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When a patient is seen privately by a specialist or GP for a single episode of care, any short term medication required should be paid for by the patient as part of that package of care. Prescriptions for acute items as a result of a private consultation should be obtained from the pharmacy, not given to your GP. 

If a private consultation identifies a long term condition or a need for medication which is available as routine NHS treatment this should be provided as such by the patient's usual GP. This applies whether the referral was by an NHS doctor or the patient self-referred. However the NHS doctor would only be obliged to prescribe in line with NHS or local policy/formulary. 

There is no obligation on behalf of the GP to prescribe the recommended treatment if it is contrary to his/her normal clinical practice. The consultant’s advice on choice of treatment is advisory and the GP may choose to prescribe an alternative product bearing in mind national and local guidance/formulary.

If the GP deems the ongoing supply of medication to be clinically appropriate/necessary it should be prescribed in accordance with local policy/formulary as appropriate. If the recommendation does not follow local guidance/formulary, the GP can substitute the drug with a clinically appropriate alternative.

The patient should be advised to contact their CCG for further details.


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