This guide provides information on non-medical prescribing including types of nurse prescriber, keeping stocks of medication and the RCN Indemnity scheme. It also provides a list of further useful resources.
Nurses, Midwives, Pharmacists and other allied healthcare professionals (AHPs) who have completed an accredited prescribing course and registered their qualification with their regulatory body, are able to prescribe.
The two main types are:
These are nurses who have successfully completed a Nursing and Midwifery Council (NMC) Community Practitioner Nurse Prescribing course (also known as a v100 or v150 course) and are registered as a CPNP with the NMC. The majority of nurses who have done this course are district nurses and public health nurses (previously known as health visitors), community nurses and school nurses. They are qualified to prescribe only from the Nurse Prescribers Formulary (NPF) for Community Practitioners. This formulary contains appliances, dressings, pharmacy (P), general sales list (GSL) and thirteen prescription only medicines (POMs).
Independent prescribers are nurses who have successfully completed an NMC Independent Nurse Prescribing Course (also known as a v200 or v300 course) and are registered with the NMC as an IP. They are able to prescribe any medicine provided it is in their competency to do so. This includes medicines and products listed in the BNF, unlicensed medicines and all controlled drugs in schedules two - five.
Those who have successfully completed the supplementary part of the prescribing course are also able to prescribe against a clinical management plan. Supplementary prescribing is described by the Medicines and Healthcare products Regulatory Agency (MHRA) as:
"a voluntary partnership between an Independent Prescriber (IP-er) and a supplementary prescriber (SP-er)," (e.g. nurse, pharmacist) "to implement an agreed patient-specific clinical management plan (CMP) with the patient's agreement."
The RCN acknowledges that some nurse prescribers are registered midwives.Back to contents
The Misuse of Drugs Regulations covers all of the UK except Northern Ireland. This legislation divides controlled drugs (CDs) into five schedules corresponding to their therapeutic usefulness and misuse potential.
On 23 April 2012 changes to these regulations allowed nurses and midwives who are qualified as nurse independent prescribers to prescribe all controlled drugs listed in schedules two- five where it is clinically appropriate and within their professional competence (except for cocaine, diamorphine and dipipanone for the treatment of addiction). Changes also allowed nurse independent prescribers to mix any controlled drugs listed in schedules two-five prior to administration with another medicine for patients who need drugs intravenously.
Amendments to the Misuse of Drugs Regulations (Northern Ireland) 2002 were introduced on 10 May 2012 to allow a nurse independent prescriber and a pharmacist independent prescriber to prescribe controlled drugs as described.Back to contents
There are two types of prescribers:
The table below is a brief summary of what IPs and SPs can prescribe (this does not include CPNP).
In general, an IP can prescribe any medicine for any condition within their clinical competence, whilst a SP may prescribe any medicine within their clinical competence that is included in the patient specific CMP.
Independent Prescriber (IP)
|Supplementary Prescriber (SP)
(Nurses, Midwives and Pharmacists only
|Controlled Drugs (CDs)||
Yes - CDs Schedule2 to 5, except diamorphine, dipipanone
|Yes - CDs Schedule 2 to 5, except diamorphine
dipipanone or cocaine for treatment of addiction
|Unlicensed medicines||Yes -provided they are competent and take responsibility for doing so.
May vary for Nurse prescribers in Scotland see the Scottish Drug Tariff
|Yes - covered by the CMP|
|Off label/off-licence prescribing||
Yes - should only be prescribed where it is best practice to do so and
|Yes - covered by the CMP|
|Private prescribing||Yes - for any medicine within their competence||Yes - for any medicine covered by the CMP|
Please see our indemnity scheme and note that since July 2014 it now excludes aesthetic practice.Back to contents
Use the NMC's course search facility to find an approved nurse prescribing programme.Back to contents
From the NMC website:
Medicines and Healthcare products Regulatory Agency (MHRA) can provide information on legislation and medicines and medical devices
NICE Medicines and Prescribing Centre provides support for medicines and prescribing.
Country-specific guidance is also available at the following websites by searching for ‘nurse prescribing':
England: Department of Health
Northern Ireland: Department of Health
Scotland: NHS Scotland
Wales: Welsh GovernmentBack to contents
Page last updated - 16/01/2019