We had our review meeting yesterday.

One of the issues which came up was a relatively high rate of prescribing by brand name, which is expensive. Unlike EMIS, the Adastra system does not automatically do a generic substitution. Please be careful when searching for a medication to do so by generic name rather than brand name unless you specifically need to prescribe that medication by brand.

Please also be careful about quantities of Tramadol, Gabapentin & Pregabalin. The EMIS link is now working and if you click the primary care record tab in Adastra, you can (with the patient's permission) see the GP record; this may help with prescribing of these medications.

We would be grateful if you could keep these matters in mind.