Remote Prescribing Services for GP Practices and PCNs
Increase prescribing capacity and reduce medicines-related workload with a fully managed remote prescribing service built around your practice or PCN.
The Medicines Management Team (TMMT) provides dedicated prescribing pharmacists who work within your existing systems and workflows. From medication requests and prescription queries to medication reviews, long-term condition reviews and medicines optimisation, our pharmacists can take ownership of a wide range of work without routinely passing prescriptions back to a GP for signing.
Unlike services that simply provide a pharmacist to work remotely, we manage the recruitment, training, clinical supervision and performance of our team, giving you additional capacity without adding to your management burden.
GP Practices
PCNs
Clinical Pharmacist Hours
Medication Reviews
What Can Our Remote Prescribers Do?
Remote prescribing can be tailored to the work your practice or PCN needs completed. Because our prescribing pharmacists can undertake the wider work of a clinical pharmacist as well as prescribe within their competence, their role can extend far beyond processing and signing prescriptions.
Prescription & Medication Requests
Our pharmacists can manage day-to-day prescribing workloads including:
- Acute and repeat medication requests
- Prescription reauthorisations
- Medication and prescribing queries
- Alternative item requests where medicines are out of stock
- Requests from other healthcare professionals
- Patient and community pharmacy queries
- Appropriate prescription issuing and signing
Suitable requests can therefore be managed from initial review through to prescription, reducing the need to send work back to a GP or another prescriber for completion.
Medication Reviews & Long-Term Conditions
Our remote prescribers can also undertake patient-facing clinical work, including:
- Structured Medication Reviews (SMRs)
- General medication and polypharmacy reviews
- Hypertension and lipid optimisation
- Asthma and COPD reviews
- Diabetes reviews
- Heart failure and CKD reviews
- AF and DOAC reviews
- Serious Mental Illness (SMI) reviews
- Chronic Complex Mental Illness (CCMI) reviews
- Dementia reviews
- Mental health medication reviews
- QRISK assessment, statin initiation and follow-up
- And other medication and long-term condition reviews
Where something falls outside the pharmacist’s agreed scope or requires GP assessment, it can be escalated through an agreed pathway.
How Our Remote Prescribing Service Works
There isn’t one remote prescribing workflow that suits every practice. We start by understanding the work you need completed, then build the service around your existing team, systems and priorities.
1. Agree the Work
We identify what you want our pharmacists to take responsibility for. This could be routine medication requests, patient-facing reviews, a specific prescribing project or a combination of workstreams.
We then agree the scope, capacity, appointment lengths where relevant and clear escalation processes.
2. Build the Workflow
We structure delivery around the work, from shorter task-based workflows for medication requests to longer appointments for clinical reviews.
We can also establish booking processes and dedicated ledgers to minimise unused clinical time and failed contacts.
3. Integrate With Your Systems
Your dedicated pharmacist works remotely within your existing clinical systems, including EMIS or SystmOne, and follows the workflows agreed with your team.
Where required, our clinicians can also work with supporting platforms such as Accurx, PATCHS and Blinx.
4. Monitor & Improve
We monitor activity, quality and efficiency once the service is running, adapting capacity and workflows as your needs change.
We can also share proven ways of working from our experience supporting hundreds of practices.
A Dedicated Prescriber, Supported by a Managed Clinical Team
Remote shouldn’t mean disconnected.
Wherever possible, we allocate a dedicated pharmacist or small team to your practice or PCN. This allows them to learn your systems, understand your workflows and build relationships with GPs, practice managers and the wider multidisciplinary team.
Remote for Your Practice. Face-to-Face for Our Team.
Our clinicians don’t simply work independently from home without day-to-day support.
New clinicians spend time working face-to-face within TMMT-managed hubs alongside our clinical and management teams. They remain hub-based while completing in-house clinical and systems training and until they have demonstrated the required competency and been formally signed off.
Once signed off, clinicians continue to attend the hub several times each month and receive:
- Monthly clinical training
- Weekly clinical updates
- Access to an active clinical queries group
- Support from senior pharmacists, GPs and Advanced Clinical Practitioners
- IT, operational and HR support
TMMT also manages clinical supervision, performance monitoring, reviews, appraisals and ongoing training. For your practice, that means access to remote clinical capacity without being left to train, supervise and performance-manage an external pharmacist yourself.
Rather than distributing your work across a changing pool of pharmacists, the aim is for your clinician to become an established part of your service. Additional trained clinicians can also be given appropriate access to provide cover during sickness, maternity leave or other absence.
Why Choose TMMT for Remote Prescribing?
Our managed model is designed to give practices and PCNs the flexibility of remote prescribing while addressing many of the concerns associated with remote clinical provision.
Reduce GP Prescribing Workload
Our prescribing pharmacists can assess appropriate requests and issue prescriptions themselves, so suitable work doesn’t routinely need to return to a GP simply for signing.
Get More from Your Clinical Capacity
Working at scale has allowed us to develop efficient workflows for common medicines-related tasks. Depending on the workstream, these processes can deliver up to 50% greater efficiency, helping practices complete more appropriate activity within the available clinical time.
Reduce Recruitment & Management Pressures
We manage recruitment, onboarding, training, competency assessment, performance reviews and appraisals rather than expecting your practice to manage the remote clinician.
No Additional Practice Space Required
Our pharmacists work remotely using TMMT-provided infrastructure and equipment, with no need for another desk, consultation room or workspace within your practice.
Build Workforce Resilience
Cover arrangements can help maintain continuity during sickness, maternity leave and other absences without leaving the practice to source replacement capacity at short notice.
Flexible Support for Your Practice or PCN
Remote prescribing doesn’t have to mean committing to one fixed service model.
TMMT can provide:
- Ongoing prescribing capacity – dedicated support integrated into your existing team.
- Additional team capacity – supplement your existing GPs, pharmacists, pharmacy technicians or wider MDT.
- Sickness, maternity and absence cover – maintain capacity during temporary staffing gaps.
- Backlog support – target outstanding medication reviews, prescription work or other agreed activity.
- Project support – deliver defined work such as SMR programmes, SGLT2 switches, medicines optimisation projects, PCN targets or prescribing efficiency programmes.
Support can be structured around agreed capacity, workload or outcomes, with our standard contracts including a three-month notice period.
Remote Prescribing in Practice
Releasing GP Capacity Through Advanced Clinical Pharmacist Support
In one GP practice, an Advanced Clinical Pharmacist took responsibility for prescribing and medicines-related work that had previously required significant GP capacity.
The pharmacist supported acute and repeat medication requests, prescription reauthorisations, medication reviews, long-term condition reviews and medicines-related triage.
Because appropriate work could be reviewed and prescribed within the pharmacist’s own scope of competence, it didn’t routinely need to return to a GP for prescription signing.
The Results
The service replaced the equivalent of approximately 0.75 WTE of GP workload, creating additional GP capacity while maintaining medicines-related support for patients.
Routine appointment waiting times reduced from approximately three weeks to under two weeks.
Remote Prescribing FAQs
Could Remote Prescribing Help Your Practice or PCN?
Whether you need help managing medication requests, more capacity for patient reviews, support with a prescribing backlog or simply want to release more GP time, we’ll build the service around the work you need completed.
Tell us where the pressure is and we’ll discuss your existing workload, workflows and priorities before recommending an appropriate remote prescribing model.