INF1 - B. PHARMACY SERVICES-COVERED Flashcards

1
Q

examples of essential services

A
  • disposal of medicines
  • repeat dispensing
  • DMS
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2
Q

examples of advanced services

A
  • vaccines
  • CPCS
  • NMS
  • hypertension case-finding service
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3
Q

examples of locally commissioned services

A
  • EHC
  • supervised consumption for drug treatment
  • smoking cessation
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4
Q

what is the community pharmacy consultation service (CPCS)

A
  • advanced service for referrals from NHS 111
    (GP referrals from 2020, urgent care referrals from 2023 ie - ran out of medicines, called 999)
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5
Q

where are patients referred from for CPCS

A
  • NHS 111 (telephone and online)
  • NHS urgent care services
  • GP (minor illness only)
  • 999 (rarely)
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6
Q

what are the 2 types of referral for CPCS

A

urgent medicines supply and minor illness

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7
Q

what does the urgent medicines supply referrals consist of

A
  • emergency supply regulations apply
  • details of supply printed onto dispensing token
  • patient pays /claims exemption
    refer if can’t supply
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8
Q

what does the minor illness referral consist of

A
  • consultation with pharmacist
  • assess then sale or supply OTC medicine, advice, referral
  • send notification to GP where appropriate
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9
Q

where can records be made from the CPCS

A
  • PMR
  • NHS CPCS IT system
  • POR if POM supplied
    payment claimed at end of month
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10
Q

what is the new medicines service (NMS)

A
  • advanced service
  • structured interviews with patient about a new prescribed medicine for a long-term condition
  • identifies problems quickly and improve adherence
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11
Q

what conditions are eligible for NMS

A

asthma/COPD
Parkinson’s disease
type 2 diabetes
hypertension
heart failure
epilepsy

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12
Q

how long should NMS records be kept for

A

at least 2 years from date when NMS was completed or discontinued

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13
Q

what is the discharge medicines service (DMS)

A
  • essential service
  • patients are referred if they would benefit from a follow up for their prescribed medicines
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14
Q

1st stage of DMS

A
  • discharge referral received by community pharmacy
  • do a clinical check within 72 hours
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15
Q

2nd stage of DMS

A
  • first prescription received
  • record details in PMR and advise patient about any changes
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16
Q

3rd stage of DMS

A
  • involving patient
  • talk about medicines - optimisation, interactions, disposal, adherence etc
17
Q

where should info be recorded with DMS

A
  • as a clinical record on
  • 1:PMR
  • 2:PharmOutcomes