Hospital medicines list news 5
Prescribing from 1 July 2013 - information for hospitals and health professionals
9 July 2013
DHB hospitals started prescribing from a nationally consistent pharmaceutical list on 1 July 2013. The Hospital Medicines List (HML) – Part II of Section H of the Pharmaceutical Schedule – has been developed by clinicians, pharmacists and PHARMAC over the past two-and-a half years. It means New Zealanders get access to the same hospital medicines, wherever in New Zealand they are being treated.
In this issue:
Last week marked the official start date for the Hospital Medicines List in DHB hospitals. We appreciate the work done by pharmacy departments and clinicians to get ready for the transition to using the list for all future prescribing and to introducing the new exceptions processes (Named Patient Pharmaceutical Assessment).
Our advice line noticed a few more queries than previously and early in the week we also dealt with the first DHB request for a NPPA Rapid Assessment for an item not currently on the HML. This first request was quickly resolved.
There was some media coverage of the HML’s purpose and start date, for example, on the Stuff website.(external link)
We’ve continued talking with our key sector stakeholders and have recently met with Chief Medical Officers, DHB pharmacists and Directors of Nursing at their regular national meetings, as well as completing our initial DHB visits.
We met last week with pharmacists and discussed a number of implementation phase issues that we’ll be continuing to address through the transition period – such as how the HML information is provided to hospitals in future. Overall, we felt people were reasonably happy with the level of information provided during the initial phase and that they found it useful.
We’re continuing to keep pharmacists very regularly updated, while Chief Medical Officers and Directors of Nursing are sent this newsletter. Any clinical staff who would like to receive this HML News direct can sign up on our website.
At the same time as we’ve introduced the NPPA process for HML exception requests we’ve taken the opportunity to improve all our NPPA forms. There is a new form for making a routine NPPA application and we have introduced the Rapid Assessment form for DHB hospital prescribers to use. Some DHBs may choose to use the PHARMAC Rapid Assessment form in their own rapid assessment processes.
These are all in a downloadable, electronic format that applicants can complete on their computer desktops using Word. The forms can be partially completed, sent over DHB intranets to other staff for their input, and copies can be saved in the patient file. The forms can also be submitted over the web along with attachments. You can find the forms and directions for using them here.
New HML information on www.pharmac.govt.nz
Recently added to the PHARMAC website are:
- Interim update to the HML – a number of new items have been added to the list, and changes made to prescribing information since the first edition and the 1 July Update to it. These changes are effective from 5 July and will be incorporated into the full August Update. You can find the interim update on our website.
- Information on the PHARMAC Decision Criteria - PHARMAC’s nine decision criteria are used when making final decisions about what items are included in the HML as well as the Community Schedule. We have recently started consulting on what the criteria should include in future, and you can see our CEO Steffan Crausaz talking about the process on our website.
Just a reminder that anyone from a DHB can contact our advice line for information or specific questions we haven’t already answered - 0800 66 00 50, then press 2.
Some common questions are published on our website in the Factsheets and Advice section and we aim add to these regularly. If your question isn’t answered there, do get in touch using the details below.
Last updated: 8 October 2019