The Pharmacy contract - Essential & Advanced Flashcards

1
Q

Essential services listed

A
  • All Pharmacy contractor as part of NHS services offered by all pharmacist
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2
Q

Locally commissioned service

A
  • Contracted via a number of different routes for specific services CCG and Health board in wales
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3
Q

Essential services

A
  • Dispensing medicines
  • Dispensing Appliances
  • Repeat dispensing
  • Clinical Governance - 7 pillars
  • Discharge Medicines Services
  • Public Health
  • Signposing - sending people to specialist
  • Self care
  • Disposal of unwanted medicines
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4
Q

Dispensing

A
  • Supply of mediand appliances ordered on NHS prescriptions, together with information and advice
  • Ensures safety and maintainance of appropriate records
  • EPS - electronic prescription
  • Dispense on drug tariff
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5
Q

Repeat Dispensing

A
  • Repeat dispensing is an Essential Service within the Community Pharmacy Contractual Framework
  • Dispense repeat dispensing prescriptions issued by a GP
  • Ensure that each repeat supply is required
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6
Q

Clinical governance

A
  • A framework through which NHS organisationd are accountable for continuing quality improvemment
  • Use standard operating procedures learning from adverse drug reaction, recording reporting and continuing professional development assessing patient satisfaction
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7
Q

Pillars of clinical goverance

Process of quality improvement

A
  • Patient and public involvement
  • Clinical audit
  • Risk management
  • Clinical effectiveness
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8
Q

Pillars of clinical goverance

Staff focus

A
  • Staffing and staff management
  • Education, training and CPD
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9
Q

Pillars of clinical goverance

Use of information

A
  • Use info to support clinical governance and health delivery p
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10
Q

Discharge medicine service

A
  • Patient who have recently been discharged from hospital get support from local pharmacy
  • Hospital refer patient on who would benifit from extra guidance
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11
Q

4 oppertunistic advice

A
  • Have diabetes
  • Be at risk of coranary heart disease (high BP)
  • People who smoke
  • Are overweight
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12
Q

Disposal of unwanted medicines

A
  • Community pharmacy unwanted medicine
  • Returned solid medicines/ ampoules, liquids and aerosols are separated
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13
Q

Signposting

A

Require further support, advice or
treatment which cannot be provided by the
pharmacy

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14
Q

Support for self care

A
  • Derive maximum benefit from caring for themselves or their families
  • Advice to people, including carers, requesting help with the treatment of minor illness
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15
Q

Advanced Services

Community Pharmacist Consultation service

A
  • Connects patient who have minor illness to need an urgent supply
  • 111 services referrals from GPs
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16
Q

4 priority services for CPCS

A
  • Common ailment
  • Emergency contraception - Key priority
  • Emergency medicine
  • Seasonal flu - Key priority
17
Q

Seasonal flu jabs

A
  • Pregnant
  • 50 or more in age
  • You have a long term chronic condition
  • Those that live in a care home
18
Q

Hepitis C

A
  • Antibody testing added to CP
  • Those who inject heroin and ilcit drugs are at risk
19
Q

Hypertension case finding

A
  • Identifying people at risk of hypertension and
    offering them blood pressure measurement
  • Is offering 24 hour ambulatory blood pressure monitoring
20
Q

New Medicine Service

A
  • Newly prescribed a medicine to manage a long term condition,
  • Which will generally help them to appropriately improve their medication
21
Q

Conditions that are eligible for new medicine service

A

asthma and COPD
* diabetes (Type 2)
* hypertension
* hypercholesterolaemia
* osteoporosis
* gout
* glaucoma
* epilepsy
* Parkinson’s disease

22
Q

Stoma Appliance Customisation

A
  • Customisation of a quantity of more than
    one stoma appliance, based on the patient’s measurements
  • Ensure proper use and comfortable fitting of the stoma appliance and to improve the duration of
    usage, thereby reducing waste
23
Q

Stop Smoking

A
  • Discharged from hospital to a community pharmacy of their choice to continue their
    smoking cessation care pathway
24
Q

Enhanced services

A
  • Primary Care Covid-19 Immunisation
  • Accrediting in Wales
  • Care Home support
  • Emergency hormonal contraception
  • Independant Prescribing
  • Stop smoking service
  • Needle and syringe supply
  • Pateint sharps service - disposal of sharps
  • Sore throat test and treat
  • Substamce misuse
25
Q

Emergency hormonal contraception

A
  • Record form guidelines to follow when prescribing & consultation
26
Q

Advanced services

A
  • Appliance use and review
  • Flu vaccination service
  • Hep C test service
  • Hypertention case finding service
  • Community pharmacist case finding service
  • Stoma appliance customisation
  • New medicines and lateral flow