Derm 4 Flashcards
(15 cards)
What is Pharmacy First?
Pharmacy First is an NHS initiative (launched 31st January 2024) to formally recognise and fund community pharmacy as the first port of call for healthcare advice, providing accessible, safe, high-quality care.
What is the Community Pharmacy Contractual Framework (CPCF)?
Made up of Essential services (provided by all pharmacies), Advanced services (require accreditation), and Locally commissioned services (commissioned by local NHS bodies based on local needs).
What was included in the CPCS initiative?
Referrals for emergency/urgent supply, minor ailments, seven clinical pathways, PGD provision of POM medicines, diagnosis in pharmacy, and £645m from the Primary Care Recovery fund.
How can patients access Pharmacy First?
Through referrals from GP practices, urgent and emergency care settings, NHS 111 (online and telephone), and walk-ins.
What are the aims of Pharmacy First?
Free up GP appointments, provide quicker and more convenient access to care, address health issues early, supply appropriate medicines directly from pharmacies, and maximise pharmacists’ skills.
What is Pharmacy First Plus and Independent Prescribing?
In Scotland, pharmacy professionals are being trained as independent prescribers. By 2026, all registrants in the UK will be trained to prescribe, enhancing the scope of practice within Pharmacy First.
What are the clinical areas covered by Pharmacy First?
Seven conditions managed in community pharmacy across various age ranges (specific conditions not listed in detail in this lecture).
What is impetigo and how is it managed under Pharmacy First?
Impetigo is a common, highly contagious skin infection causing sores and golden crusts, usually around the nose and mouth. Only localised non-bullous impetigo can be treated in pharmacy (1 year and over).
What are symptoms of impetigo?
Red sores around nose/mouth that burst to leave thick, golden crusts (~2 cm); sores are not painful but may itch.
What should pharmacists do if impetigo is more serious?
Refer to a doctor if the case is not localised non-bullous impetigo.
How are infected insect bites managed under Pharmacy First?
For adults (18+), with redness, pain, swelling, heat, and signs of infection like cellulitis not resolving after 24 hours, oral antimicrobials may be supplied if no systemic toxicity.
What are the severe symptoms of infected bites?
Pus formation, swollen glands, redness and swelling, increased pain, fever, chills.
How is shingles (Herpes zoster) managed under Pharmacy First?
Patients (18+) may be advised to keep the rash clean and dry, wear loose clothing, and use cool compresses. Avoid ibuprofen. Severe or immunocompromised cases may require antivirals like aciclovir.
What are symptoms of shingles?
Tingling or pain in an area of skin, headache, rash appearing later as blotches on one side of the body, sometimes involving face, eyes, or genitals.
What does the lecture say about lifelong learning for pharmacists?
Learning starts from student pharmacist level, continues through foundation pharmacist, newly qualified pharmacist, advanced/specialist, to consultant level.
