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This was to be funded from existing prescribing budgets and, as such, should be substitute prescribing not additional, as still applies today. Legislation was passed in Act, permitting nurses to prescribe. Subsequently, pilot studies were implemented across England and Wales, addressing local and regional need, and the position today is that some PCTs are approaching the point of having more non-medical prescribers (for example nurses) than medical prescribers. Dr June Crowns working partys second report considered who else should be able to take on prescribing responsibilities. The expectation was that extending prescribing would optimize the use of resources, enhance professional relationships and improve patient access to care. The report defined mechanisms for what were to become supplementary prescribing and independent prescribing, and recommended that other groups of professionals should be able to legally prescribe.

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The key to safe and effective supplementary prescribing is the relationship between the individual independent prescriber and the individual supplementary prescriber.

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