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Medicinal products prescribing

Home News & Events Latest News Medicinal products prescribing
December 21, 2016

NMBI requirement and notification for annual and biannual collaborative practice agreement review ceases.

NMBI requirement and notification for annual and biannual collaborative practice agreement review ceases.

The Nursing and Midwifery Board of Ireland (NMBI) and the Office of the Nursing and Midwifery Services Director (ONMSD), Health Service Executive (HSE), undertook a review of nurse midwife prescribing systems and processes in 2015. The aim was to review the existing regulatory and implementation systems and processes in place to support nurse and midwife medicinal product prescribing. This review culminated in a Report on the Nurse and Midwife Medicinal Product Prescribing Review of Existing Systems and Processes (NMBI and ONMSD, 2015). The report contains twelve recommendations approved by the Board of the NMBI and the Interim Nursing and Midwifery Services Director, HSE.

Recommendation 2 of the review states: The governance for the on-going review of RNP prescribing practices should be managed through local health service provider policy as directed by the NMBI and HSE. NMBI will continue to require the RNP to attest to having a valid CPA, in the short term through individual communication, and subsequently linked to the Annual Retention Notification, and in the future through the NMBI continued competency scheme for nurses and midwives. The NMBI requirement and notification for annual and biannual CPA review will cease.

The collaborative practice agreement (CPA) annual and biannual renewal notification system ceased on 2 December 2016 . Therefore, an RNP's current CPA remains valid and will continue to be noted as such on the NMBI registration system unless the RNP has notified NMBI of their CPA termination. 

A CPA is considered null and void on the termination/movement of employment for which the CPA is originally intended. CPAs should be terminated immediately if the Registered Nurse Prescriber (RNP) or Collaborating Medical Practitioner no longer has an active unrestricted registration.

If a nurse/midwife is no longer practising as a RNP they are required to inform the NMBI Registration Department of their termination of prescriptive authority by completing and submitting the Termination of Collaborative Practice Agreement Form

RNPs wishing to recommence prescribing after terminating their CPA must develop a new CPA and notify the NMBI Registration Department of this by completing the Recommencement of Collaborative Practice Agreement Form.

Please visit our website  to view the following:

  • Report on the Nurse and Midwife Medicinal Product Prescribing Review of Existing Systems and Processes (NMBI and ONMSD, 2015)
  • Collaborative Practice Agreement  Guidance for Nurses and Midwives With Prescriptive Authority (NMBI, 4th Edition, 2016)
  • Collaborative Practice Agreement Form
  • Nurse Prescriber Registration Form
  • Termination of Collaborative Practice Agreement Form
  • Recommencement of Collaborative Practice Agreement Form

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