TY - JOUR T1 - Clinical nurse specialist prescribing in a cancer centre supportive and palliative care team JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 111 LP - 113 DO - 10.1136/bmjspcare-2019-001867 VL - 10 IS - 1 AU - Sally Hall AU - Jo Thompson AU - Toni Phair AU - Andrew Neil Davies Y1 - 2020/03/01 UR - http://spcare.bmj.com/content/10/1/111.abstract N2 - Objective To provide insight into the prescribing practices of three independent nurse prescribers (INPs)/clinical nurse specialists (CNSs) working in a supportive and palliative care team (SPCT) in a district general hospital and a specialist tertiary cancer centre in the UK.Methods A prospective review of all consultations and the prescribing activity arising from the consultations (and reasons for non-prescribing following a consultation) of 3 INPs/CNSs between 1 August 2018 and 31 October 2018.Results Four hundred ninety-three consultations were undertaken on 186 individual patients. Two hundred forty-seven consultations representing 50% resulted in changes to a prescription, and 123 of those consultations representing 50% of prescriptions written resulted in the prescribing of an opioid for moderate-to-severe pain.Conclusions This service evaluation demonstrates the potential for INPs in SPCTs to provide comprehensive symptom control while enabling CNSs to practice with a greater degree of autonomy leading to enhanced job satisfaction. On the basis of our experience, we would encourage all palliative care CNSs to undergo training to become INPs (if available). ER -