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This medicines practice guidance provides good practice information. This should underpin the decision-making and actions of radiographers who are annotated with the Health Professions Council (HPC) as supplementary prescribers.

This document is guidance. Guidance is information which a radiographer has a duty to consider and is expected to take into account as part of their decision making process. This document provides advice on the behaviours and conduct expected of radiographers who are annotated on the HPC register as a supplementary prescriber. Throughout this document, the use of the word ‘must’ indicates a legal and/or regulatory requirement and describes a mandatory action and/or behaviour. The use of the word ‘should’ indicates behaviours and/or actions that would be expected to occur in all normal circumstances.

If a radiographer supplementary prescriber deviates from the guidance in this document, the clinical judgement for so doing should be carefully recorded. You should comply with this and all other guidance issued by the Society and College of Radiographers (SCoR), and with any statutory requirements applicable to your prescribing practice. Failure to do so may put your HPC registration at risk if concerns are raised about your fitness to practise. A radiographer supplementary prescriber will be expected to justify any decision to act outside the terms of this guidance, and in particular if they undertake a course of action not recommended by this guidance there must be robust reasons for doing so.

The Department of Health provides guidance on supplementary prescribing which applies to England only. Although the legislation that permits the extension of prescribing responsibilities applies across the UK, it is for the devolved administrations in Scotland, Wales and Northern Ireland to decide whether and how it is implemented for the NHS in their countries.

For further information on the position in Scotland, Wales and Northern Ireland please refer to the following websites:

At the current time, prescribing is not permitted by radiographers outside of the UK and therefore a radiographer permitted to supplementary prescribe in the UK cannot perform this activity outside of UK jurisdiction.

Supplementary prescribing is defined as a voluntary prescribing partnership between an independent prescriber and a supplementary prescriber in order to implement an agreed patient-specific clinical management plan (CMP) with the patient's agreement.

Radiographers who are registered with the Health Professions Council (HPC) and have undergone and passed a validated course of education and training in prescribing are eligible to have their HPC entry annotated to describe their status as a supplementary prescriber.

This guidance document should be read in conjunction with:

plus any other pertinent documentation which may be subsequently published by the HPC or the SoR in relationship to supplementary prescribing by radiographers.

The HPC have indicated that they will be developing Standards for Prescribing for HPC registrants in the very near future.

Each section of this guidance carries equal weight and the document is not in any order of priority.

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