NECS supports the NHS England Area Team Controlled Drugs Accountable Officer in ensuring the safe management and use of controlled drugs within the North East & Cumbria region. Based on the commonly reported incidents and the lessons learned, we aim to share good practice across the region.
Learning from Incidents Newsletters
CD Bulletin Issue 19 July 2021
- Caution – overordering of CDs on SystmOne
- Pharmacy Security
- Dispensing Prescription Reminders
- Supplying CDs via CPCS
- GP prescribing
- Learning from incidents
- Serious Incident – Oramorph Schedule 5
- FP10MDA Titrating Prescriptions
- We’re here to support you
- Role of the CDLO
- Ask ANI
- Closing Pharmacies
- Caution – Healthcare Professionals Collecting Prescriptions
CD-Bulletin-Issue-17-December-2020
April 2020
- COVID-19 Information
- Incident reporting
- Security of Premises
- Delivery Issues
- Part Dispensed Prescriptions
- Patient Returns
- Diversion
- CD Destructions
- Loperamide Misuse
December 2019
- County Lines
- Pregabalin and gabapentin dispensing errors
- Promethazine and Drug Related Deaths
- CD Destructions and T28 Information
- Pharmacy Security
- Fraudulent Prescriptions
September 2019
- Communications between Pharmacies and Substance Misuse Services
- Signposting to Specialist Pharmacies for ‘End of Life’ (EOL) Medication
- Common Dispensing Incidents
February 2019
- Gabapentin/Pregabalin Rescheduling
- Opioid Administration/Prescribing Issues
- Incarcerated Patient Related Issues
August 2018
- Opioid use in long term pain
- Gabapentin/pregabalin drug related deaths
- Oromorph given subcutaneously
- CQC annual report
- Lost Prescriptions
- Annual CD declaration
March 2018
- Burglaries to pharmacies
- Delivery errors
- Alcohol-free phenobarbital liquid for children
- Post-dated prescriptions
- Denaturing reminder
- Dealing with lost or stolen prescriptions
November 2017
- Gabapentin/Pregabalin consultation
- Common CD prescribing/dispensing incidents
- Recent burglaries to pharmacies
August 2017
- Reporting incidents
- Post-dated CD prescriptions dispensed too early
- Patients with protected addresses
- Midazolam injection for palliative care
- What can happen when things go wrong when prescribing for chronic pain
April 2017
- Reporting of illicit drug reactions RIDR
- Diversion of prescription medicines
February 2017
- Destruction of Controlled Drugs
- Examples of suppliers of CD denaturing kits
- CD balance checks during external stocktaking
- Licensed equivalents for special order CDs
November 2016
- Prescribing and supply of controlled drugs
- Advice to Community Pharmacies re the delivery of medicine
- Advice for practices re the security of controlled drug prescriptions
- NICE Guideline NG46: The safe use and management of controlled drugs
July 2016
- Prescribing for temporary residents
- CD incidents reported on SIRMS January – March 2016
- Common prescribing and dispensing incidents
February 2016
- Medicines for palliative care
- What to do with unused medicines when a patient dies
October 2015
- Prescription security
- Security issues for prescribers
- Security issues for practices
- What do the prescription codes mean?
- Forged prescriptions: community pharmacies
- What to do if you come across a forged prescription
July 2015
- Balance discrepancies
- Spillages
- Common reasons for methadone discrepancies
- Reporting a balance discrepancy