{"id":17744,"date":"2023-12-12T15:10:05","date_gmt":"2023-12-12T15:10:05","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=17744"},"modified":"2024-07-12T09:46:00","modified_gmt":"2024-07-12T08:46:00","slug":"east-lothian-ctacs-for-b12-injections","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/community-treatment-and-care-services-ctacs\/east-lothian-ctacs\/east-lothian-ctacs-for-b12-injections\/","title":{"rendered":"East Lothian CTACS for B12 injections"},"content":{"rendered":"\n<p><strong>GP referral process to East Lothian CTACS for patients commencing B12 injections:-<\/strong><\/p>\n\n\n\n<p>1.\u00a0\u00a0\u00a0\u00a0 \u00a0Confirm diagnosis and treatment are consistent with <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/haematology\/b12deficiency\/\" target=\"_blank\" rel=\"noreferrer noopener\">Refhelp B12 guidance<\/a> and patient is able to attend CTACS location for injections.<\/p>\n\n\n\n<p>2.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Prescribe B12 injections on GP clinical IT system:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>LOADING DOSES&nbsp;<\/strong>&#8211; should be on acute prescriptions followed by&nbsp;<\/li>\n\n\n\n<li><strong>LONG TERM THERAPY<\/strong>&nbsp;being added to repeat prescribing to ensure the nursing team can see the prescriptions on ECS.<\/li>\n<\/ul>\n\n\n\n<p>3.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Ensure prescription instructions are clear and include: name, strength and dose of medication, frequency (ideally in weeks) and method of administration (ie intramuscular)<\/p>\n\n\n\n<p>4.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Issue prescription to patient who will collect medication from community pharmacy.<\/p>\n\n\n\n<p>5.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Advise patient<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>To phone CTACS directly to book their first appointment;<\/li>\n\n\n\n<li>That they must bring medication with them to every CTACS appointment in its original package labelled by community pharmacist;<\/li>\n\n\n\n<li>That B12 will not be administered any earlier than prescribed frequency;<\/li>\n\n\n\n<li>CTACS will refer the patient back to the practice if prescribing instructions are not clear.<\/li>\n<\/ul>\n\n\n\n<p>6.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Ensure ongoing regular review of repeat prescription as clinically appropriate (usually annual review).<\/p>\n\n\n\n<p>7.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Ensure that B12 injections are removed from active \u2018repeat\u2019 list if medication is stopped, or administration instructions are changed, and a new prescription issued if frequency is changed.<\/p>\n\n\n\n<p>Please see the Resources and Links page for the full service specification.<\/p>\n\n\n\n<p><strong>11-04-24 C.M &amp; K.C<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary  Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/EL-CTACS-Service-Specification-Provision-of-IM-HydroxocobalaminV1final.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">EL-CTACS-Service-Specification-Provision-of-IM-HydroxocobalaminV1final.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>GP referral process to East Lothian CTACS for patients commencing B12 injections:- 1.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Confirm diagnosis and treatment are consistent with Refhelp B12 guidance and patient is able to attend CTACS location for injections. 2.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Prescribe B12 injections on GP clinical IT system: 3.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Ensure prescription instructions are clear and include: name, strength and dose of<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":14743,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1060],"class_list":["post-17744","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-east-lothian-ctacs-for-b12-injections"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-community-treatment-and-care-services-ctacs\/https-apps-nhslothian-scot-refhelp-east-lothian-ctacs-for-b12-injections\/\" rel=\"tag\">East Lothian CTACS for B12 injections<\/a>","rttpg_excerpt":"GP referral process to East Lothian CTACS for patients commencing B12 injections:- 1.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Confirm diagnosis and treatment are consistent with Refhelp B12 guidance and patient is able to attend CTACS location for injections. 2.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Prescribe B12 injections on GP clinical IT system: 3.&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Ensure prescription instructions are clear and include: name, strength and dose of","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17744","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=17744"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17744\/revisions"}],"predecessor-version":[{"id":20148,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17744\/revisions\/20148"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14743"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=17744"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=17744"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}