Treatment · London and online
Prescribing services
A medication review and, where it is clinically appropriate, a prescription — provided by Kim Armstrong, a Registered Nurse and NMC-registered Independent Prescriber.
The qualification
What an Independent Prescriber is
An Independent Prescriber is a healthcare professional — a nurse, pharmacist or physiotherapist — who has completed additional accredited training and holds legal authority to prescribe medicines within their scope of competence. They take full clinical and professional responsibility for the assessment, the diagnosis and the prescribing decision.
For nurses the qualification is usually referred to as V300, and the prescriber annotation appears on their NMC registration. It is on the public register, and you do not need to ask us for it.
You can verify it on the NMC register yourself, at any time.
What that means for your appointment
At many clinics the person who assesses you is not the person who prescribes for you. Notes are passed to a prescriber you never meet, who decides from someone else's record of the consultation. Not here.
One appointment
Assessment and prescribing happen together where it is clinically appropriate.
No referral step
Nothing is handed on to a second, unseen clinician.
The same clinician decides
The person who examined you makes the decision, with the full history in front of her.
And can decline
An Independent Prescriber has a professional duty to prescribe only where it is safe and appropriate.
The appointment
What a prescribing consultation involves
- 1
History
Your medical history, everything you currently take including over-the-counter medicines and supplements, allergies and any previous reactions.
- 2
Assessment
Appropriate to what you are seeking.
- 3
Review
Of what you are taking: whether it remains appropriate, whether anything interacts and whether anything is missing.
- 4
Discussion
Of the options, including the option of not prescribing at all.
- 5
Decision
Where it is clinically appropriate, a prescription. Where it is not, an explanation and, where possible, a suggestion of what would be more suitable.
- 6
Follow-up
Where the medicine requires monitoring.
Scope
What we can and cannot prescribe
Scope of practice is the range of clinical activity a practitioner is trained, competent and insured to undertake. Working within it is a professional obligation, not a preference.
We can help with
- Medication review, to assess whether what you are taking remains appropriate
- Prescribing within Kim's scope of practice, where clinically appropriate
- Prescriptions supporting treatment at this clinic — within a weight management programme or a skincare plan
- Explaining your medicines: what they do, why you are taking them and what the side effects mean
- Online pharmacy fulfilment where a prescription is issued
We do not prescribe
- Controlled drugs. Our position is to be confirmed
- Anything outside Kim's scope of competence
- Medicines requiring monitoring that this clinic cannot provide
- Anything requested without an adequate assessment
- Repeat prescriptions for conditions managed elsewhere, without appropriate information sharing
- Anything where prescribing would not be safe or clinically appropriate for you
Where what you need falls outside Kim's scope, she will tell you and, where she can, direct you to an appropriate clinician or service.
A prescription is never guaranteed. The consultation fee covers the assessment, and the assessment is provided either way.
Kim Armstrong · Registered Nurse and Independent Prescriber
Across two countries
If you divide your time between the UK and Spain
Prescribing and dispensing rules differ between the two countries, and what applies to you depends on your residency status and on the medicine itself.
Medication prescribed here is dispensed by a UK pharmacy partner to a UK address. That partner does not ship to Spain, which is why medication-based care cannot be run from the Marbella clinic even though the clinician is the same person.
What does carry across is the assessment and the record. Kim will explain what applies to your situation at consultation rather than leaving you to work it out from a website.
Fees
What it costs
Prescribing consultation or medication review
Covers the clinical assessment, whether or not a prescription is issued.
To be confirmed
Follow-up review
Where the medicine requires monitoring.
To be confirmed
Online pharmacy consultation
Remote clinical review, where an appointment is not needed.
From £25
Prescription charge
Charged separately.
To be confirmed
Medication
At the dispensing pharmacy's own price.
Charged separately
The consultation fee covers the clinical assessment and is payable whether or not a prescription is issued. Nothing here is contingent on you being prescribed something.
Before you book
Common questions
What is an Independent Prescriber?
A healthcare professional who has completed additional accredited training and holds legal authority to prescribe medicines within their scope of competence, taking full clinical responsibility for the assessment and the prescribing decision.
Can a nurse prescriber write a private prescription?
Yes. An NMC-registered Independent Prescriber can issue private prescriptions within their scope of practice and competence.
Is a nurse prescriber the same as a doctor?
No. They are different professions with different training routes. An Independent Prescriber holds prescribing authority within their scope of competence, with the professional accountability that carries. Where something falls outside that scope, you will be told and directed appropriately.
Will I definitely get a prescription?
No. A prescription is issued only where it is clinically appropriate and safe for you. The consultation fee covers the assessment and is payable either way.
How do I check Kim's prescribing qualification?
Search the NMC register. The prescriber annotation appears on the public record, and the link is above.
Can I get a repeat prescription without an appointment?
Not without an appropriate review. How often a review is needed depends on the medicine. Prescribing without adequate assessment is not something this clinic does.
Where will my prescription be dispensed?
Through a registered pharmacy partner, or a pharmacy of your choice where possible.
Can you prescribe if I am in Spain?
Prescribing and dispensing rules differ between the UK and Spain, and what applies depends on your residency status and the medicine. Kim will explain what applies to your situation.
Do you prescribe controlled drugs?
Our position on controlled drugs is to be confirmed.
Next step
Book a prescribing consultation.
The consultation fee covers the clinical assessment and is payable whether or not a prescription is issued.
Or call +44 (0) 7706 077888email kim@thearmstrongclinic.com