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Official bodies concerned with the use, quality and safety of medicines are the Commission on Human Medicines, the Medicines and Healthcare Products Regulatory Agency and the National Institute for Health and Clinical Excellence. Patient compliance is important for successful drug therapy. Compliance in this context is defined as the extent to which the patient follows the clinical prescription. Non-compliance and reasons why patients do not always take drugs as prescribed should be appreciated. Some common reasons for buy cheap ventolin are that the patient has doubts about a drugs effectiveness, they believe they are cured, they misunderstand instructions, dosage regimes are too complicated, or they experience unacceptable side effects.

The responsibilities of the independent prescriber are given below: Initial clinical assessment and diagnosis of the patient Agreement with the supplementary prescriber about the limits of their responsibility Provision of advice and support to the supplementary prescriber Review of patients progress at appropriate intervals with the supplementary prescriber if possible Sharing patients records with supplementary prescriber Reporting of adverse drug reactions. The responsibilities of the supplementary prescriber are: Contributing to development of the CMP Prescribing for the patient according to the CMP Altering medicines andor dosages within limits agreed in the CMP if appropriate Monitoring and assessing patients progress Working at all times within clinical competence and professional code of conduct Recognizing when not competent to act Consulting the independent prescriber when necessary Accepting professional accountability and clinical responsibility for prescribing Passing prescribing responsibility back to independent prescriber as appropriate Reporting adverse reactions and inform independent prescriber of them Informing independent prescriber of any clinically significant events Recording prescribing and monitoring activity in the CMP In addition to the responsibilities shown above, the supplementary prescriber must be a registered professional with the HPC and have a minimum of three years professional experience. It is up to individuals to negotiate with their employer that supplementary prescribing should form part of their job. Before becoming eligible to prescribe, they must successfully complete an approved supplementary prescribing training course including all assessments and the period of learning in practice. The supplementary prescriber must ensure that the supplementary prescribing qualification is recorded on the HPC professional register and have access to continuing professional development thereafter. In the course of prescribing, the supplementary prescriber must enter into a prescribing partnership and agree the CMP with the independent prescriber.

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