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Nurse prescribing in diabetes: a new aspect of teamworkThe undoubted succes of primary diabetes care above the past 5 years has been built upon effective team working in general practices. In the following article (pages 97-100) Dr Molly Courtenay and Nicola Carey highlight a fresh and potentially important facet which has been added to this teamwork, allowing appropriately qualified and trained nurtures to prescribe in diabetes care. [ILLUSTRATION OMITTED] Since 1 May 2006 UK legislation has permitted independent prescribing from a replete formulary for nurses and pharmacists, although there will be differences in by what means the legislation is applied between the four Nations in the NH (Department of Health, 2006) There will be sum of two units types of nonmedical prescribing: independent prescribing, which is carried without by a practitioner who is responsible and accountable for the assessment of patients; and supplementary prescribing, where there is a partnership between a supply with nourishment independent prescriber and the supplementary prescriber, who work to an agreed protocol. Combining nursing and medical skills may provide a more comprehensive and flexible service for nation with diabetes than that provided by means of general practitioners alone. Practice supply with nourishments can spend more time with patients, and the two anecdotally from practice questionnaires and from evidence from nurture practitioners (Centre for Health Services Research), patients report a high horizontal of satisfaction with practice supply with nourishments In the context of diabetes care, nourishs often follow patients up across a range of conditions, from early diagnosis end opportunistic screening, to follow-up at practice diabetes clinics and upon to dressings for complications of that kind as foot ulcers. Frequently there are prescribing decisions. Prescribing training a certain number of medical practitioners may be apprehensive about this unravelling basing their concerns on the limited training nourishs have in diagnosis. However, supply with nourishment independent prescribers tend to prescribe for relatively minor conditions and medically trained assessors ground that they generally prescribed appropriately, with hardly any obvious differences in the pattern of prescribing between doctors and supply with nourishments (Latter et al, 2005). There has been an impression that this disentanglement in nurse prescribing will be a revolution, on the other hand the training and qualifications required for nurture prescribing will make the exhibition more of an evolution during the nearest 5 years. Nurses will want to render certain that they have access to patients' without fault [i]or[/i] blemish [i]or[/i] flaw medical record as well as the computerised prescribing apts which ensure accuracy and recording in prescriptions. GP will retain their clinical governance requirements for the practice and will want to make secure appropriate indemnity for this non-medical prescribing. manifold regimens Many GP report that the targets required for the Quality and results Framework have meant that they are increasingly prescribing in a more formulaic way to achieve these rigorous goals. This means that many family with diabetes are now upon a comprehensive regimen of antihypertensive, lipid-lowering and hypoglycaemic agents. To make sure the success of nurse prescribing, practice supply with nourishments will want to follow clear practice prescribing protocols, and a patient-specific clinical management plan, to initiate therapy and use their increased prescribing skills to render certain better concordance with the manifold therapeutic regimens used in contemporary diabetes care. middle for Health Services Research (CHSR; 1998) Evaluation of supply with nourishment practitioners in general practice in Northumberland. CHSR University of Newcastle on Tyne Department of Health (DoH; 2006) Improving patients' access to medicines. DoH, London. Available at http://www.dh.gov.uk/assetRoot/04/13/37/47/04133747.pdf (accessed 17052006) Latter s Maben J, Myall M et al (2005) An evaluation of reach outed formulary independent nurse prescribing. Policy Research Programme, Department of Health, London, and University of Southampton, Southampton Colin Kenny is a GP Dromore, shire Down. COPYRIGHT 2006 S.B. 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