Prescribing Policy.

1. Scope of practice

RescueRx is a remote, private prescribing service operated by an independent pharmacist prescriber.

Our scope of practice outlines the clinical boundaries within which we operate, ensuring safe, ethical, and guideline-compliant care.

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    Who We Treat

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• Adults aged 18 and over 

• UK-based patients with the ability to provide valid NHS number and medication evidence e.g. recent repeat prescription slip, extract from NHS summary care records, clinic letters, investigation results, copy of past prescriptions, photos (excluding intimate photos)

• Non-UK residents and visitors with valid written evidence of treatments in English (as above)

• Patients requesting repeat or emergency continuity prescriptions for stable, previously diagnosed conditions

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    What We Do

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• Review patient-submitted medical information and documentation through secure EHR

• Issue private prescriptions where clinically appropriate

• Provide safe, evidence-based prescribing decisions using UK guidelines 

• Supply prescriptions as PDF via email or directly to a nominated community pharmacy

• Offer clear safety-netting advice and onward signposting if a prescription cannot be issued

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    What We Do Not Do

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• No diagnosis of new medical conditions

• No prescribing of controlled drugs (Schedules 1–3 or other restricted items)*

• No prescribing for minors (under 18)

• No high-risk medications without adequate evidence of monitoring / stable management

• No treatment of red-flag symptoms or medical emergencies

• No issuing prescriptions based solely on patient request without sufficient evidence

• No dispensing or mailing of medication (we are not a pharmacy)

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    Clinical Limitations

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• All decisions are made based on the information provided; incomplete or unclear information may result in refusal.

• Prescribing is always at the clinician’s discretion and may require referral to GP or urgent care.

• Remote care has inherent limitations; therefore, some conditions are excluded entirely.

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    Professional Framework

Our service operates under:

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• Human Medicines Regulations

• GPhC standards for prescribers

• RPS prescribing competencies

• UK GDPR & ICO guidance

• Clinical governance and quality assurance processes

This Scope of Practice may be updated periodically in line with evolving regulations, safety standards, and clinical guidance.

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2. Clinical requirements

We require:

• Clear evidence of prior treatment

• Relevant monitoring results where applicable

• Stable condition suitable for remote prescribing

• Identity verification

• Pharmacy details for dispensing​​

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3. Repeat prescribing duration

• Up to 3 months for stable long-term medicines

• Up to 6 months for contraception if clinically appropriate

• Up to 28 days supply for non-UK residents and visitors

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4. Foreign tourists / temporary visitors

Prescription may be issued for up to 28 days if:

• The visitor is physically in the UK

• Trip and stay details evidence is presented on request

• Evidence of recent treatment is provided

• Medicine is safe and appropriate

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5. GP communication

We will recommend informing your GP to maintain continuity of care.

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6. Red flags

If symptoms suggest a serious condition, prescribing is refused and emergency care is advised.

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7. Safety Netting

To ensure patient safety in remote prescribing, RescueRx follows a structured safety-netting protocol.

This ensures patients are informed about what to do, what to watch for, and when to seek urgent help.

Patients will always be advised to:

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• Contact their doctor for routine follow-up, medication reviews, and long-term condition monitoring.

• Seek urgent medical attention (111/999/A&E) if symptoms worsen, new symptoms develop, or red-flag features appear. 

• Attend their local pharmacy for further advice if a prescribed medicine is not suitable or available.

• Report side effects through their doctor or directly via the MHRA Yellow Card Scheme.

• Read the patient information leaflet (PIL) supplied with the medicine to ensure safe use.

• Only use the medication as directed, and do not share it with others.

• Return to health record platform if clarification is required or if the issue persists but is not urgent.

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A prescription will not be issued if the clinician believes the patient requires an in-person assessment.

In such cases, the patient will receive explicit instructions on where to seek appropriate care.

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*except ADHD with SCA and up to date stable monitoring in place