Clozapine is rarely prescribed in primary care and is usually a hospital supplied medicine, and as a result can be missing from the patient's electronic record at their GP surgery. This presents a number of well acknowledged clinical implications and risks. This area was identified as a workstream under our South East London Area Prescribing Committee's (SEL APC) annual work plan following presentation of an audit to the SEL APC in January 2019. Our local mental health Trusts in SEL and CCGs worked collaboratively to address how recording of patients on clozapine in primary care could be improved. Here we report on the early stage results from this initiative.
The boroughs of SEL are served by two mental health trusts, Oxleas and South London and Maudsley (SLAM). The primary outcome measure of our project was to ensure that each patient prescribed clozapine by Oxleas and SLAM has clozapine documented on their electronic record at their GP surgery. Two separate methods were used at each mental health Trust to achieve the same outcome measure.
