Policy

Medicines Management Policy

Safe prescribing, supply, storage, administration and reconciliation of medicines within the general practice setting

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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Prescribing standards
  • 6. Repeat prescribing and medication review
  • 7. Medicines reconciliation and transfer of care
  • 8. Storage, security and cold chain
  • 9. Controlled Drugs
  • 10. Patient Group Directions and Patient Specific Directions
  • 11. Administration of medicines and vaccines
  • 12. Safety alerts, recalls and shortages
  • 13. Disposal of medicines
  • 14. Roles and responsibilities
  • 15. Training and competence
  • 16. Records, monitoring and audit
  • 17. Related documents
  • 18. Version control and review
  • 19. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (in particular Regulation 12: Safe care and treatment)
  • The Human Medicines Regulations 2012 (as amended)
  • Misuse of Drugs Act 1971, the Misuse of Drugs Regulations 2001 and the Misuse of Drugs (Safe Custody) Regulations 1973
  • The Controlled Drugs (Supervision of Management and Use) Regulations 2013
  • Medicines and Healthcare products Regulatory Agency (MHRA) Drug Safety Updates and Central Alerting System (CAS)
  • National Institute for Health and Care Excellence (NICE) guideline NG5 (Medicines optimisation) and related NICE Managing medicines guidance
  • Mental Capacity Act 2005
  • Care Quality Commission single assessment framework (2024) and Care Quality Commission GP mythbusters on medicines management

Who it applies to

All clinical and non-clinical staff, locums, students, contractors and volunteers involved in any aspect of the prescribing, dispensing, supply, handling, administration, monitoring or disposal of medicines at [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Accountable Officer (Controlled Drugs)
A senior person legally responsible for the safe management and use of Controlled Drugs within an organisation.
Adverse drug reaction
An unwanted or harmful effect a patient experiences that is linked to a medicine they have taken.
Amiodarone
A heart-rhythm medicine that needs regular blood-test monitoring because it can affect the thyroid, liver and lungs.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Antimicrobial resistance
When bacteria and other germs stop responding to the medicines designed to kill them, making infections harder to treat.
Antimicrobial stewardship
The careful, responsible use of antibiotics and similar medicines to keep them effective and reduce resistance.
Best interests
A decision made for someone who cannot decide for themselves, choosing the option that is best for them.
British National Formulary (BNF) and British National Formulary for Children (BNFC)
The standard UK reference books that tell prescribers how to use medicines safely in adults and in children.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Central Alerting System (CAS)
A national system used to send urgent safety alerts about medicines and medical devices to health organisations.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Controlled Drug (CD)
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Controlled Drugs Accountable Officer (CDAO)
The named officer at a commissioner who oversees the safe use of Controlled Drugs across local services and investigates concerns.
Controlled Drugs Local Intelligence Network
A group of local organisations that share information to spot and act on concerns about the misuse of Controlled Drugs.
Covert administration
Giving a medicine to a person without their knowledge, for example hidden in food, only lawful for someone who lacks capacity and in their best interests.
Denaturing
Making a Controlled Drug unusable and unrecoverable before it is thrown away, so it cannot be misused.
Deprescribing
Safely reducing or stopping medicines that are no longer needed or may be doing more harm than good.
Disease-modifying antirheumatic drugs (DMARDs)
Medicines used for conditions such as rheumatoid arthritis that need regular blood-test monitoring because of their effects on the body.
Dispensing practice
A general practice allowed to supply medicines directly to certain patients, instead of them using a separate pharmacy.
Full blood count (FBC)
A common blood test that checks the different types of cells in the blood.
General Medical Council (GMC)
The body that registers and sets standards for doctors in the UK.
General Pharmaceutical Council (GPhC)
The body that registers and sets standards for pharmacists and pharmacy technicians in Great Britain.
General Sales List (GSL) medicine
A medicine that can be sold to the public in shops as well as pharmacies, without a prescription.
Green Book
The UK Health Security Agency's official guidance on vaccines and immunisation, including how to store and handle them.
Health and Care Professions Council (HCPC)
The body that registers and sets standards for a range of health professionals, such as paramedics.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that registered care providers must meet, enforced by the Care Quality Commission.
High-risk medicine
A medicine that can cause serious harm if used incorrectly, so it needs extra checks and monitoring.
Human Medicines Regulations 2012
The main UK law governing how medicines are licensed, supplied, prescribed and administered.
Integrated Care Board (ICB)
The local body responsible for planning and arranging health services for a defined area.
International Normalised Ratio (INR)
A blood test that measures how quickly blood clots, used to monitor patients taking blood-thinning medicines such as warfarin.
Licensed waste contractor
A company legally approved to collect and dispose of clinical and pharmaceutical waste safely.
Lithium
A mood-stabilising medicine that needs regular blood-level and other monitoring because the safe and harmful doses are close together.
Liver function tests (LFTs)
Blood tests that check how well the liver is working.
Medicines and Healthcare products Regulatory Agency (MHRA)
The UK body that regulates medicines and medical devices and monitors their safety.
Medicines optimisation
Helping patients get the best outcomes from their medicines, using them safely, effectively and only where they are of benefit.
Medicines reconciliation
Checking and matching a patient's medicines list against new information, such as a hospital letter, to catch and fix any differences.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
Misuse of Drugs Act 1971 and Misuse of Drugs Regulations 2001
The laws that classify Controlled Drugs and set the rules for prescribing, supplying, storing and recording them.
Misuse of Drugs (Safe Custody) Regulations 1973
The law setting out how Controlled Drugs must be securely stored, including the standard of cabinet required.
National Institute for Health and Care Excellence (NICE)
The body that produces evidence-based guidance on treatments and care for use across health and social care.
National Patient Safety Alert
An official warning issued nationally to make health services take action to prevent harm to patients.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Nursing and Midwifery Council (NMC)
The body that registers and sets standards for nurses and midwives in the UK.
Off-label (unlicensed use)
Using a licensed medicine in a way not covered by its licence, for example for a different condition, age group or dose.
Patient Group Direction (PGD)
A written instruction letting named staff supply or give a medicine to a defined group of patients without an individual prescription.
Patient Specific Direction (PSD)
A written instruction from a prescriber for a medicine to be supplied or given to one named patient.
Pharmacy (P) medicine
A medicine that can be sold without a prescription but only from a pharmacy, under a pharmacist's supervision.
PINCER
A recognised set of computer searches used in general practice to find patients at risk from common prescribing errors.
Polypharmacy
The use of several medicines at the same time by one patient, which needs careful review to stay safe.
Prescription Only Medicine (POM)
A medicine that may lawfully be supplied only on the instruction of an appropriate prescriber.
Quality statement
A short statement describing the standard of care the regulator expects, used to judge a service.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Regulation 12 (Safe care and treatment)
The legal duty on care providers to provide care safely, including managing medicines and risks properly.
Repeat prescribing
A system that lets patients reorder regular medicines without seeing a clinician each time, with periodic review built in.
Revalidation
The regular process by which registered health professionals demonstrate they remain up to date and fit to practise.
Serious Shortage Protocol (SSP)
An official instruction allowing pharmacists to supply an alternative when a particular medicine is in short supply.
Shared care agreement
A written arrangement setting out how a specialist and a general practice will jointly manage a patient's medicine and monitoring.
Sharps
Needles, blades and other items that can cut or puncture the skin.
Significant event
An incident the team reviews in detail to understand what happened and learn how to prevent it recurring.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Structured medication review (SMR)
A thorough, planned review of all of a patient's medicines, done with the patient, to check they remain safe, effective and wanted.
Thyroid function tests (TFTs)
Blood tests that check how well the thyroid gland is working.
Transfer of care
The point at which responsibility for a patient moves between services, such as admission to or discharge from hospital.
UK Health Security Agency (UKHSA)
The national body responsible for protecting the public from infectious diseases and other health threats.
Unlicensed medicine
A medicine that does not have a UK licence for its use, supplied only where there is no suitable licensed alternative.
Urea and electrolytes (U&Es)
A blood test that checks kidney function and the balance of salts in the body.
Warfarin
A blood-thinning medicine that needs regular INR blood tests to keep the dose safe.
Yellow Card Scheme
The UK system for reporting suspected side effects and problems with medicines and medical devices to the regulator.

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