CREDIT for this management plan goes to the team at Robert Gordon University in Aberdeen. This was one of a few templates they offered as part of my independent prescribing (IP) course a few years ago. This was my favourite. You can download a blank copy of the template here.
As I am still reasonably new to the IP role, I have chosen initially to practise as a supplementary prescriber and more recently work up to practising as a fully fledged IP. I think this prudent approach involving reflection allows a future IP to carefully and explicitly lay out where their areas of competence lie.
I hope you find it useful.