Policy

Remote Prescribing Policy

Safe, effective and accountable prescribing in online and virtual clinical consultations

For Telehealth & Online ClinicRef BS-TEL-POL-006See a sample (PDF) →
£54.99
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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. Determining whether remote prescribing is appropriate
  • 6. Patient identity verification and safeguarding
  • 7. The remote consultation and clinical assessment
  • 8. Higher-risk medicines and controlled drugs
  • 9. Information sharing and continuity of care
  • 10. Prescription generation, transmission and supply
  • 11. Prescribing for patients outside the United Kingdom
  • 12. Roles and responsibilities
  • 13. Training and competence
  • 14. Records, monitoring and audit
  • 15. Related documents
  • 16. Version control and review
  • 17. Disclaimer
  • Appendix A: Remote prescribing decision checklist
  • Appendix B: Declined prescription record

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance)
  • Care Quality Commission (Registration) Regulations 2009
  • Human Medicines Regulations 2012 (as amended)
  • Misuse of Drugs Act 1971 and the Misuse of Drugs Regulations 2001
  • General Medical Council, 'Good practice in prescribing and managing medicines and devices' (2021) and 'Good Medical Practice' (2024)
  • General Pharmaceutical Council, 'Guidance for registered pharmacies providing pharmacy services at a distance, including on the internet' (2022)
  • UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018
  • Medicines and Healthcare products Regulatory Agency (MHRA) controls on prescription-only medicines and the Falsified Medicines requirements

Who it applies to

All prescribers (independent prescribers, supplementary prescribers and medical practitioners), pharmacists, clinical governance leads, registered managers, nominated individuals, locum and agency clinicians, and administrative staff supporting remote consultations at [Organisation Name]

Glossary

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

Adverse drug reaction
An unwanted or harmful response to a medicine taken at a normal dose.
Antimicrobial
A medicine, such as an antibiotic, that kills or stops the growth of micro-organisms like bacteria.
Antimicrobial stewardship
The careful, responsible use of antibiotics and similar medicines to keep them effective and slow the spread of resistance.
Asynchronous consultation
A consultation where the patient and prescriber do not communicate at the same time, often using an online questionnaire.
Body mass index (BMI)
A measure of body weight in relation to height, used to assess whether a person is underweight, a healthy weight or overweight.
British National Formulary (BNF)
The standard reference guide listing medicines, their doses, side effects and interactions for prescribers in the United Kingdom.
Caldicott Guardian
The senior person responsible for protecting the confidentiality of people's health and care information.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Contemporaneous record
A record written at the time of, or immediately after, the event it describes.
Contraindication
A reason a particular medicine or treatment should not be used because it could harm the patient.
Continuing professional development (CPD)
The ongoing learning and training that keeps a professional's knowledge and skills up to date.
Controlled drug
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Data Protection Act 2018
The United Kingdom law that sits alongside the UK GDPR and governs how personal information must be handled.
Diversion
When medicines are obtained for one purpose but passed on or sold for unauthorised use.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Falsified Medicines requirements
Legal safety measures designed to stop fake or tampered medicines from reaching patients.
Formulary
An approved list of the medicines a service has agreed its prescribers may use.
Gabapentinoid
A type of medicine (such as gabapentin or pregabalin) used for nerve pain or epilepsy that can be misused and cause dependence.
General Medical Council (GMC)
The body that registers doctors in the United Kingdom and sets the standards they must meet.
General Pharmaceutical Council (GPhC)
The body that registers and regulates pharmacists, pharmacy technicians and pharmacies in Great Britain.
General Practitioner (GP)
A doctor based in the community who provides general medical care and usually holds a patient's main health record.
Glucagon-like peptide-1 (GLP-1) receptor agonist
A type of medicine used to treat type 2 diabetes and to support weight loss.
Independent prescriber
A registered health professional qualified to prescribe medicines within their competence without needing a doctor's instruction.
Informed consent
Agreement to treatment given freely after the risks, benefits and alternatives have been clearly explained.
Misuse of Drugs Act 1971
The United Kingdom law that controls dangerous or harmful drugs and classifies them according to risk.
Misuse of Drugs Regulations 2001
The rules that set out how controlled drugs may lawfully be prescribed, supplied, stored and recorded.
Medicines and Healthcare products Regulatory Agency (MHRA)
The United Kingdom body that regulates medicines, medical devices and blood products to make sure they are safe and effective.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Pharmacy (P) medicine
A medicine that can be sold without a prescription but only from a pharmacy and under a pharmacist's supervision.
Prescription-only medicine (POM)
A medicine that may lawfully be supplied only on the instruction of an appropriate prescriber.
Red flag
A warning sign or symptom that may point to a serious condition needing urgent assessment.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Remote prescribing
Prescribing a medicine when the prescriber has not physically examined the patient, using video, telephone, online questionnaire or secure messaging.
Revalidation
The regular process by which registered professionals demonstrate they remain fit to practise.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Safety-netting
Telling a patient what to look out for and what to do if their condition gets worse or does not improve.
Sedative
A medicine that calms a person or helps them sleep, which can be misused and cause dependence.
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).
Superintendent Pharmacist
The pharmacist legally responsible for the safe and lawful running of a registered pharmacy business.
Supplementary prescriber
A registered professional who prescribes in partnership with a doctor, following an agreed plan for an individual patient.
UK General Data Protection Regulation (UK GDPR)
The United Kingdom's main data-protection law governing how personal information is collected and used.
Unlicensed medicine
A medicine that does not have official approval for the use, form or patient group it is being prescribed for.
Yellow Card scheme
The United Kingdom system for reporting suspected side effects of medicines and problems with medical devices to the regulator.
Z-drug
A group of sleeping tablets (such as zopiclone) that work like sedatives and carry a risk of dependence.

How it works

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  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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