Hospital medicines list news 1
Prescribing from 1 July 2013 - information for hospitals and health professionals
DHB hospitals will start prescribing from a nationally consistent pharmaceutical list from 1 July 2013.
The Hospital Medicines List (HML) – Part II of Section H of the Pharmaceutical Schedule – lists medicines that are funded for use in DHB hospitals from 1 July. It has been developed by clinicians, hospital pharmacists and PHARMAC over the past two-and-a half years. It will mean New Zealanders get access to the same hospital medicine, whatever part of the country they are being treated in.
Whether you’re a prescriber, pharmacist, nurse, hospital manager or have a health sector interest, this regular update will highlight key things we think you’ll want to know about how the list will work, and how it is being introduced for DHB use this year.
The start of July marks the first stage transition to DHBs using the HML. Over the next six months PHARMAC and DHBs will work together to check how the list is working on the ground, allowing PHARMAC to respond to feedback and make changes if required. The list will not be static. Like the Schedule already used by community prescribers, the hospital schedule will be updated every month.
There has been extensive input to what’s been included in the HML through consultation with clinicians and other stakeholders, and the input of PHARMAC’s advisory committees. It is designed to meet clinical needs across the country and will largely represent standard medicines prescribed in most hospitals.
DHB Hospital Pharmacist representatives were involved in a workshop at PHARMAC last week, learning more about how the HML will work. They’ll continue to receive information and work with PHARMAC before and after the 1 July transition starts. PHARMAC is also talking to other health professionals and clinicians at various DHBs and will continue to do so throughout the rest of the year.
The first three parts of the HML have been notified and can be found on the PHARMAC website. The list’s final part and rules are expected to be notified very soon and the full Section H will be made available electronically about mid-June. The printed Section H books will be delivered to DHB hospitals in time for 1 July.
Section H will be different from the current Section H of the Pharmaceutical Schedule. It will have three parts:
- Part One: the rules for how the list works, including information on the exceptions and exemption schemes that will be in place on 1 July.
- Part Two: the HML. The list of medicines funded for use in DHB hospitals, including access criteria.
- Part Three: other PHARMAC contracted products used in DHB hospitals.
The list’s development has been a complex task and a lot of detailed work has gone on to get it right.
However there may still be some products not included that need to be considered. The initial transition phase between now and Christmas will allow PHARMAC to monitor what is happening on the ground and work with DHBs as the list is tested against actual practice. The process of considering items for inclusion will be as quick and as simple as possible and there will be dedicated help available within PHARMAC to work with DHBs on their queries. There will be more information about the queries and exceptions processes in future updates.
If you have a question, comment or concern please email HML@pharmac.govt.nz, phone 0800 66 00 50 or fax 64 4 974 7819.
Last updated: 2 November 2015