28 Day Prescribing Policy

The NHS recognises that a 28-day repeat prescribing interval makes the best possible balance between patient convenience, good medical practice and minimal drug wastage. The British Medical Association notes that “Prescribing intervals should be in line with the medically appropriate needs of the patient, taking into account the need to safeguard NHS resources, patient convenience, and the dangers of excess drugs in the home.”

The benefits of 28-day prescribing include:

  • Reducing the amount of medicine which is currently wasted when your doctor stops or changes your medicine.
  • Reducing the potential for error when your medication is changed in the middle of supply.
  • Increased safety as you will not have multiple containers of the same medicine meaning it is likely to reduce the number of mistakes made by, for example, elderly patients, and it will also reduce the risk of potential poisoning of young children.
  • Many medicines are supplied in 28-day packs, allowing you to check that you have taken your medication each day. You will start and finish the container of each medicine on the same day of the week, meaning it will be easier for your doctor to review all of the repeat medicines you are taking and to see when you have not ordered your medicines.
  • Financial losses due to medicines waste represent a direct loss to patient care. Since 28-day prescribing reduces medicines waste, this in turn has a positive impact on patient care.
    Studies in the UK and abroad have shown significant savings and a reduction in waste with 28-day prescribing. NICE Guidelines support 28 day prescribing and recommend that medicines are prescribed for no more than 30 days (prescribing larger quantities puts the supply chain at risk).