Community pharmacy services (not finished)

Question 1

Name 3 types of services provided by community pharmacists

Answer 1

• Essential services- MANDATORY
• Advanced services- OPTIONAL
• Enhanced services- OPTIONAL

Question 2

Give examples of essential services provided (6)

Answer 2

• Dispensing
• Repeat presciption
• Disposal of unwanted meds
• Promotion of healthy lifestyle
• Sign-posting patients
• support for self-care
• Clinical governance

Question 3

Extra services to aid essential services (dispensing) (4)

not part of contract, no NHS payment

Answer 3

• Prescription collection service
• Delivery service
• Compliance aids
• Care home services

Question 4

what two ways do pharmacists provide care home services?

extra service

Answer 4

• Provide medicines into individual blister packs, colour co-ordinated for diff times of the day
• Medicines administration Record (MAR) chart generated at dispensing

Question 5

Repeat prescriptions are more suited for patient with stable medication.

a) How many months worth of prescriptions can be issued in one go?
b) What two types of prescription forms are used? and how do they differ

Answer 5

a) 12 months

b)
- Repeatable authorisation (RA): only 1, signed, no. of repeats

• Repeat dispensing batch prescription (RD): many copies, unsigned, specifies which repeats

Question 6

Which groups of patients with RX are the promotion of healthy lifestyles aimed at? (theyre aimed at all patients, but which 3-4 specifically?

Answer 6

Diabetics
smokers
hypertensive
high CVD risk

Question 7

What kind of advanced services do community pharmacies provide? (5)

Answer 7

• MUR
• NMS
• Flu vaccination
• appliance use review (AUR)
• Stoma appliance customisation (SAC)

Question 8

For a pharmacist to conduct an MUR, what criteria must they fulfil? (5)

Answer 8

• be accredited (completion of course)
• comply w. essential services
• have acceptable system of clinical governance
• appropriate SOP in place
• suitable consultation area

Question 9

Aim for MUR is to shift patients from compliance to concordance. They are therefore designed to review: (4)

Answer 9

• If a patient takes their med
• How they take their med
• Any problems with their meds
• Assess if med is appropriate for patient; cost effective; follow guidelines

Question 10

Which kinds of patients are eligible for having an MUR? (5)

Answer 10

• Take at least 2 meds for chronic cond OR one high risk med
• Using pharmacy for previous 3 months
• Not had NMS in last 6 months
• Not had MUR in last 12 months
• Be able to give signed consent

Question 11

Types of patients targeted for MUR

Answer 11

a) Taking high risk meds
b) Recently discharged from hospital
c) Have respiratory disease
d) Risk of/diagnosed w. CVD & have at least 4 meds

Question 12

For MURs, what 3 meds are considered high risk?

Answer 12

Anti-coagulant/anti-platelets
Diuretic
NSAIDs

Question 13

NMS is an advanced service given to patients that are starting new medication. They are aimed at groups of patients taking medications associated with the greatest degree of non-adherence, which medications (1)/ conditions (3) are these?

Answer 13

1) Asthma/COPD
2) Diabetes type 2
3) Anti-platelet/anticoagulant
4) Hypertension

Question 14

What are the 3 stages of NMS?

Answer 14

• Patient engagement (day 0)
• Intervention (day 7-14)
• Follow up (day 21-28_

Question 15

What are the benefits of NMS? (5)

Answer 15

• Improves adherence
• increases patient engagement with their conditions + meds
• Reduce med wastage
• Reduce hospital admission due to med related adverse events
• lead to increased yellow card reporting

Question 16

People entitled to free flu vaccine

Answer 16

• Over 65s
• aged: 6 months- 2 years, over 18s, 2-17 years that cant have fluenz
• at risk groups: preg, care home residence, people w long term conditions
• carers