Prescribing for friends and family - when caring crosses a professional line.

Situation

I’m a GP. As I prepare for a family holiday to a remote part of the UK, I have considered taking my NHS prescription pad with me in case a family member becomes unwell and requires medication.  

I feel that this would be more convenient and quicker than seeking local medical care, particularly as I anticipate that out-of-hours services may be limited in the area.  

My intention is to act in the best interests of my family while also reducing potential demand on already stretched local healthcare resources.  

Regulatory advice

According to the General Medical Council (GMC) guidance on Good practice in prescribing and managing medicines and devices: 

“You must only prescribe drugs when you have adequate knowledge of the patient’s health and are satisfied that the drugs serve the patient’s needs.” 

“Wherever possible, you must avoid prescribing for yourself or those close to you.” 

Additionally, the GMC advises that: 

“Prescribing for family or friends should only occur in exceptional circumstances, such as emergencies where no other doctor is available.” 

“Doctors must not use NHS resources (e.g., prescription pads) for private or non-NHS purposes.”  

MDDUS advice

While we understand the doctor feels he is acting within the best interests of everyone, we would advise against this as it could breach regulatory guidance, put your professional conduct at risk by breaching patient-doctor relationships, and without the presence of a full medical history, it may be difficult to prescribe or treat the family member appropriately.  

In emergency situations, it may be justified to offer urgent treatment to a family member. We would recommend keeping a clear and detailed documentation of any decisions or treatments given where possible and seek local medical help as soon as is practical.

While not drawn from a real case, this hypothetical example represents a situation that could arise.