1. Nurse Practitioner Prescribing Mental Health, Alcohol & Drugs Nurse Practitioner Collaborative Matthew McCrone Chief Officer, Drugs & Poisons Regulation Heidelberg Repatriation Hospital 17 September 2010

2. Legislative basis Section 13(1) of Drugs, Poisons & Controlled Substances Act 1981 authorises who can obtain, possess, use, sell or supply Schedule 1 to 9. Regulation 5 specifies who is authorised to possess Shedule 4, 8 & 9. Section 14A allows the Minister to approve the list of drugs for each category Section 14A(2) allows for lists to be expressed in a number of ways

3. Guidelines for Submissions Guidelines for Registration Boards: 1.Purpose of submission 2.Legislative requirements 3.Justification

4. Guidelines for Submissions Guidelines for Registration Boards: 4. Training 5. Administrative process for endorsement 6. Practice monitoring arrangements 7. Consultation

5. DH process for managing submission Registration Board makes submission for drug formulary approval or modification Minister/ Secretary receives submission from Registration Board Responsible DH Program area organises receipt of submission & advises HPDAC of request Initial review of submission against DH criteria undertaken by responsible program area Criteria Met? Request for additional information Submission & Documentation forwarded to Chair, HPDAC HPDAC convened to review submission including relevant DHS program area & makes recommendation Responsible Program area: 1. Briefs Minister/ Secretary & advises of HPDAC recommendation 2. Prepares letter from Minister/ Secretary to advise Board of outcome Responsible Program area: 1. Organises posting of formularies or changes to formularies in Victorian Government Gazette 2. Arranges for posting of formularies on DPRG website Minister/ Secretary approved submission? Yes No Criteria being developed

6. NP Categories from 1 July 2010 NMBA category for notation of Victorian NPs on national register # Previous NBV categories for NP endorsement Aged care Maternity care Perioperative care Mental HealthMental health Drug & Alcohol* Critical Care Emergency Paediatrics Neonatal care Primary CareCommunity health Rural & remote Family Health Drug & Alcohol* Acute & Supportive care Pain Management Gastroenterology Haematology/Oncology Ophthalmology Renal Diabetes Neurological Care Palliative Care Wound management

7. Important web resources DPRG http://www.health.vic.gov.au/dpu/prescriber/nurse.htm - has NP categories & lists – has links to poisons schedules, legislation – has guide to DPCS Regulations NP Central http://www.health.vic.gov.au/nursing/furthering/practitioner - ‘your first stop for NP updates and information’ - has links to DPRG and lists - links to NMBA docs etc

8. DPRG Website

9. NP Central Website