MEDICINES, ETHICS AND PRACTICE (MEP)

The latest edition of Medicines, Ethics and Practice (MEP) continues to evolve with many new, updated and revised sections.

The professional guide for pharmacists has been designed as an underpinning document to help pharmacists practise confidently and professionally. It embeds professionalism and professional judgement at the heart of the decision-making process.

The advice contained in MEP 42 intends to support day-to-day practice, rather than simply highlighting pharmacist’s statutory obligations. As such it will empower pharmacists, helping them to make the right decisions.

More importantly, MEP has been designed and developed with our members for our members.

Topics covered by the MEP Topics covered by the MEP

  • Core concepts and skills
    • Patient or person centred healthcare
    • Medicines optimisation and pharmaceutical care
    • Professionalism and professional judgement
      • Social media
    • Clinical check
    • The pharmacist consultation in practice
      • Medicines reconciliation
      • Helping patients to understand their medicines
    • Getting the culture right
      • A just culture
    • Professional empowerment
    • Professional development
      • Continuing Professional Development (CPD)
      • RPS faculty
      • RPS foundation programme
      • Developing leadership
    • Research involvement
  • Underpinning knowledge – legislation and professional issues
    • Classification of medicines
    • Professional and legal issues: Pharmacy medicines
      • Pseudoephedrine and ephedrine
      • Oral emergency contraceptives as pharmacy medicines
      • Paracetamol and aspirin
      • Codeine and dihydrocodeine
      • Cough and cold medicines for children
      • Reclassified medicines
    • Professional and legal issues: Prescription- only medicines
      • General prescription requirements
      • Faxed prescriptions
      • Dental prescriptions
      • Forged prescriptions
      • Prescriptions from EEA or Switzerland
      • Military prescriptions
      • Labelling of dispensed medicinal products
      • Administration
      • Patient specific directions and administration , sale and supply in hospitals and other settings
      • Exemptions: sale and supply without a prescription
      • Self-prescribed prescriptions and preparations for close family and friends
      • Supplying isotretinoin and pregnancy prevention
      • Dispensing valproate for girls and women
      • Explaining biosimiliar medicines
      • Summary of prescriber types and prescribing restictions
      • Checking registration of healthcare professionals and additional information on conditions of supply
      • Prescribing and dispensing to the same person
      • Making things right when there's been a dispensing error
    • Wholesale dealing
    • Veterinary medicines
    • Controlled Drugs
      • Background
      • Classification
      • Possession and supply
      • Administration
      • Import,export and travellers
      • Obtaining controlled drugs - requisition requirements for Schedule 1, 2 and 3 controlled drugs
      • Prescription requirements for Schedule 2 and 3 controlled drugs
      • Collection of dispensed controlled drugs
      • Safe Cuustody
      • Destruction of controlled drugs
      • Record keeping and controlled drugs registers
      • Practice issues: disposing of spent methadone bottles
      • Practice issues: needle exchange scheme
      • Extemporaneous methadone
    • Additional legal and professional issues
      • Expiry dates
      • Waste medicines
      • Cosmetic contact lenses (zero powered)
      • Requests for poisons and chemicals
      • Delivery and posting of medicines to patients (including abroad)
      • Secure environments
      • Child-resistant packaging
      • Reporting adverse events
      • Emergency connection to ex-directory telephone numbers
      • Homeopathic and herbal remedies
      • Charitable donation of medicines
      • Collection and purchase of medicines by children
      • Protecting children and young people
      • Protecting vulnerable adults
      • Medical devices
      • Administration of adrenaline in an emergency
      • Multi-compartment compliance aids
      • Drugs and driving
      • Retention of pharmacy records
      • New psychoactive substances
  • The Responsible Pharmacist
  • Other reources published by the Royal Pharmaceutical Society 
  • Professional standards
  • Royal Pharmaceutical Society code of conduct
  • Working with partners, affiliates and other organisations
  • Pharmacist Support
  • Appendices 
    • Appendix 1: GPhC standards for pharmacy professionals
    • Appendix 2: GPhC standards for registered pharmacies
    • Appendix 3: GPhC in practice: guidance on patient confidentiality
    • Appendix 4: GPhC in practice: guidance on consent
    • Appendix 5: GPhC in practice: guidance on raising concerns
    • Appendix 6: GPhC in practice: guidance on maintaining clear sexual boundaries
    • Appendix 7: GPhC guidance on provision of pharmacy services affected by religious and moral beliefs
    • Appendix 8: GPhC guidance on responding to complaints and concerns
    • Appendix 9: GPhC guidance for registered pharmacies preparing unlicensed medicines
    • Appendix 10: GPhC guidance for registered pharmacies providing pharmacy services at a distance, including on the internet 

MEP 42 MEP 42

The following new sections have been added to this year’s edition:

  • Supply of adrenaline autoinjectors to schools
  • Making things right when there's been a dispensing error
  • The Responsible Pharmacist

Significant revisions have also been made to the following sections based on member feedback, changes to legislation, standards, and policy developments etc:

  • Patient or person-centred healthcare
  • Medicines optimisation and pharmaceutical care
  • Professionalism and professional judgement
  • The pharmacist consultation in practice
  • Getting the culture right
  • Professional development: Revised text for CPD, faculty, foundation and leadership
  • Oral emergency contraceptives as pharmacy medicnes
  • Cough and cold medicines for children
  • Reclassified medicines
  • Supply of naloxone
  • Dispensing valporate for girls and women
  • Multi-compartmental compliance aids
  • Professional standards
  • Pharmacist Support
  • Appendix 3
  • Appendix 4
  • Appendix 7

What's not covered by the MEP What's not covered by the MEP

Human A-Z list of medicines

 

Limited use in day-to-day practice as information is available by marketing authorisation on the packaging of the medicine.
Lists are not exhaustive and information exists elsewhere

 

A PDF copy of the A-Z list as it was in 2010 is available here.
BNF: CD schedule information and partial classification for medicines within formulary
MHRA: Rama XL resource. Commercial access to comprehensive MHRA sentinel database. Available under subscription 
Other: C&D price list, OTC directories, Summary of Product characteristics database, Home Office list of Controlled Drugs

Lists derived from medicines legislation
e.g. 
wholesale lists
conditions under which smallpox vaccine can be administered

 

Reproduction of legislation and lists from legislation is not a core role of a professional body.
Some lists are of little relevance to daily practice
Alternative sources of information are available.

 

Human Medicines Regulations 2012
Dale and Appelbe’s Pharmacy and Medicines Law. 11th edition. 2017

CHIP or COSSH regulations

 

Comprehensive alternative source of information available

 

Comprehensive information available from the Health and Safety Executive.
http://www.hse.gov.uk/chip/
http://www.hse.gov.uk/coshh/

Denatured alcohol

 

Comprehensive alternative source of information available

 

Detailed information available in HMRC Notice 473
Dale and Appelbe’s Pharmacy and Medicines Law. 11th edition. 2017

Veterinary A-Z list of medicines

 

Reliable and robust alternative sources of information freely available

 

Veterinary Medicines Directorate product database
NOAH compendium database

Community pharmacy contractual frramework

 

Comprehensive alternative source of information available

 

England
Pharmaceutical Services Negotiating Committee (PSNC)
NHS Community Pharmacy Contractual Framework Service Development (England)
Wales
Community Pharmacy Wales
NHS Community Pharmacy Contractual Framework Service Development (Wales)
Scotland
Community Pharmacy Scotland

Specials/Unlicensed medicines

 

Comprehensive information available on RPS website and alternative sources

 

RPS:Professional guidance for the procurement and supply of Specials. December 2015.
RPS: Guidance for the prescribers of Specials. April 2016.
RPS: Advice/clarification on crushing tablets and opening capsules. June 2011. 
RPS: Information on pharmaceutical issues when crushing, opening or splitting oral dosage forms. June 2011
GPhC. Guidance for registered pharmacies preparing unlicensed medicines. See appendix 12 or www.pharmacyregulation.org

Health and safety

 

Comprehensive alternative source of information available

 

Health and Safety Executive
Dale and Appelbe's Pharmacy and Medicines Law. 11th edition. 2017

Clarifications and updates to edition 42 Clarifications and updates

Sorry, the following typographical errors have been identified in edition 42 of MEP 

  • Page 67, table 4, for Pharmacist independent prescriber under "Can prescribe Controlled Drugs (Schedule 2 to 5 on a prescription)" should read "Yes (but not cocaine, dipipanone or diamorphine for treating addiction). Address of prescriber must be within the UK unless prescribing Schedule 4 or 5 Controlled Drugs"
  • Page 90, second paragraph down should refer to Chapter 16 of Pharmacy and Medicines Law (11th edition, 2017) by Dale and Appelbe
  • Page 95, last paragraph "see (Date Diagram 13)" should read "see (Date Diagram 12)"
  • Page 97, table 13, Type of form for England should be "FP10PCD" and not "FP10CDF" as printed; and Type of form for Wales should be "WP10PCD" and not "WP10CDF" as printed
  • Page 102, misprint "PATIENT RETURNED CONTROLLED DRUG EXPIRED/OBSOLETE/UNWANTED STOCK" should read "EXPIRED/OBSOLETE/UNWANTED STOCK"



Details
   

Purchasing MEP

If you’re not eligible to be a member of the Society but are interested in purchasing a copy of MEP, you can do so by visiting the Pharmaceutical Press website.

Buy MEP 42

 

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