This Order may be cited as the Medicines (Exemptions and Miscellaneous Amendments) Order 2009 and shall come into force on 21st December 2009.

In this Order—

• “the Act” means the Medicines Act 1968;

• “clinical management plan” means a written plan (which may be amended from time to time) relating to the treatment of an individual patient agreed by—

  1. a

     the patient to whom the plan relates;

  2. b

     the doctor or dentist who is a party to the plan, and

  3. c

     any supplementary prescriber who is to prescribe, give directions for administration or administer under the plan;

• “medicinal product” includes any article or substance in respect of which section 130(1)4 of the Act (meaning of “medicinal product” and related expressions) has effect;

• “mixing of medicines” means the combining of two or more medicinal products together for the purposes of administering them to meet the needs of a particular patient;

• “nurse independent prescriber” means a person (“N”)—

  1. a

     who is a registered nurse or a registered midwife, and

  2. b

     against whose name is recorded in the professional register an annotation signifying that N is qualified to order drugs, medicines and appliances as a nurse independent prescriber or a nurse independent/supplementary prescriber;

• “pharmacist independent prescriber” means a person (“P”)—

  1. a

     who is a pharmacist, and

  2. b

     against whose name is recorded in the relevant register an annotation signifying that P is qualified to order drugs, medicines and appliances as a pharmacist independent prescriber;

• “the Pharmacy and General Sale Order” means the Medicines (Pharmacy and General Sale – Exemption) Order 19805;

• “the POM Order” means the Prescription Only Medicines (Human Use) Order 19976;

• “supplementary prescriber” means a person (“S”) who is a—

  1. a

     a registered nurse;

  2. b

     a pharmacist;

  3. c

     a registered midwife;

  4. d

     a person whose name is registered in the part of the register maintained by the Health Professions Council in pursuance of article 5 of the Health Professions Order 20017 relating to—

     1. i

        chiropodists and podiatrists;

     2. ii

        physiotherapists;

     3. iii

        radiographers: diagnostic or therapeutic,

  5. e

     a registered optometrist,

against whose name is recorded in the relevant register an annotation or entry signifying that S is qualified to order drugs, medicines and appliances as a supplementary prescriber or, in the case of a nurse or midwife, as a nurse independent/supplementary prescriber.