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Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice.

Tonna, Antonella; McCaig, Dorothy; Diack, Lesley; West, Bernice; Stewart, Derek


Dorothy McCaig

Lesley Diack

Bernice West

Derek Stewart


Background The last decade has seen a drive towards non-medical prescribing in the United Kingdom (UK). However, there is a dearth of any published literature on applying the principles of service redesign to support pharmacist prescribing in any sphere of practice. Objective To develop consensus guidance to facilitate service redesign around pharmacist prescribing. Setting UK hospital practice. Methods The Delphi technique was used to measure consensus of a panel of expert opinion holders in Scotland. Individuals with key strategic and operational roles in implementing initiatives of pharmacy practice and medicines management were recruited as experts. An electronic questionnaire consisting of 30 statements related to pharmacist prescribing service redesign was developed. These were presented as five-point Likert scales with illustrative quotes. Main outcome measures Consensus, defined as 70 % of panel members agreeing (ranked strongly agree/agree) with each statement. Results Responses were obtained from 35/40 (87.5 %) experts in round one and 29 (72.5 %) in round two. Consensus in round one was achieved for 27/30 of statements relating to aspects of generic service development (e.g. succession planning, multidisciplinary working, quality evaluation, practice development and outcome measures) and pharmacist prescribing role development (e.g. education and future orientation of service). Issues of disagreement were around targeting of pharmacist prescribing to clinical specialities and financial remuneration for prescribing in the hospital setting. Conclusion Consensus guidance has been developed to facilitate service redesign around hospital pharmacist prescribing.


TONNA, A., MCCAIG, D., DIACK, L., WEST, B. and STEWART, D. 2014. Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice. International journal of clinical pharmacy [online], 36(5), pages 1069-1076. Available from:

Journal Article Type Article
Acceptance Date Jul 30, 2014
Online Publication Date Aug 10, 2014
Publication Date Oct 31, 2014
Deposit Date Aug 19, 2015
Publicly Available Date Aug 19, 2015
Journal International Journal of Clinical Pharmacy
Print ISSN 2210-7703
Electronic ISSN 2210-7711
Publisher Springer
Peer Reviewed Peer Reviewed
Volume 36
Issue 5
Pages 1069-1076
Keywords Consensus guidance; Pharmacist prescribing; Secondary care; Service redesign; United Kingdom
Public URL


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