PT - JOURNAL ARTICLE AU - Amanda Henry AU - Emma Forster AU - Nicholas Bell AU - Kathryn Bateman TI - Implementation of non-medical prescribing within the clinical cystic fibrosis setting DP - 2014 Sep 01 TA - European Respiratory Journal PG - P4276 VI - 44 IP - Suppl 58 4099 - http://erj.ersjournals.com/content/44/Suppl_58/P4276.short 4100 - http://erj.ersjournals.com/content/44/Suppl_58/P4276.full SO - Eur Respir J2014 Sep 01; 44 AB - Introduction: Non-medical prescribing (NMP) aims to provide patients with quicker and more efficient access to medicines by making the best use of the clinical skills of eligible professionals. 2 specialist physiotherapists in our Cystic Fibrosis (CF) centre are qualified as NMP supplementary prescribers.Objectives: To develop and establish a role for NMP within the adult CF team, with initial implementation through a physiotherapy led inhaled therapy service.Method: A weekly inhaled therapy clinic run solely by the physiotherapists was set up for first dose trials of inhaled antibiotics and mucolytics. Protocols were written for each drug and referral criteria set. All prescriptions were written by the NMP physiotherapists. Patients were followed up at 1 and 3 months post trial to assess tolerability and adherence. Patient and clinician feedback is being collected.Results: Over 12 months, there were 275 trial referrals and corresponding appointments given to 121 patients. 14 patients did not attend. 10 different drugs were trialled (n=194 dry powder inhaled antibiotics, 16 nebulised antibiotics, 65 mucolytics). 6 patients failed the first dose trial and 14 stopped the drug by 1 month review (not tolerated=12, adherence= 2). Initial patient and clinician satisfaction with the service is high.Conclusion: The NMP inhaled therapy clinic has streamlined the process for assessment of new inhaled medications enabling patients to start the drugs promptly. Close follow up of tolerance and adherence to the medication prevents unnecessary prescribing. The NMP role by Physiotherapists is now being further developed through implementation on the wards, in clinic and in the community settings.