Prescribing of medicines by your GP following assessment or treatment by a Private Doctor (Advice from Hackney Medicines Management team)
If you are entitled to NHS care you do not lose your entitlement to further NHS treatment if you choose to buy additional private care. This page explains the responsibilities of your GP when they are asked to prescribe a medicine after your appointment with a private doctor.
Whenever a GP prescribes a medicine for you they are taking full responsibility for your care even if the medicine is recommended for you by another doctor. It therefore, cannot always be expected that your GP will prescribe the medicines recommended by the private doctor.
Please be aware that your GP may not agree to prescribe the medicine(s) in the following circumstances 

The GP has not had adequate communication from the private doctor to explain the reasons why you need the medicine 

The GP does not believe the medicine is appropriate or necessary for you 

The medicine is not licensed or it is being recommended to be used outside of its UK licence

The GP does not feel they have specialist expertise to monitor the medicine and ensure its safe and working for you 

The use of the medicine is not in line with national or local prescribing guidelines  

Your GP believes that a different medicine which is very similar and commonly prescribed on the NHS will be just as effective or appropriate for you to take instead 

You are seen by a private doctor/specialist without referral from your NHS GP

Your GP will be able to prescribe the medicine for you if the private doctor informs the GP why you need the medicine and provided that none of the above applies.  Please note that the same rules apply if another NHS doctor asks your GP to prescribe a medicine for you, not just a private doctor.
If the GP cannot prescribe the medicine, they should give you a clear explanation of the reason for this and may also contact your private doctor. Your GP may give you the option of having a different but equally effective medicine prescribed on the NHS or you may wish to pay privately for the original medicine via your private doctor.
If you have any questions please speak to your GP or the Practice Manager

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