Hospital medicines list news 2
Prescribing from 1 July 2013 - information for hospitals and health professionals
27 May 2013
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 - has been developed by clinicians 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 this issue:
The final segment of the HML consulted on was notified to the sector, along with the rules that will guide its use. The Named Patient Pharmaceutical Assessment (NPPA) policy, which allows for exceptions to the HML and the Community Schedule to be granted, has also been updated and will be in place from 1 July.
An A-Z of the medicines considered (including those excluded at this point), notifications on the 16 therapeutic groups included in the HML (along with summaries of consultation feedback), the new Section H rules and the NPPA policy can all be found on the PHARMAC website.
If there is a medicine that is commonly used in your DHB that does not appear to have been considered, please let us know using the contact details at the end of this newsletter.
Some HML medicines have prescriber-type or indication restrictions. There are a number of rules that apply to these restrictions – including the ability for prescribers outside the required prescriber-group to do so if there is a DHB protocol or guideline in place for that medicine.
A prescriber guide and flowchart about how this will work is available on the HML pages of the PHARMAC website.
In the next few weeks PHARMAC staff will be talking at meetings in a number of DHBs:
28 May – 12pm Auckland City Hospital - HML overview for clinicians
28 May – 2:30pm and 4:30pm Waitemata DHB
30 May – 1:00-1:30pm Waikato DHB – Grand Round
31 May – 10:30am, 12:00pm and 1:30pm Tauranga Hospital (videolinked to Whakatane)
12 June – 8:15am Hutt DHB – Advanced Medical Meeting
17 June – 1pm Middlemore Hospital – Clinical Directors
18 June – 12:00pm Timaru Hospital – Continuing Medical Education meeting
20 June – 12.15pm Middlemore Hospital – Grand Round
21 June – 12:30pm Greymouth Base Hospital –The introduction of the Hospital Medicines List from the 1st of July 2013 – what does it mean for you and your patients?
If you are at any of these DHBs and have not been invited to the meeting, we can put you in touch with the local organisers. Contact us on the email and phone numbers at the end of this newsletter.
We will continue to visit and talk with DHB staff where possible once the transition phase starts in July, as part of responding to feedback and monitoring how things are working on the ground.
In time the HML will be the single list used for all prescribing in DHB hospitals – unless an exemption or exception applies.
It is not a ‘preferred’ list, but designed as a list of medicines that must be funded/provided by all DHBs and therefore available to patients wherever they are being treated in New Zealand.
Medicines that have been considered and not included on the list shouldn’t be used. If there is an urgent clinical need, the clinically appropriate action should be taken and PHARMAC informed. This also applies if a standard-practice medicine appears to have been missed.
The 1 July release of the first edition of the HML – Section H of the Pharmaceutical Schedule – is the beginning of a transition to the list defining all DHB prescribing activity. We recognise that it will take time to move completely from current prescribing practice to a nationally consistent list.
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