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The Drug and Therapeutics Committee plays a critical role in the evaluation of the evidence surrounding a new medicine that is being considered for use within the Trust. This committee has significant support from senior pharmacy and medical staff and it often has the power to review local processes, documentation and systems. As far as radiography is concerned, this committee can have a direct impact on practice. Of aspects such as efficacy andor cost implications, and could therefore replace one medicine with another. If radiographers are using the old medicine as part of a PGD then that PGD would need urgent updating.

In limited formulary of dressings, appliances and some medicines until extended formulary nurse prescribing was introduced in from the nurse prescribers extended formulary, which included treatment for minor ailments, minor injuries, health promotion and palliative care. This formulary was gradually expanded over the next few years and listed in the British National Formulary. Meanwhile, in for the Department of Health recommended two types of prescriber: the independent prescriber who would be responsible for assessment of patients with undiagnosed conditions and for decisions about clinical management required, including prescription; the dependent prescriber who would be responsible for the continuing care of patients already assessed by the independent prescriber, which may include prescribing. Over the next few years, following the Health and Social Care Act prescribing by nurses and pharmacists was introduced.