The Legislative Essay

The Legislative Essay
2000 word essay:
Review the recent legislative changes in relation to prescribing (i.e. supplementary or independent prescribing). Give an account of the impact of these changes on your practice with a particular focus on accountability and responsibility.
Within this essay you should:
• Explore the potential contribution and the impact of health policy upon the delivery of care
• Critically evaluate the potential long term influence of at least one major policy initiative.
What we are looking for in this assignment is that you can differentiate between
Legislation (i.e. the prescribing bit) and health policy.
*Legislative background: You need to talk about the background to the change in legislation (choose independent or supplementary prescriber whichever is most relevant to you). This should be 1- 2 sides A4 max as this will be quite descriptive and that’s not what we are really about. Hence only 10% of the marks will be for this.
*You must say how your practice will change because of the change in legislation (i.e. you becoming a prescriber). This is worth about 30% of the marks.
*You must also say how the change to you being a prescriber will affect your accountability/responsibility. (30%)
*Health Policy Part (30%)
Your job in the essay is to show how the changed legislation (i.e. you as a prescriber) will help bring about the health policy (or rather one bit of it i.e. the policy initiative) in the short or long term. The health policy could be anything that you are battling with at local or national level i.e. National Service Framework, National Institute for Health and Care Excellence Guidance, health circulars, PCT guidance, Trust policy, white papers – anything that is in affect a ‘target’. So let’s say you choose ‘NSF for diabetes’ as your health policy – you might say how this is impacting on your practice (broadly) and how as a prescriber you will be able to deliver this health policy in particular standard X which deals with care of young people as you as a prescriber will be running special clinics for people aged 12-15 starting next year. (I.e. short term) However from the following year (longer term) the plan is for you to work with the local paediatric team to extend this service to children aged 5 and above….
What will score you well in this assignment?
• An appropriate proportion of effort on each part of the assignment
• Critical appraisal, including the presentation of contradictory views
• An indication of your opinion based on the evidence you have read
• Evidence that you have actioned the feedback from assignment 1, especially in relation to the way that you present your work. We will be getting tougher on this from now on.
Of note for the writer, my scope of practice is mental health (Community (Community CRISIS HOME TREATMENT TEAM) MENTAL HEALTH. ) MENTAL HEALTH. The Home Treatment Team is an essential component of the Crisis Care Concordat 2014 and forms part of comprehensive borough-based crisis services, alongside the Mental Health Liaison, Day Treatment Team and Crisis Café. Crisis Care Concordat 2014 is an agreement between services and agencies involved in the care and support of people in crisis. According to nice guidelines home treatment. It is an alternative to hospital admission, same treatment & equal clinical outcome.
A. Reduce hospital admission & increase service user satisfaction.
B. Its help service user keep their independent during a crisis.
It is a multidisciplinary team of professionals and support workers who provide short term help to people who are in a mental health crisis or who require intensive community support following discharge from hospital. The team also gate-keeps all referrals for inpatient care, carries out assessments of people referred by GPs for urgent assessment and respond to calls on the Trust Crisis line.
The team includes psychiatrists, a clinical specialist occupational therapist, a clinical psychologist, community mental health nurses, social workers, and senior support workers. What we expect from you
Who do we help? All adults with mental health problems, from all backgrounds, who are in a mental health crisis and who may require admission to hospital, or who may need to stay in hospital for longer without the support of the Home Treatment Team.
Level 7 Module 1 Study Guide 2020 45
Further reading, references and resources.
Armstrong A. Legal considerations for nurse prescribers Nurse Prescribing 2013; 9
Larsen D. Issues affecting the growth of independent prescribing. Nursing Standard.
Mazur DJ. Influence of the law on risk and informed consent, BMJ 2003; 327:731-6
McCall Smith A. Obtaining consent for examination and treatment. BMJ
Mc Hale J. Extended prescribing: the legal implications. Nursing Times 2002;l98 no
MHRA. (2002) The role of the MHRA (Medicines)
Oxtoby K. (2004), Is your record keeping up to scratch?, Nursing Times 2004;100:
Royal College of Nursing, Confidentiality RCN Guidance for occupational health
nurses. 2003. RCN: London
Wells D. New prescribers and the new GMS contract, Supplementary prescribing in
practice 2004;1no.2:1-4
Electronically transmitted prescriptions – a good idea?
(Only available to RPS members)
Do formularies work?
For copyright reasons we are unable to reproduce it here. Please access it via:
Electronically transmitted prescriptions – a good idea?
For copyright reasons we are unable to reproduce it here. (Only available to RPS
Level 7 Module 1 Study Guide 2020 46
Summary of Useful Web sites (Last accessed 14 November 2019)
The RPS Code of Ethics and Practice Guidance
Nursing and Midwifery Council
Midwives rules and standards
AHP Standards
Medicines and Healthcare Regulatory Agency
The electronic medicines compendium on
Patient group directions
Abbreviations used in clinical notes
Pharmaceutical Journal (only available to RPS Members).
Drug Tariff Prices

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