describe funding of community pharmacies
- contracted with NHS
- NHS pays community pharmacies for services they are contracted to carry out
- private businesses
- need to claim for some payments
- payments come from NHS either directly or indirectly eg. via ICB or PCN
what is an ICB?
integrated care board
what is a PCN?
primary care network
how are drug costs paid?
- according to Drug Tariff
- set price list published every month
- sets out reimbursement that pharmacies can expect from the NHS as part of their contract work
what is a retained margin? what does it encourage?
- the reimbursement rates that community pharmacies get from the NHS for prescription meds set out in the Drug Tariff
- retained margin is any difference between price the drug was bought from wholesaler and the price in Drug Tariff (profit)
- encourages cost-effective purchasing
role of pharmacists in community pharmacy
- responsible pharmacist
- name on wall
- responsible for everything on their watch during their shift
role of technicians in community pharmacy
- support pharmacist in the dispensing process
- some can accuracy check prescriptions
- some can provide other services
role of dispensing assistants in community pharmacy
- support pharmacist and technician
- prescription processing
- stock management
- liaise with customers and suppliers
- some can accuracy check prescriptions
role of medicines counter assistant in community pharmacy
- may be known as pharmacy assistant
- first contact with patient
- can provide advice or recommend medication if appropriate
- know when to refer a patient
- support dispensary staff
- hand out dispensed prescription if appropriate
what is an SOP?
- standard operating procedure
- describes a process and must be followed to ensure quality and safety
- defines staff roles and responsibilities
- should be signed by staff to confirm they’ve read
- regularly reviewed
describe the dispensary in a community pharmacy
- all POMs here
- where all prescriptions are processed and stock is kept
describe the medicines counter in a community pharmacy
- P medicines visible but behind counter
- P medicines not available for self selection
- patients can be given advice
- till for payments
describe the general shop area in a community pharmacy
- GSL medicines and other products sold by the pharmacy are here
describe the consultation room in a community pharmacy
- appointments for travel vaccines
- private chat
- symptom check
- used for confidentiality
- for giving advice when patient doesn’t want to be overheard
describe essential services in a community pharmacy
- must provide these in line with the NHS contract
- procedures in place for these services
examples
- dispensing prescriptions
- discharge medicines service
- disposal of unwanted medicines
- healthy living
- health promotion
- repeat dispensing
describe advanced services in a community pharmacy
- can choose to provide these
- must meet requirements for provision
- paid to provide these
- valuable funding opportunity
examples
- Pharmacy first
- smoking cessation
- flu vaccination
- Hepatitis C testing
- hypertension case finding
describe locally commissioned services in a community pharmacy
- depends on the local area
- have to sign up and meet criteria to provide these
examples
- emergency hormonal contraception
- supervised consumption
- emergency supply
- minor ailments service
- needle and syringe programmes
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A1 Pharmacist roles7
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A2 Communication skills9
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A3 Questioning8
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A4 Community pharmacy17
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A5 OTC analgesics21
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A6 Responding to symptoms14
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A7 Health services9
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A10 Professional practice workshop6
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A11 Accuracy checking6
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A13 Medicines optimisation5
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A14 Implicit bias and stereotyping7
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AW5 Pharmaceutical care in community12
