The Oaks Fajly Practice is currently reviewing its policy on the signing or completion of Cardexes/MAR charts for patients in supported living or domiciliary care arrangements.
Due to a recent clinical incident and in line with national guidance (BMA, LMCs, NHS area teams), we will no longer be signing these documents from:
Thursday 12th September 2025
This is because:
- These requests are not part of NHS-contracted GP services.
- There is no /indemnity cover under NHS schemes in Northern Ireland.
- Responsibility for producing and maintaining MARs lies with the care provider or support agency, not with the GP.
We will continue to provide:
- FP10 prescriptions with full instructions
- Medication lists upon request (via GDPR process)
Exceptional cases may be considered on an individual basis and may incur a private fee.
We recommend all care providers ensure appropriate governance arrangements are in place for medication documentation moving forward.
Thank you for your cooperation.