Joined in 2023 
82 
63 About this deal
must have no personal, professional or financial interest in or relationship with the veterinary practice where the drug is being destroyed (for example, temporary staff and family members of staff are not considered to be independent; ‘family member’ refers to spouse, partners, parents, siblings, children or other relatives) Providers of services where controlled drugs are used, for example, substance misuse services, ambulance services, home care providers, community pharmacies, community health providers, GPs and other independent prescribers, dispensing doctors, voluntary agencies and charities
All medicines, including controlled drugs, must be promptly returned to a community pharmacy. Pharmacies are contractually obliged to dispose of medicines waste for care homes without nursing and you do not require a T28 waste exemption as the pharmacy will denature the controlled drugs. You do not need to store controlled drugs in Schedules 4 and 5 in the controlled drugs cupboard or record them in your controlled drugs register. However, you must consider where you store these drugs and ensure that they are stored securely. You must keep accurate records of their receipt, administration and disposal to minimise the opportunity for diversion. Examples include: Reviewed and updated including the interpretation of ‘independent veterinary surgeon’ that can witness the destruction of CDs. Some services may choose to store other schedule controlled drugs in the controlled drugs cupboard and record them in the controlled drugs register. You should always follow your service’s medicines policy. Schedule 3Cannabis-based products for medicinal use (CBPMs) are controlled drugs. This means they can only be prescribed by a specialist doctor. They must have specialist knowledge and expertise and they must be on the specialist register of the General Medical Council. a person legally authorised to witness the destruction of CDs such as a Police CD Liaison Officer (CDLO) Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. be kept at the premises to which it relates (for example separate registers for each set of premises) and be available for inspection at any time
The above two paragraphs also apply to schedules 3 and 4 CDs that have been prepared extemporaneously for use under the Cascade. A vet who works for a practice operating under the same franchising or branding (corporate group) as the practice requiring witnessed CD destruction, but the two practices do not belong to the same owner and are separate legal entities If a person is self-administering controlled drugs, they can keep them in their possession provided the controlled drugs are kept safely. A risk assessment should consider where the controlled drugs will be stored. Inspectors from the VMD or Royal College of Veterinary Surgeons (RCVS) who inspect veterinary premises are aware that some wastage will be unavoidable even after all steps are taken to minimise this. The recording of small discrepancies that can be explained by wastage due to dead space is not considered a breach of the legislation; provided that inspectors are satisfied appropriate measures are in place to comply with the requirements of the Misuse of Drugs Regulations. Example CD registerPrescriptions for controlled drugs are valid for 28 days after the date on the prescription. The Department of Health and Social Care strongly recommends that the maximum quantity of controlled drugs prescribed should not exceed a period of 30 days. There will be some wastage within the needle and hub of the syringe each time the product is withdrawn. If numerous doses are withdrawn, there will be considerably more product lost to this ‘dead space’ than if fewer doses are given. It is not possible to quantify exactly how much product might be wasted in the syringe hub and needle. There are international manufacturing standards which specify the maximum amount of ‘dead space’ that is permitted in needles and syringes of different sizes and gauges. You can obtain this information from manufacturers or wholesalers. In general, the smaller the gauge of needle or size of syringe, the less wastage occurs. Health professionals providing care for people being treated with controlled drugs, for example, GPs, pharmacists and nurses
Our opening hours are from 9 am till 5 pm Monday to Thursday and 8:30 am till 4:30 pm on Fridays. Related products You do not need to record schedule 3 drugs in the controlled drugs register. However, you must store certain Schedule 3 drugs in the controlled drugs cupboard. This includes, for example, buprenorphine and temazepam. for organisations on record keeping, risk assessmentand reporting controlled drug-related incidentsfor organisations be either a computerised system or a bound book (which does not include any form of loose leaf register or card index) In Great Britain, Schedule 2 Controlled Drugs (CDs) must be destroyed in the presence of and as directed by, any of the following witnesses:Make a record in the controlled drugs register. This should be signed by the person making the entry and another suitably trained person as a witness. Care homes without nursing A vet who works in a practice that shares a premises with the practice requiring witnessed CD destruction, for example providing out-of-hours services from the same premises, but the two practices do not belong to the same owner and are separate legal entities for health professionals monitoring use, including governance and systems for reporting concerns and incidents You must have a policy or standard operating procedure that details how you manage controlled drugs in your service. This should cover:
Great Deal 
New Comment