Nurse ending employment

The PCT will advise the PPA of a nurse leaving their existing organisation (practice or PCT) by using the appropriate Annex form.

PCT Nurse ending employment

PCT should complete the Annex A3 form.

Tick the box - Nurse ending employment at PCT/CNPC.

The proforma should be completed with the following details:

• Effective start date - leave blank
  
• Nurse UKCC PIN number
  
• Nurse name and initials (the surname and initials must be clearly printed)
  
• Title (Mr/Mrs/Miss/Ms/Sister)
  
• Tick if qualified to prescribe from DN/HV formulary or extended formulary/supplementary prescriber
  
• PCT code or CNPC code
  
• PCT/CNPC address (headquarters) (PCT headquarters address should be completed as this will be the address printed on the nurse prescription pad)
  
• End date in PCT/CNPC.

Practice Nurse ending employment

PCT should complete the Annex A2 form.

Tick the box - Nurse ending employment at specified practice.

The proforma should be completed with the following details:

• Effective date - leave blank
  
• Nurse UKCC PIN number
  
• Nurse name and initials (the surname and initials must be clearly printed)
  
• Title (Mr/Mrs/Miss/Ms/Sister)
  
• Tick if qualified to prescribe from DN/HV formulary or extended formulary/supplementary prescriber
  
• PPA Practice code or code of Senior GP (GP's National Code Number)
  
• Practice/Senior GP name
  
• Main surgery address & telephone number (this will be the address and telephone number printed on the nurse prescription pad)
  
• End date in Practice/PMS pilot.

The PCT must:

• Ensure that all unused FP10(P) prescription pads are collected and destroyed in a secure manner.