Historical developments in physiotherapy and medicines use
Contemporary medicines use has progressed a long way since the first controls on products with medicinal properties back in the Middle Ages.
The CSP has been actively working to increase prescribing rights for physiotherapists since the late 1990s.
|1540||King Henry VIII introduces the first regulation of 'medicines' with the Apothecary Wares, Drugs and Stuffs Act.|
|1614||First requirement for medicines to be supplied with the knowledge of a doctor, first requirement for 'controlled drugs' to be supplied against a prescription, with the Apothecaries Charter.|
|1920||Chartered Society of Physiotherapy created by Royal Charter and the 4 pillars of practice established.|
|1968||Introduction of The Medicines Act. Unified structure to control all aspects of medicines use. Physiotherapists able to supply and administer medicines to patients under the direction given in a doctor's prescription (PSD).|
|1971||Introduction of The Misuse of Drugs Act. Unified structure to control all aspects of 'dangerous drugs' now known as 'controlled drugs'|
|1977||The physiotherapy profession secured professional autonomy.|
|1999||The Crown 2 Report. Recommended that physiotherapists have prescribing powers to improve patient pathways of care.|
|2000||Introduction of the 'Patient Group Direction' (PGD). Physiotherapists able to supply and administer medicines to patients without a doctor needing to sign a prescription for each patient.|
|2001||Physiotherapy gained protection of title under the Health Professions Order. Consolidation and updating of the Misuse of Drugs Act 1971 into the Misuse of Drugs Regulations 2001.|
|2005||Introduction of 'Supplementary Prescribing' by physiotherapists. Physiotherapists able to prescribe medicines in conjunction with a doctor under the terms of a written Clinical Management Plan.|
|2012||Consolidation and updating of the Medicines Act 1968 into the Human Medicines Regulations 2012. Announcement that physiotherapists will be given independent prescribing rights.|
|2013||Introduction of 'Independent Prescribing' by physiotherapists. Physiotherapists able to independently prescribe any licensed medicine within their competence and mix medicines prior to administration. Physiotherapists will be able to prescribe from a list of 7 controlled drugs subject to Home Office approval.|
|2014||First physiotherapist independent prescribing course available.|
The CSP produces a range of resources that provide a wealth of information to support your integration of medicine use in your practice. Here are links to the CSP resources around medicines use in physiotherapy practice.
- Practice Guidance for Prescribers (PD026, 2nd Edition 2013)
- Medicines Use in Injection Therapy (PD003, 4th Edition 2013)
- Expectations of educational programmes in Injection Therapy (PD071, 2011)
- Insurance and Physiotherapy Practice (PD027, July 2013)
- iCSP medicines and prescribing network