What monitoring is carried out by (a) GP practices and (b) pharmacists regarding cases of suspected addiction to painkillers.

GP practice records show lists of acute and repeat prescribed medication lists during consultations with quantities of medication prescribed. Over ordering of repeat medication (or repeated consultations for acute prescriptions) are therefore visible on the acute and repeat prescribing sections of the medical records. It is therefore possible to add minimum days before reordering of monthly repeat medications to help prevent medication being ordered early or alert future prescribers to the potential for suspected addiction. ‘Special notes’ can be added or alerts to the patient record in daytime practice to inform prescribers of previous medication seeking behaviour or suspected addiction to pain medication. This information can be added to the patients ‘Special notes’ to be visible to Out of Hours services. Scottish Government is developing tools to accurately display prescribing habits to clinicians during consultations in order to help identify medication (including analgesic) over/under use.