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Medication Administration Forms - update

 

Over recent times the LMC has worked to reduce the administrative burden for GPs and other practice staff. One of the changes which we have been able to instigate is regarding Medication Administration Forms (MAF). We had agreed with LCHS that when medication needed to be administered to a patient in their own home by community staff, that GPs would not need to complete a MAF, as long as there was adequate documentation in the medical record, on the prescription, and that the community staff could see the medical record.

Unfortunately this system has not been working as well as we hoped, as many times the community staff cannot access the medical record, and many prescriptions have not been detailed enough for the community staff to administer the item.

Also, recent guidance from the Royal Pharmaceutical Society, and RCN, has stated that injectable medication should only be administered if a MAF has been completed.

The LMC debated these changes at our July meeting, and, in negotiation with LCHS, have agreed the following:-

  • For injectable medications, started by a GP practice, a prescriber should complete a Medication Administration Form as well as a prescription. This MAF should then either be handed to the community clinician administering the drug, or the form should be emailed to the LCHS Operation Centre lhnt.lchsreferrals@nhs.net . MAFs can be integrated into both SystmOne and EMIS to make this easier.
  • For non-injectable medications such as; creams, pessaries, and suppositories, a MAF is not required.
  • For medications started by a hospital or other non-GP practice clinician the GP practice should not complete an MAF, and LCHS staff must seek a MAF from the clinical team who have started the medication.