Trust the Evidence

Trust the Evidence

Christmas Tales from the Frontline

The bureaucratic maze

Carl Heneghan's avatar
Carl Heneghan
Dec 27, 2025
∙ Paid

“I need some of the preservative-free eye drops - I’ve tried every pharmacy, and there’s a national shortage,” I say. “The issue is this lady has to put them in every hour, and she was seen by a casualty doctor who gave her the drops and a prescription to complete the course”

“Do you have any in stock?” I ask.

“Just hold the line,” says the hospital pharmacist

“Hello, yes we do have the ones you need in stock,” comes the reply.

Excellent. If I write an FP10 prescription, can the woman pick it up today?

“Just one problem, you’re not a hospital doctor,” says the pharmacist.

“You mean, despite being an NHS urgent care doctor, I can’t get her the drugs she needs because the hospital won’t allow it.”

“Yes, that’s correct. You’ll have to try and get her a hospital doctor to prescribe it.”

Share Trust the Evidence

Prescriptions issued by non-hospital doctors are still legally valid. This means hospital pharmacies may dispense medications prescribed by any licensed physician, although some may limit dispensing to inpatients…

User's avatar

Continue reading this post for free, courtesy of Carl Heneghan.

Or purchase a paid subscription.
© 2026 Carl Heneghan · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture