Screenshots taken on the RBAC Business Functions screen

The following is a description of the options available for surgeries to arrange for staff using RBAC. You would need to engage with the Registration Authority ("smartcard team") to amend existing or create new positions based on your needs.

Whether or not staff can cancel electronic prescriptions is a separate access right; so you can grant staff this no matter staff level of prescribing access.

Summary

• No prescribing rights
• Prescribing Support Staff (Basic) - Issue authorised Repeat Templates (within review date/max issues not met)
• Prescribing Support Staff (Advanced) - Issue & manage Acutes & Repeats (cannot sign)
• Prescribers - Manage and sign prescriptions

No prescribing rights

Don't give these user any of the RBAC Business Functions listed below.

• ❌ Cannot issue authorised Repeats Templates (if within Review Date/within Max Issues)  
• ❌ Cannot Create, Amend or Reauthorise Repeat Templates
• ❌ Cannot Prescribe or Re-prescribe Acutes.
• ❌ Cannot sign prescriptions
• Can be identified in SystmOne (without needing to check Care Identity Service/smartcard portal) as they do not have rights of 'Repeat Prescriber', ‘Repeat Reauthoriser’, ‘Independent Prescriber’ or ‘Digitally Sign Prescriptions’. 

Prescribing Support Staff – Basic

Issue in date Repeats Templates only

User requires Smartcard RBAC ‘Repeat Prescriber’ B0401 and must not have ‘Perform Prescription Preparation’ B0278.

• ✅ Can issue authorised Repeats Templates (if within Review Date/within Max Issues)  
• ❌ Cannot Create, Amend or Reauthorise Repeat Templates
• ❌ Cannot Prescribe or Re-prescribe Acutes.
• ❌ Cannot sign prescriptions
• Can be identified in SystmOne (without needing to check Care Identity Service/smartcard portal) as they do not have rights of ‘Repeat Reauthoriser’, ‘Independent Prescriber’ or ‘Digitally Sign Prescriptions’.

Prescribing Support Staff – Advanced

Act on behalf of clinicians

User requires Smartcard RBAC ‘Perform Prescription Preparation’ B0278

• ✅ Can issue authorised Repeats Templates (including if outside Review Date or Max Issues depending on wide system configuration)
• ✅ Can Create, Amend or Reauthorise Repeat Templates
• ✅ Can Prescribe or Re-prescribe Acutes (under instruction of a prescriber or following appropraite policies managed by prescribers)
• ❌ Cannot sign prescriptions
• Can be identified in SystmOne (without needing to check Care Identity Service/smartcard portal) as they do not have right ‘Digitally Sign Prescriptions’. i.e. They can prepare everything, but can’t actually sign.

ℹ️ The SystmOne Local Access Right 'Independent Prescriber - can prescribe as a GP, Nurse or Pharmacist prescriber' does not indicate the user is themselves an independent prescriber unless they also have 'Digitally Sign Prescriptions'.

Prescribers

Do what they want

User has Smartcard RBAC ‘Independent Prescriber’ B0420.

• ✅ Can issue authorised Repeats Templates (including if outside Review Date or Max Issues depending on wide system configuration) 
• ✅ Can Create, Amend or Reauthorise Repeat Templates
• ✅ Can Prescribe or Re-prescribe Acutes (under instruction of a prescriber or following appropraite policies managed by prescribers)
• ✅ Can sign prescriptions
• Can be identified in SystmOne (without needing to check Care Identity Service/smartcard portal) as they also have ‘Digitally Sign Prescriptions’ on their ‘Local Access Rights’.

Alternatively; there is a 'Supplementary Prescribing' option (B0440); however, this doesn't not change what a user can issue from a technical perspective compared to 'Independent Prescriber' (B0420) - supplementary prescriber limitations must be by policy.