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A GP hands a patient a prescription across his surgery desk
NHS Innovations South East

Welcome to Clinical Indications

Three or Four Words That Explain a Prescription

Clinical indications are a combination of three or four words that can be used on a prescription to describe the effect on the patient of a particular drug.

This site exists to promote the use of clinical indications with the goal of seeing them widely used.

Enhancing Care

Why each drug is prescribed

Increasing Safety

Essential safety information

Empowering Patients

A reason for every medicine

In short

Clinical indications are three or four words added to a prescription to say what the medicine is for, such as atenolol “to prevent migraine”. They help patients, carers and health staff understand each medicine and can carry key safety messages, and the GMC’s prescribing guidance advises prescribers to consider including them.

The evidence
so far

3–4

Words added to a prescription

640

Million prescriptions given out each year (2004)

93%

Average statin compliance in the practice study

100%

Repeat scripts labelled in the August 2004 audit

How it works

A Simple Change in
Prescription Writing

Indication labelling is now possible due to the computer infrastructure that already exists and uses the existing computerised prescription pad. Patients do not need to have any computer knowledge or IT skills to access the benefits of this communication.

A few extra words are simply added to their prescription to enhance communication.

01

Explain the reason

The reason for the drug is explained, for example Atenolol ‘to prevent migraine’.

02

Avoid confusion

Many elderly people are on over ten different medications and it is easy for them to become confused about what each medicine is for.

03

Add safety messages

Key safety messages can be added to the specific prescription.

04

Empower patients

They know why they are on specific medicine. “It enables me to be in control of my own health”.

Why use clinical indications

A Simple and Direct Way to Communicate About Medicines

Enhancing Care

Clinical Indications allows all Healthcare staff to understand why drugs are being prescribed. Thus the health team can reinforce prescribing indication and drug compliance.

Increasing Safety

Clinical Indications clarifies need for specific medication use and adds essential safety information. Drug prescribing indication is a valuable risk assessment tool as it helps the prescriber balance risk and benefit of the medication.

Empowering Patients

Clinical Indications provides simple explanations of the reason for each prescription. This benefits patients who are on numerous medications. Carers can quickly identify important drugs and reassure confused vulnerable patients.

A prescriber writing on a prescription form

General Medical Council guidance

Endorsed for All
Medical Prescribers

The General Medical Council’s prescribing guidance for doctors, Good practice in proposing, prescribing, providing and managing medicines and devices (in effect since April 2021), advises: “As well, you should consider including clinical indications on your prescriptions.” It is paragraph 13, in the section Keeping up to date and ensuring safe prescribing, and the guidance links to this website.

The GMC’s 2013 prescribing guidance gave the same advice.

Read what the guidance says, in full.

“As well, you should consider including clinical indications on your prescriptions.”

GMC · Keeping up to date and ensuring safe prescribing, paragraph 13

Questions about clinical indications

A combination of three or four words used on a prescription to describe the effect of the medicine on the patient, for example atenolol ‘to prevent migraine’. See what a clinical indication is, with more examples.

No. Indication labelling uses the existing computerised prescription pad, so patients do not need any computer knowledge or IT skills. A few extra words are simply added to their prescription.

They let all healthcare staff understand why a drug is being prescribed, add essential safety information, and give patients a simple explanation of the reason for each prescription. Carers can quickly identify important drugs.

Its prescribing guidance, in effect since April 2021, advises: “As well, you should consider including clinical indications on your prescriptions.” It is paragraph 13, and the guidance links to this website. Read what the guidance says.

Next step

See what a clinical indication looks like for common medicines.

Read what a clinical indication is, with examples, or search the Sample Directory for the wording used for several hundred commonly prescribed medicines.

Dr Nigel Masters with a patient at Highfield Surgery

Get in touch

Have a Question About
Clinical Indications?

If you have a question that is not adequately answered elsewhere on the site please contact us and we will do our best to answer it.