Date: 24 February 2021
1. Background
Australia’s COVID-19 National Health Plan and the fast-track implementation of electronic prescribing to support the telehealth measures were announced in March last year. Since then clinical peak bodies, PHNs, clinical software providers and consumer groups worked with Commonwealth and jurisdictional health departments and the Australian Digital Health Agency, to implement electronic prescribing and dispensing software functionality throughout Australia’s general practices and community pharmacies.
The first electronic prescription in primary care was generated on 6 May 2020. Now, nearly 12,000 general practitioners have issued electronic prescriptions (38% of all GPs1). These numbers continue to rise rapidly and over the past two weeks, more than 1,600 general practitioners have issued their first electronic prescription.
Plus, >95% of all PBS approved community pharmacies are dispensing electronic prescriptions; some have dispensed many thousands of electronic scripts, demonstrating that once workflow changes are managed, electronic prescriptions are scalable.
2.Current status
The Australian Digital Health Agency is now confident that if a patient prefers an electronic prescription from their prescriber over a paper prescription, they will be able to get this dispensed at their local community pharmacy. Nevertheless, consistent with principles promoted since May last year:
Provided these principles are followed, general practitioners are encouraged to use the electronic prescribing functionality. This will especially help those patients who wish, or need to have virtual care, particularly in response to COVID-19.
February 2021 also sees the first ever pharmacies testing the Active Script List (ASL). The ASL is a list of all active prescriptions and repeats available to be dispensed. For those patients who want to use an ASL, this will in future remove the need for patients to retain their electronic prescription tokens. Availability of ASL across community pharmacy will increase from April, and improved ASL functionality through consumer Apps will progress over 2021. Practitioners, especially pharmacists for whom ASL will provide the most patient benefits, should avail themselves of upcoming eLearning, webinars, podcasts and promotional materials available through the Agency and relevant professional peak bodies.
3.Schedule 8 and other controlled medicines
All medicines, including Schedule 8 medicines, can be prescribed and dispensed through an electronic prescription providing patients with a safe and secure way of obtaining medicines remotely. Unlike a request for a medicine using a digital image of a prescription via fax or email, the prescriber is not required to send an original hard copy of the prescription to the pharmacy - the electronic prescription is the legal order to prescribe and supply. Upcoming webinars offered by the Agency will be addressing specific controlled medicines practice issues raised by health practitioners.
4.Patient Choice
It is important to remember that electronic prescriptions are an alternative to paper. If the patient prefers to have their prescription provided by paper, then their local general practice and community pharmacy will continue to support the patient’s preference.
5.For more information about electronic prescribing and electronic prescriptions:
Contact: Peter Waterman
Phone: 0419 260 827