SafeScript for patients and families

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Prescription medicines are essential.

They can provide relief after surgery.

They can treat back pain.

As well as anxiety and sleep disorders.

But some are dangerously addictive.

Prescription medicines kill more Victorians than the road toll.

That's why the Victorian Government is introducing SafeScript.

A new system to help you stay on the safe side.

To find out more, search SafeScript.

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AuthorisedbytheVictorianGovernment,Melbourne.

The increasing harms from certain high-risk prescription medicines such as opioids and benzodiazepines are a major public health concern.

Individuals can develop dependence on these medicines, even when they are taken short-term for conditions like pain or anxiety.

In 2017, there were 414 Victorian drug overdose deaths involving pharmaceutical medicines; higher than the number of overdose deaths involving illicit drugs (271), and higher than the road toll (258).

Prescription medicines that are causing the greatest harm to the Victorian community are monitored through SafeScript.

These medicines have been recommended based on the latest international and local research and include:

• strong prescription painkillers such as morphine (brand names include Kapanol) and oxycodone (brand names include OxyContin and Endone)
• all benzodiazepines (brand names include Valium)
• zolpidem or zopiclone sleeping tablets (brand names include Stilnox and Imovane)
• quetiapine (brand names include Seroquel)
• codeine-containing prescription painkillers (brand names include Panadeine Forte).
• tramadol (brand names include Zydol, Tramal)
• pregabalin and gabapentin (brand names include Lyrica (pregabalin) and Neurontin (gabapentin)

Doctors, nurse practitioners and pharmacists who are involved in your care may view information about your prescription history in SafeScript to ensure the supply of prescription medicines is safe for you.

Authorised Department of Health and Human Services officers also access SafeScript as part of their regulatory role in ensuring the safe supply of medicines in the community.

SafeScript does not instruct your doctor or pharmacist on what to do or decide whether a medicine should or should not be prescribed to you. This clinical decision remains with your doctor or pharmacist to determine whether the medicines prescribed to you remain the safest and best option for your medical needs.

If you have been receiving the same medicines, or unsafe combinations, from more than one doctor without each doctor knowing, you could be at risk of harm. Your doctor may consider changes for your safety which might include better coordination of care, safely adjusting your medicine doses or recommending alternative approaches to managing issues such as pain, anxiety or insomnia.

As part of the roll out of SafeScript, comprehensive training has been made available to doctors and pharmacists on how to use the system, the safer prescribing and dispensing of high-risk medicines as well as respectfully responding to the needs of patients. This training will give your doctor and pharmacist the confidence and skills to continue to provide you with the safest and most appropriate level of ongoing care.

Your doctor can also access the SafeScript GP Clinical Advisory Service for additional support and advice from addiction medicine specialists and specially trained GPs in pain, anxiety and mental health conditions. This service can assist your GP in ensuring that you continue to receive the safest and most appropriate ongoing care for your medical needs.

In addition, all medical clinics and pharmacies were provided an information pack at the start of the roll out of SafeScript to help prepare and set up the system in their practice.

Doctors, nurse practitioners and pharmacists who are involved in your care are authorised under law to access information about your prescription history in SafeScript, without your express permission, for the purpose of ensuring your safety when prescribing or dispensing high-risk prescription medicines.

From April 2020 it will be mandatory for your doctor, nurse practitioner or pharmacist to check SafeScript before prescribing or dispensing a monitored medicine.

There are offences and strict penalties under the Drugs, Poisons and Controlled Substances Act 1981 for improper or unauthorised use of SafeScript.

A log is created each time your details are viewed in SafeScript and this is monitored by the Department of Health and Human Services. If inappropriate use is detected, penalties will apply under Victorian law and the matter may be referred to the Medical or Pharmacy Board for investigation and possible disciplinary action.

Health professionals must always adhere to privacy requirements set out in the Health Records Act 2001 and Privacy Act 1988 when handling your health information. The Health Privacy Principles and Australian Privacy Principles specify the circumstances where health professionals can access, collect, use or disclose your health information.

If you have a concern about the way a health professional has handled your information, you may contact the Health Complaints Commissioner on 1300 582 113.

SafeScript is aligned with the national data security standards for government ICT systems set out by the Commonwealth Department of Defence to ensure your information is protected.

Data transmitted between medical practice systems, pharmacy systems and the SafeScript database is encrypted at all times and occurs through a secure, encrypted internet connection. Data stored in the SafeScript database is also encrypted at all times.

SafeScript also utilises contemporary security measures to safeguard your data against unauthorised access. Health professionals will be required to use multi-factor authentication (a username/password + PIN) in order to access the system.

The security of the system is routinely tested and reviewed to ensure data stored in SafeScript remains protected.

SafeScript is not an opt-out system.

When a prescription medicine is supplied, the law requires pharmacists to record the details of the prescription. The law also requires these records for high-risk medicines to be provided to SafeScript.

The collection of prescription records by SafeScript for high-risk medicines is necessary to provide doctors and pharmacists with access to a complete record of supply to ensure patients do not receive more medicines than they medically need.

As SafeScript is used to support clinical decision-making, only health professionals have access to SafeScript. Should you wish to view your records in SafeScript, you may submit a Freedom of Information (FOI) request to the department.

Further information on how to submit an FOI request is available on the health.vic FOI page.

Information in SafeScript is sourced from records created at medical clinics and pharmacies where your prescriptions are issued or dispensed.

SafeScript does not alter records from medical or pharmacy systems. If you believe there is an error in a record, you may request the doctor or pharmacist involved in providing your prescription medicine to review the record. If the record is amended, the information will be automatically updated in SafeScript.

SafeScript and My Health Record are not the same.

My Health Record is a patient-controlled summary of your health records, in which you can choose what is included and who can view your medication history.

SafeScript is a system independent of My Health Record.

Through the SafeScript initiative, patients and health professionals are becoming more aware and understanding of the risks and harms from some prescription medicines. If you are taking a high-risk medicine, your doctor or pharmacist may initiate conversations with you about your medicines to make sure they remain safe for you.

If you have concerns about your use of prescription medicines or that of a family member or friend, counselling and support is available.

SafeScript Pharmaceutical Helpline – 1800 737 233

The SafeScript Pharmaceutical Helpline is available 24 hours a day, providing free and confidential advice, support and referral for people concerned about their use of prescription medicines. The helpline is staffed by specially trained nurses and counsellors.

Reconnexion – 1300 273 266

Reconnexion is a service providing confidential support for people experiencing anxiety disorders, depression and benzodiazepine dependency. In addition to a friendly and discrete telephone support service (available between 9am and 5pm), Reconnexion has a range of resources with helpful information about anxiety, depression, benzodiazepines and insomnia.