reflection on existing consultation models -- The consultation umbrella - a consultation model -- History taking -- History taking illustrated -- Physical examination -- Tests and investigations -- Plan/treatment -- Follow-up -- Conclusion to the consultation -- CDM -- Cognitive continuum -- Hypothetical-deductive model -- Pattern recognition -- Heuristics and intuition -- Discussion -- Conclusion -- References -- Chapter 5 Essential Pharmacology: Therapeutics and Medicines Management for Non-medical Prescribers -- Pharmacology as part of prescribing practice -- Example of potential pharmacokinetic impact on patient care -- Example of potential pharmacodynamic impact on patient care -- Brief introduction to pharmacological terms -- Pharmacokinetics -- Pharmacodynamics -- Guide through processes to build and develop one's own formulary, with examples -- Example 1 -- Example 2 -- BNF: Practise using this essential resource -- Prescribing in co-morbidity.

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