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Health Insurance (Approved Prescribing Practitioners - Midwives and Nurses) (Jersey) Order 2018

A formal published “Ministerial Decision” is required as a record of the decision of a Minister (or an Assistant Minister where they have delegated authority) as they exercise their responsibilities and powers.

Ministers are elected by the States Assembly and have legal responsibilities and powers as “corporation sole” under the States of Jersey Law 2005 by virtue of their office and in their areas of responsibility, including entering into agreements, and under any legislation conferring on them powers.

An accurate record of “Ministerial Decisions” is vital to effective governance, including:

  • demonstrating that good governance, and clear lines of accountability and authority, are in place around decisions-making – including the reasons and basis on which a decision is made, and the action required to implement a decision

  • providing a record of decisions and actions that will be available for examination by States Members, and Panels and Committees of the States Assembly; the public, organisations, and the media; and as a historical record and point of reference for the conduct of public affairs

Ministers are individually accountable to the States Assembly, including for the actions of the departments and agencies which discharge their responsibilities.

The Freedom of Information Law (Jersey) Law 2011 is used as a guide when determining what information is be published. While there is a presumption toward publication to support of transparency and accountability, detailed information may not be published if, for example, it would constitute a breach of data protection, or disclosure would prejudice commercial interest.

A decision made 23 April 2018:

Decision Reference: MD-S-2018-0033

Decision Summary Title :

DS_Make Approved Prescribing Practitioners Order

Date of Decision Summary:

18 April 2018

Decision Summary Author:

Policy Principal

Decision Summary:

Public or Exempt?

Public

Type of Report:

Oral or Written?

Written

Person Giving

Oral Report:

N/A

Written Report

Title :

WR­_ Make Approved Prescribing Practitioners

Date of Written Report:

18 April 2018

Written Report Author:

Policy Principal

Written Report :

Public or Exempt?

 

Public

Subject: The Health Insurance (Approved Prescribing Practitioners – Midwives and Nurses) (Jersey) Order 201-

Decision(s): The Minister made the Health Insurance (Approved Prescribing Practitioners – Midwives and Nurses) (Jersey) Order 2018

Reason(s) for Decision:  In July 2016 the Assembly approved amendments to the Health Insurance Law to create a new class of prescriber who may issue prescriptions funded by the Health Insurance Fund.    Prior to this amendment, the Health Insurance Law enabled only GPs (approved medical practitioners) and dentists (registered dentists) to issue HIF prescriptions.  The Minister has made this Order to enable nurse prescribers to prescribe at cost to the Health Insurance Fund, enabling patients (and their carers) to collect medicine from community pharmacy rather than the general hospital pharmacy.  This will improve convenience for patients while supporting wider primary care objectives which aim to enable practitioners to achieve the higher competencies of their role, offer improved service and increased patient choice.   

Consequential amendments have been made to the Health Insurance (Pharmaceutical Benefit) (General Provisions) (No. 2) Order 2002 in respect of the period of supply.

Resource Implications: Nurse prescribers will issue Pharmaceutical Benefit at cost to the Health Insurance Fund, however no significant increase in expenditure is anticipated.  Nurse prescribers in many instances will be prescribing in place of GPs.  In addition the experience from other jurisdictions suggests that cost may be reduced where specialist nurse prescribers are able to achieve a high standard of medicines management, reducing duplication and medicines waste.  

Action required: Policy Principal to notify the Greffier of the States and the Law Draftsman that the Order has been made so that it may be notified to the States, and forward the signed and sealed Order immediately to the States Greffe for publication and archiving. 

Signature:

 

 

Position:

Minister

 

Date Signed:

 

 

Date of Decision (If different from Date Signed):

 

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