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Order a Repeat Prescription

SystmOnline

It is easier and quicker to manage request repeat prescriptions via our online service. Simply log in and select an option.

Island City Practice

Please allow two full working days (48 hours) for prescriptions to be processed and remember to take weekends and bank holidays into account.

Prescription Queries

If you are registered with Island City Practice and have a prescription query, please call 02392 009 117.

We are keen to ensure that patients with ongoing medical problems are monitored regularly. If the date for your next review with a doctor or nurse has passed you will be asked to make an appointment.

Not registered for Systmonline?

To request medication without the requirement to log on to Patient Access, you can request your Repeat medication by selecting the “Repeat Prescription Request ” button.

Your Repeat Medication

If you need regular medication and your doctor does not need to see you every time, you will be issued with ‘repeat prescription’. When you collect a prescription you will see that it is perforated down the centre. The left-hand side is the actual prescription.The right-hand side (re-order slip) shows a list of medicines that you can request without booking an appointment to see a doctor. Please tear off this section (and keep it) before handing the prescription to the chemist for dispensing.

Run out or just about to run out of medication requests

Unfortunately a small minority of patients are repeatedly running out (or just about to run out) of their medication. ‘Urgent’ requests of this nature cause a great deal of disruption to the smooth running of the practice. Please be aware that such requests will be questioned very carefully by the reception staff and may well be refused by the GP. A record is kept of such requests, and may well be refused by the GP.

Help with your Prescription

If you forget to request a Repeat Prescription

If you forget to obtain a prescription for repeat medication and thus run out of important medicines, you may be able to get help from your Pharmacy. Under the Urgent Provision of Repeat Medication Service, Pharmacists may be able to supply you with a further cycle of a previously repeated medicine, without having to get a prescription from your GP. 

If you have run out of important medication, telephone your usual Pharmacy to check that they offer this service; if they don’t, they may either direct you to another Pharmacy who does provide it, or ask you to phone 111 where you can request details of a local Pharmacy that provides the service.

You must then take with you to the relevant Pharmacy, proof of both your identification and of your medication (for example, your repeat prescription list or the empty box which should have your details printed on it). Please note that controlled drugs and antibiotics are not provided through this service, you will need to ring 111 for these.

If you receive stoma products from your Pharmacy or other supplier and/or receive items such as continence products, please ensure you have sufficient supplies as you may encounter difficulties in obtaining these over Bank Holidays, or when the Surgery is closed.

Help with NHS Costs

If you need help with NHS costs or need to find out if you can get free prescriptions please click the button below for further information.

Prescription prepayment information

If you know you’ll have to pay for a lot of NHS prescriptions, it may be cheaper to buy a prescription prepayment certificate (PPC) – effectively a prescription “season ticket”.

A PPC covers all your NHS prescriptions, including NHS dental prescriptions, no matter how many items you need.

Synchronising Prescriptions

If you would like to save time and order all the medication you have on repeat at the same time rather than irregular times throughout the month please use this form.

When you next need to request an item on repeat count up all the tablets you have and fill in the above form. Your doctor will issue a “one off” prescription of the tablets you need to synchronise all your medication to within a day or two.

How to order your medication

By post

You can post your prescription slip or written request to us at the Practice. You must include a stamped addressed envelope for return by post if you will not be able to pick up your prescription from the Surgery (please allow extra time for any possible delays with the postal service).

In person

You can order in person by returning the right-hand half of a previous prescription for the required medications, or by submitting a handwritten request.

Repeat Dispensing Service

In response to coronavirus (COVID-19), GPs and pharmacies are moving suitable patients to electronic Repeat Dispensing (eRD). You might be suitable for eRD if you get regular or repeat medicines that don’t change. eRD means your GP can send your regular or repeat prescriptions electronically to a pharmacy of your choice. You can then collect your medication from your pharmacy, or ask them to deliver it to your home. 

What eRD means for you

eRD allows your GP to send a series of repeat prescriptions to your pharmacy in one go, so there’s no need for you to order them each time. It’s reliable, secure and confidential. Your regular prescriptions are stored securely on the NHS database, so they’ll be ready at the pharmacy each time you need them.

How eRD can benefit you

If you get regular or repeat medicines, you might be suitable for eRD. Using eRD, you can: 

  • save time by avoiding unnecessary trips or calls to your GP every time you need to order a repeat prescription
  • order or cancel your repeat prescriptions online (if your GP practice offers this service)
  • pick up your repeat prescriptions directly from your pharmacy without having to visit your GP
  • spend less time waiting for your prescription in the pharmacy or GP practice, which means you can stay at home and avoid face-to-face contact when you need your repeat prescription during the coronavirus pandemic
  • save paper – you won’t need a paper prescription to collect your medicine from the pharmacy

How do I sign up for eRD?

It’s really easy to sign up for eRD – just ask your GP or pharmacist to set it up for you.

Telephone

We do not accept requests for repeat prescriptions by telephone. This prevents dangerous errors being made and leaves the telephone lines free for urgent matters.  

Additional information

Antibiotics

Each year 25% of the population visit their GP for a respiratory tract infection (eg sinus, throat or chest infection). These are usually caused by viruses.

For patients who are otherwise healthy, antibiotics are not necessary for viral infections.

These infections will normally clear up by looking after yourself at home with rest, plenty of fluids and paracetamol.

Ear infections typically last 4 days

89% of cases clear up on their own

A sore throat typically lasts 7 days

40% of cases clear up after 3 days and 90% after 7 days without antibiotics

Sinusitis typically lasts 17 days

80% clear up in 14 days without antibiotics

Cough/bronchitis typically lasts 21 days

Antibiotics reduce symptoms by only 1 day

Antibiotics only work for infections caused by bacteria.

Taking unnecessary antibiotics for viral infections should be avoided because they may not be effective next time you have a bacterial infection.

Benzodiazepine prescribing


The Practice is committed to following prescribing guidelines. Please note that we therefore have a strict protocol to control Benzodiazepine prescribing to optimise the care of our patients.

These tablets are sometimes used to help with sleep or anxiety. Guidelines suggest short term use only (14 days). They include temazepam, diazepam, lorazepam and nitrazepam, zopiclone and zolpidem .These medicines will now only be prescribed in very exceptional circumstances. If you are already taking one or more of these tablets regularly we will aim is to gradually reduce our dose before eventually stopping completely. You will be swapped to lowest dose table as part of the withdrawal.

Any new prescriptions will be for a maximum of 14 days supply.

If you have concerns regarding this policy, please make an appointment to see your GP.

Going Abroad?

If you are concerned about taking medication abroad you can visit your local community pharmacy who are well placed to provide the information that is needed, and can also advise on a wide range of travel-related health issues.

Information for patients requesting diazepam for a fear of flying

The Doctors have taken the decision not to prescribe diazepam in cases where the there is a fear of flying. There are a number of reasons for this that are set out below.

1) Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.

2) Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours.

3) Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience the opposite effect and may become aggressive. Benzodiazepines can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.

4) According to the national prescribing guidelines that doctors follow (the British National Formulary, or BNF) benzodiazepines are not allowed to be prescribed in cases of phobia. Thus your doctor would be taking a significant legal risk by prescribing diazepam for fear of flying as it is going against these guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.

5) Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.

6) Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.

We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.

Easy Jet – Tel 0203 8131644
Fearless Flyer EasyJet

British Airways – Tel 01252 793250
Flying with confidence

Virgin – Tel 01423 714900
Flying without fear

Hospital and Community Requests

When you are discharged from Hospital you should normally receive 14 days supply of medication.

On receipt of your discharge medication, which will be issued to you by the Hospital, please contact the Surgery to provide them with this information before your supply of medication has run out.

Hospital requests for change of medication will be checked by a prescribing clinician first, and if necessary a prescribing clinician will provide you with a prescription on request. 

Medicines requested by Hospital Specialists

Specialists will often suggest particular medication at a hospital appointment and ask us to prescribe for you. To ensure your safety we do need to receive written information from the specialist before prescribing. Sometimes a medicine is suggested that is not in our local formulary. There is nearly always a close alternative, and specialists are told that we sometimes make suitable substitutions when you are referred. We will always let you know if this is the case.

Medication reviews

The Doctors at the Practice regularly review the medication you are taking. This may involve changes to your tablets and is in accordance with current Health Authority policies. Please be reassured that this will not affect your treatment. We may sometimes call you in for a medication review and this may involve blood tests. It is very important that you attend these appointments, as it keeps you safe whilst taking medication.

Non-repeat items (acute requests)

Non-repeat prescriptions, known as ‘acute’ prescriptions are medicines that have been issued by the Doctor but not added to your repeat prescription records. This is normally a new medication issued for a trial period, and may require a review visit with your Doctor prior to the medication being added onto your repeat prescription records.

Some medications are recorded as acute as they require to be closely monitored by the Doctor. Examples include many anti-depressants, drugs of potential abuse or where the prescribing is subject to legal or clinical restrictions or special criteria. If this is the case with your medicine, you may not always be issued with a repeat prescription until you have consulted with your Doctor again.

Over the Counter Medicines

A GP, nurse or pharmacist will generally not give you a prescription for over-the-counter (OTC) medicines for a range of minor health conditions.

When on holiday or living temporary outside the Practice area

If you are staying outside the practice area for holidays, work etc. we are unable to send prescriptions by post/email/fax. You should register with a practice as a temporary resident and request the medication. The Practice will contact us to confirm what medication you are currently being prescribed. Alternatively depending on your location some pharmacies may be able to provide the medication for you.

Stopping over medication of people with a learning disability, autism or both (STOMP)

STOMP stands for stopping over medication of people with a learning disability, autism or both with psychotropic medicines. It is a national project involving many different organisations which are helping to stop the over use of these medicines.  STOMP is about helping people to stay well and have a good quality of life.

Your Home Medicine Cupboard

It is well worth keeping a small stock of useful medicines at home in your (locked) first aid cupboard. For instance, pain killers (analgesics) such as Paracetamol, Ibuprofen or aspirin (children under 16 and people with asthma should not take aspirin), or Ibuprofen syrups  for children, Mild laxatives, Anti-diarrhoeal medicines, Indigestion remedy (for example, antacids) Travel sickness tablets, and Sunscreen – SPF15 or higher Sunburn treatment (for example, calamine). For more detail see NHS UK Medicine Chest.