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This framework is for the provision of a centralised advice and repeat prescription hub for patients with a stoma or long-term catheter, and a pre- and/or post-operative care support service to support stoma patients. The prescription hub will take responsibility for patients' on-going prescriptions and deal with any identified issues to prevent care escalation, removing responsibility from GPs behalf within participating ICSs. This will be supported by specialist nurses who would be able to offer advice, repeat prescriptions and urgent response to support patients, as well as annual reviews. The pre- and/or post-operative care support would include care for stoma patients pre- and/or post-operation, as required by the Participating Authority. Using specialist nurses as part of this prescription service gives easier access for patients to specialists who are best able to support with any problems and also with finding the best appliances/equipment for them to improve their quality of life. Centralising the system allows for prescription guidance to be applied consistently and ensure items issued are cost effective and the quantities supplied are in line with the patients' clinical
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