Non-medical prescribing has played a vital role in improving the care of patients with tuberculosis at the Manchester TB service.
The service carries out home visits to encourage medication adherence, and holds a monthly TB clinic for adult and paediatric patients. The hospital pharmacy dispenses all medication in five week batches so staff know how many tablets patients have been given.
The non-medical prescriber writes prescriptions for follow up patients with TB, and there are usually 60 follow up patients with active disease at the monthly adult clinic. The prescriptions are written two weeks before the clinic so patients can be given medication when they attend.
The non-medical prescriber checks the patient’s weight, the sensitivities of the organism, and the length of time treatment has been taken. Tablets are checked against clinic proforma before the clinic, and the TB nurses check the tablets when they are given to patients.
The benefits of non-medical prescribing for patients include starting treatment promptly, continuity of care, and patients are encouraged to continue treatment as they receive their medication directly from the TB team.