Notes for Nurse Practitioner PBS Items

Page last updated: 6 October 2010

The Pharmaceutical Benefits Advisory Committee (PBAC) is responsible for making recommendations regarding medicines for prescribing by authorised nurse practitioners.

Further to prescribing within collaborative arrangements, certain medicines also have additional conditions when prescribed by nurse practitioners, as recommended by the PBAC. These medicines are identified by the codes ‘SCM’ for prescribing within a shared care model or ‘CTO’ for continuation therapy only. The text of the notes is provided below.

Shared Care Model (SCM)

For prescribing by nurse practitioners where care of a patient is shared between a nurse practitioner and medical practitioner in a formalised arrangement with an agreed management plan. Further information can be found in the Explanatory Notes for Nurse Practitioners.

Continuing Therapy Only (CTO)

For prescribing by nurse practitioners as continuing therapy only, where the treatment of, and prescribing of medicine for, a patient has been initiated by a medical practitioner. Further information can be found in the Explanatory Notes for Nurse Practitioners.

Implementation

The notes, referred to as a ‘SCM’ or ‘CTO’ note have been applied to 520 PBS items (as of November 2010). The note has been added to the data in the G2B xml data file. The notes will also be displayed with all applicable items in both the PDF and on-line versions of the PBS schedule. The notes will be listed as notes under the headings “Shared Care Model” and “Continuing Therapy Only”.

In the G2B xml, the notes have been added to the applicable items as a ‘pbs-note-code’ in the following format:

<pbs:note> <pbs:code>SCM</pbs:code> <db:para>For prescribing by nurse practitioners where care of a patient is shared between a nurse practitioner and medical practitioner in a formalised arrangement with an agreed management plan. Further information can be found in the Explanatory Notes for Nurse Practitioners.</db:para> </pbs:note>
<pbs:note> <pbs:code>CTO</pbs:code> <db:para>For prescribing by nurse practitioners as continuing therapy only, where the treatment of, and prescribing of medicine for, a patient has been initiated by a medical practitioner. Further information can be found in the Explanatory Notes for Nurse Practitioners.</db:para> </pbs:note>

There is no change required to the current PBS XML Schema v1.7pl2.