FPP legilisation Flashcards
(91 cards)
1
Q
What are the legal requirements for A PRESCRIPTION?
A
Signature of Prescriber, Address of Prescriber, Date ( prescription is valid for up to 6 months), Particulars of prescriber, Patient Name, Patient Address, Age of Patient (if under 12 years)
2
Q
What is different about a prescriber from EEA country or Switzerland?
A
Can only write prescriptions for sch 4 and 5 drugs
3
Q
Is a faxed prescription a legally valid prescription?
A
Fax of a prescription does not fall into a legally valid prescription because its not written in inedible ink and has not been signed in ink by a practioner.
4
Q
What are the label requirements and what is good practice?
A
Name of patient, Name and address of supplying pharmacy, date of dispence, name of medicine, strength and quantity, direction,
Good practice
Label is on tube bottle not on packaging
keep out of reach and sight of children
Use medicine only on your skin where appr
In prison - prison number should be on label.
5
Q
Which prescriptions are repeatable?
A
private prescriptions can be repeated, if number is not stated it can be repeated once dispensed twice, unless prescription is for an oral contraceptive in which it can be repeated 5 times (dispensed 6 times).
Schedule 2 and 3 CDs are not repeatable however schedule 4 and 5 are repeatable. First dispensing of schedule 5 CD must be made within 6 months. If it’s a schedule 4 CD drug the first dispensing must be made within 28 days of app date making sure there is no time limit for repeats.
6
Q
What records should keep for private script and where?
A
Private prescription for a POM must be retained for 2 years from the date of sale or supply. Private prescriptions for schedule 2 and schedule 3 CDs must be submitted to the relevant NHS agency. POM prescriptions should be put in POM register needs supply date, prescription date, medicine details, prescriber details and patient details. Prescriptions for oral contraceptives are exempt of record keeping as are prescriptions for schedule 2 CDs where a separate CD record has to be made.
7
Q
How could a patient obtain an emergency supply?
A
Patient can obtain an emergency supply by being registered with Scottish GP, had the medication before in last 6 months, item is not excluded from being supplied under the PGP or NHS.
8
Q
Who can request an emergency supply?
A
GP, Prescriber, healthcare practitioner, (anywhere in Britain)
9
Q
Are the rules different if the request is by a prescriber?
A
Prescriber is unavailable - cant supply
10
Q
What medicines cannot be supplied by emergency supply and are there any differences using the Patient Group Direction (PGD) in Scotland for urgent provision of medicines?
A
Part B of schedules in PGD - ACBS products - controlled drugs, injections except EpiPen, self-administered inj daltaparin.
11
Q
Can you refuse an emergency supply?
A
Yes, provision is not urgent, clinical condition has changed. no agreement to share clinical info.
12
Q
Do records need to be kept for an emergency supply?
A
Yes needs to be passed on to prescriber + if on CMS with another pharm advise them on supply.
13
Q
Do the labelling requirements for an emergency supply differ to those of standard labelling?
A
No - state emergency supply
14
Q
What are the requirements for urgent provision of medicines using the PGD in Scotland?
A
Registration of scottish GP, medicine which is not on section B, medicine prescribed before in scotland
15
Q
What steps should be followed when using the PGD for urgent provision of medicines in Scotland?
A
Consultation - pharmacist produces UCF for item - labelled, dispensed - creating signed on back by prescriber of UCF record - Pharmacist checks - UCF passed on to prescriber + pharmacy is informed.
16
Q
How do you endorse a broken bulk?
A
Pack size e.g. prescribed 56 tabs but box id pack of 100. PUT 100 in 4 boxes to left of prescription and underneath BB + date claimed with no dashes. E+P
17
Q
What is a PSD?
A
A Patient Specific Direction (PSD) is an instruction to administer a medicine to a list of individually named patients where each patient on the list has been individually assessed by that prescriber.
18
Q
What is dm+d?
A
The NHS Dictionary of Medicines and Devices (dm+d) is the standard for transferring medicine and medical device information between clinical systems. It is also required for all EPS prescribing. This information covers some common issues when using EPS.
19
Q
What is ephedrine and what is it used for?
A
Ephedrine - counteract orthostatic hypotension. It is an anaesthesia hypotension drug and helps to prevent low blood pressure during anaesthesia. Orthostatic hypotension is a form of low blood pressure typically when you stand up too fast. It is also used in asthma medicines as a bronchodilator by acting on blood vessels in the lungs
20
Q
What is pseudoephedrine and what is it used for?
A
Pseudoephedrine is used to decongest the nasal passages. Binds with noradrenaline. Used in Sudafed
21
Q
Max amount of pseudoephedrine and ephedrine you can buy?
A
Pseudoephedrine - 720mg
ephedrine - 180mg
Cant sell both products at same time
22
Q
What are the different classes of drugs?
A
Class A most harmful
Class B
Class C least harmful
23
Q
What does the ACMD do?
A
The advisory Council on Misuse of drugs
Independant expert body which advices government on drug-related issues in uk
established under Misuse of drugs act 1971
reviews current drug misuse situation and advises government ministers on action to be taken inc classification of drugs
24
Q
Why are certain drugs controlled under the Misuse of Drugs act?
A
Main purpose is to prevent the misuse of controlled drugs - this is done by putting a complete ban on possession, supply, manufacture, import and export of controlled drugs except by regulations or by license from the government.
25
What are the schedules of drugs and how are they allocated?
schedule 1 - MOST RESTRICTIVE CONTROL - are drugs which have no therapeutic value and therefore cannot be lawfully possessed or prescribed. These include LSD (lysergic acid diethylamide), MDMA (ecstasy). Schedule 1 drugs may be used for research but a home office license is required.
Schedule 2 +3 - These drugs can be prescribed and possessed legally by pharmacists and doctors. If you have a prescription you can lawfully possess the drug. It is an offence contrary to 1971 Act to Possess any drug belonging to schedule 2 and 3 without a prescription or lawful authority.
Schedule 2 drugs - methadone, diamorphine - heroin, cannabis (since nov 2018)
Schedule 3 drugs - Subutex and most of the barbiturate family (CNS depressants)
Barbiturate drugs are commonly used for sleep aids, epilepsy treatment and anaesthetics
Difference between schedule 2 and 3 is schedule 2 has different storage and record keeping to schedule 3 drugs ( 2001 Regulations)
Schedule 4 drugs - Split into 2 (i) and (ii) (2001 Regulations updated in 2012)
Schedule 4(i) drugs controls most of the benzodiazepines , they can only be lawfully possessed under prescription otherwise its an offence under 1971 act.
Schedule 4(ii) drugs can be possessed but only for personal use. e.g steroids
Schedule 5 - Drugs that are considered to have therapeutic value and are commonly available under the counter medicines. Legally possessed without a prescription.
26
Who many write CD prescriptions for CD? Are there any restrictions?
Doctors ( schedule 2-3),
Dentist ( schedule 2-3),
veterinary surgeon (schedule 2-3) must include RCVs registration number of prescriber,
Nurse/ midwife IDP (not cocaine, diamorphine, or dipipanone for treating addiction) ,
pharmacist IDP (not cocaine, diamorphine or dipipanone for treating addiction),
physiotherapist IDP ( ONLY for oral - diazepam, dihydrocodeine, lorazepam, morphine, oxycodone and temazepam, injection - morphine, transdermal - fentanyl),
Podiatrist IDP oral ( ONLY diazepam, dihydrocodeine, lorazepam and temazepam),
EEA or Swiss health professionals, (schedule 4 and 5 CD's only).
27
What are the prescription requirements for a CD drug?
5. Controlled Drug Prescription (schedule 2 + 3)
- Signature of Prescriber
- Date - only valid for 28 days after the 'appropriate date' ( signature date or date stated on prescription) - for schedule 4 CD's and any balances
- Name of CD
- Form - stated tabs or caps and if its m/r, s/r
- Strength - only needs to be written if there is more than one strength, prescription requests more than one strength of a drug it is prescribed separately.
- Dose ( does not need to be in words and figures
- Total Quantity - (needs to be in words and figures)
- Quantity Prescribed - For schedule 2, 3 and 4 drugs the maximum quantity is a 30 day supply
- Patient Name
- Patient Address
- Dental wording where appropriate - CD is written by a dentist - 'for dental treatment only'
- Instalment wording where appropriate
28
What are the restrictions for the amount of CD drug to be supplied?
For CD drugs only 30 day supply can be made - 720mg of pseudoephedrine can be sold over counter and 120mg of ephedrine. Can't buy 2 or one of each
29
What are the specific CD prescription requirements for instalments?
A valid instalment direction is required. Schedule 2 or 3 CD -
1. Amount of medicine to be supplied per instalment (addition of the dose)
2. Interval between each time medicine can be supplied. MUST HAVE A DOSE AND AN INSTALMENT AMOUNT SPECIFIED SEPERATLY. First instalment must be dispensed within 28 days of appropriate date - prescription must be marked with the date of each supply.
30
What are technical errors?
Technical errors - schedule 2 or 3 CD prescriptions contain a minor typographical error or spelling mistake e.g. either has words or figures (but not both) of the total quantity a pharmacist can amend the prescription indelibly so that it becomes compliant with legalisation. Pharmacists cannot amend missing date, incorrect dose, form or strength.
31
Where should controlled drugs be stored?
Controlled drugs must be stored in a CD cabinet with CD keys. The safe needs a license to make sure safe is able to store CDs.
32
What are the record keeping requirements for CDs?
Record Keeping - when collecting cd need ID unless known by the pharmacist. Health care professionals 1. name of the healthcare professional
2. address of healthcare professional also id. Good practice for schedule 2 and 3 drugs patient signs back of prescription.
Someone is collecting of CD need to know the relationship of the patient e.g husband and need ID.
Every time a CD goes out it needs to be recorded in CD log book.
33
What is the Information Commissioners Office?
The Information Commissioner’s Office is the UK’s independent authority set up
to uphold information rights in the public interest, promoting openness by public
bodies and data privacy for individuals.
Those responsible for storing and processing personal information must register
every year with the Information Commissioner’s Office:
Name and address and category of organisation, nature of the work you do and type of data
you hold, name of data controller, details of procedures for ensuing security of data etc
34
What is personal data?
Personal data: any information relating to an identified or identifiable natural person (“data
subject”).
35
Who is a data controller?
The Data Controller is the main decision maker and exercises overall control over the
purposes and means of the processing of personal data i.e. decides how and why to collect
and use the data.
This will usually be an organisation, but can be an individual (eg a sole trader). If you are an
employee acting on behalf of your employer, the employer would be the controller. The
controller must make sure that the processing of that data complies with data protection law.
36
What is processing?
Processing is the collection, recording, organisation, structuring, storage, retrieval,
consultation, use and disclosure of data.
37
Who is the data processor?
Any pharmacy employee or locum who deals with data will be a processor.
Note that there is no absolute distinction between the roles of Data Controller and Data
Processor – seems to go on a spectrum, with lots of questions.
38
Who is the data subject?
The Data Subject is the person whose data you are considering
39
Who is the Data protection officer?
The Data Protection Officer is a senior person appointed to take overall responsibility for
management of personal data in an organisation. Large organisations will have their own
Data Protection Officer; smaller organisations may share one
40
What are the caldicott Principles? Why are they relevant?
Caldicott Principles apply to health records only and provide a framework of good practice for
information sharing between health and social care professionals.
41
Who is the caldicott guardian?
A Caldicott Guardian is a senior person responsible for protecting the confidentiality of
people's health and care information and making sure it is used properly. All NHS
organisations and local authorities which provide social services must have a Caldicott
Guardian.
Practical application: one of our postgrad MSc students has had her research delayed as she
has had to get permission from the Caldicott Guardian of her organisation to allow her to
collect patient-specific, sensitive information.
42
What sort of data is covered by the GDPR 2018?
. The Data Protection Act 2018 and General Data Protection Regulations 2018:
What sort of data is covered by the GDPR 2018??
Personal data: any information relating to an identified or identifiable natural person (“data
subject”); anything that may or possibly may identify a living individual eg PMR
(differentiate clearly between PMR and patient’s medical record and be clear
who can access these). Get students to come up with examples; apart from the obvious,
will include test results, X-rays etc
43
Why does the ACT apply with respect to pharmacies?
Act covers ‘processing’ of personal data: creating, using and maintaining patient
medication records or pharmacy patient database in hospital are all ways of processing
data. There are others
44
Who is responsible in a community pharmacy for the security of patient identifiable information such as that contained in patient medical records?
The Data Protection Officer, Data Controller and Data Processors all have responsibility.
Pharmacists are legally and ethically bound to comply with requirements of the General
Data Protection Regulations and have a duty of confidentiality to those who seek their care
45
What is a privacy notice?
This explains what sort of data is processed and why. The privacy notice must be
prominently displayed and must be pointed out to new customers/ patients
46
Do you need to have explicit consent from the data subject to create and mantain patient medication records?
This is complex. There are various aspects but the most straightforward one is that
maintaining patient medication records when dispensing prescriptions is a legal obligation.
Failure to comply will results in sanctions under the Medicines Act and Human Medicines
Regulations and under NHS terms of service.
47
Which staff members can access patient-confidential information in a community
pharmacy or a hospital?
Access is authorised on a ‘need to know’ basis. Those with access owe a duty of care
similar to that owed by the data controller (pharmacist) and will access the information as
part of their job eg the dispensing technician but probably not the medicines counter
assistant.
In a hospital, the pharmacists and dispensary pharmacy staff but not the cleaner
48
How can people request access to their data?
Individuals have the right to access their personal data
This is commonly referred to as subject access
Individuals can make a subject access request verbally or in writing
You have one month to respond to a request. You would want to respond within a
reasonable time frame but one month is the maximum
You cannot charge a fee to deal with a request in most circumstances
49
Are there circumstances in which you would consider allowing someone other
than the data subject and appropriate staff access to someone’s personal data?
It would be quite exceptional to allow access to someone else’s information although there
might be good reason to do this – see GPhC guidance on confidentiality and consent
50
What rights do children have?
“Parental rights exist for the benefit of the child, not the parent” (Gillick case). RPS
guidance is that relevant factors should be taken in to account (what might some of these
be?) but that it would be unusual to provide information about an adolescent without his/
her consent.
51
Who is freedom of information administered by?
Administered by the Information Commissioner’s Office and Scottish Information
Commissioner – see below.
52
Why was Freedom of Information legislation designed?
Freedom of Information Act 2000 (UK) and 2002 (Scotland) – applies to organisations in
areas where power is devolved to Scottish Government eg health.
Aim? To promote a culture of openness and accountability with respect to public
organisations and private organisations eg community pharmacies in relation to their
publicly-funded operations ie provision of services to the NHS. It’s expected that these
rights will facilitate better public understanding about how public authorities carry out their
duties, why they make the decisions they do and how they spend public money.
53
To which organisations does this apply? What aspects of their operations?
Public organisations eg Health Boards, education authorities, local councils and private
organisations eg community pharmacies in relation to their publically-funded operations e
g provision of services to the NHS.
54
How can information be made available?
Model Publication scheme: every public authority eg a Health Board must establish and
adopt a publication scheme which has been approved by the ICO, and publish information
in accordance with the scheme. ICO specifies what sort of information must be included.
There’s also a scheme for organisations only covered for certain information eg community
pharmacies
55
Freedom of Information requests
Who can make a request under the FoI legislation? Are there any restrictions?
How would they do that?
Requests can be made by anyone; no need to be directly involved eg journalist about MPs’
expenses.
Requests must be made in writing
Must be responded to within 20 working days
May charge a fee
Destroying information to prevent a Freedom of Information request is a criminal offence
NB In case of conflict the DPA takes precedence over FoI
56
What are the five principles for Pharmacies
Principle 1: The governance arrangements
safeguard the health, safety and wellbeing of
patients and the public.
Principle 2: Staff are empowered and
competent to safeguard the health, safety and
wellbeing of patients and the public.
Principle 3: The environment and condition of
the premises from which pharmacy services
are provided, and any associated premises,
safeguard the health, safety and wellbeing of
patients and the public.
Principle 4: The way in which pharmacy
services, including the management of
medicines and medical devices, are delivered
safeguards the health, safety and wellbeing of
patients and the public.
Principle 5: The equipment and facilities used
in the provision of pharmacy services safeguard
the health, safety and wellbeing of patients and
the public.
57
Full packs of controlled drug (CD) stock have gone out of date in your pharmacy. What do you need to consider when deciding how to dispose of them?
Schedule of the drugs if its a CD 2 drug an Inspection officer needs to contacted to witness
Needs to be recorded in CD, date of destruction, quantity destroyed, must be recorded and signed by a witness for CD2 the witness must be - inspector appointed by VMR, a vet, a person legally authorised to witness destruction of Cds e.g Police CD Liaison Officer.
Use a denature kit
58
What is the Role of the Controlled Drugs Accountable Officer
The Controlled Drugs Accountable Officer (CDAO) is the person responsible for ensuring
and providing assurance that their organisation has effective systems in place for the
safe and secure management of CDs. This is a requirement under the Health Act 2006.
Regulations 11-13 set out the core duties and functions of the CDAO and can be found in
Part 2 of The Controlled Drugs (Supervision of Management and Use) Regulations 2013
(SI (2013/373)).
59
Who can be a Controlled Drugs Accountable Officer?
The person appointed to this role must be a senior manager of their organisation and must
not routinely supply or handle controlled drugs themselves as part of their duties as an
employee or officer. Regulation 8 sets out who may be appointed to the role of Controlled
Drugs Accountable Officer for both NHS and independent hospital designated bodies.
60
What organisations must appoint a controlled drug accountable officer?
All healthcare providers that are defined as being a ‘designated body’ under the
Regulations must appoint a Controlled Drugs Accountable Officer. The following
organisations are designated bodies in Scotland:
All Health boards
The following Special health boards:
National Waiting Times Centre
The State Hospitals Board for Scotland
Scottish Ambulance Service
Voluntary hospices
Independent hospitals
Private psychiatric clinics
The headquarters in Scotland of regular or reserved Armed Forces.
61
What organisations do not require a controlled drug accountable officer?
Under Regulation 4 organisations that have fewer than 10 staff (whether employed
or voluntary) are automatically exempt from having to appoint a CDAO.
62
Why would a controlled drug accountable officer be removed from the role? What do you need to do if this role is taken up by someone else?
is no longer considered to be a fit and proper person, or,
no longer meets one or more of the three conditions set out below:
- is no longer a senior manager or director of the organisation and no longer
reports to such a person
- is no longer an employee of the organisation
- now routinely prescribes, supplies, administers or disposes of controlled
drugs as part of their duties
You must inform Healthcare Improvement Scotland if the current CDAO appointment
changes. This means when you remove a CDAO, you need to inform us of the
replacement appointment, whether permanent or temporary, so that the position
remains filled at all times. You then need only notify us of the details of the new
CDAO.
63
What Organisations can apply to Healthcare Improvement Scotland to be exempt from appointing an accountable officer?
h independent healthcare providers
with more than 10 staff can apply to Healthcare Improvement Scotland to be exempt
from appointing a CDAO.
You must demonstrate on the form that your organisation
meets the following criteria:
does not generally have a high volume of CD usage or activity, and,
would find it difficult to appoint a suitable individual to the role of CDAO
due to the size of the hospital, and, because it is not possible to join with a similar type of hospital to make a joint appointment
Organisations that are given this exemption become ‘relevant persons’ to the NHS
board CDAO within which they are located. This means that their CD activity will be
monitored by the NHS board CDAO through the Local Intelligence Network.
64
What happens when a patient comes in to return Cds, what do we do?
The RPS guidance to Pharmacists is that patient returned schedule 2 CDs should be recorded and their subsequent destruction recorded (in a separate record to the CD register). Patient returned CDs should be denatured in the presence of another member of staff, preferably a pharmacist or pharmacy technician if available. RPS guidance confirms that the destruction of patient returned CDs, whether they require denaturing or not, does not require witnessing by an authorised person.
65
What must be entered in the CD register when destroying a sch 2 drug?
the name, strength and form of the controlled drug;
the quantity;
the date of destruction;
the signature of the authorised person witnessing the destruction
66
Which Cd drugs need to be witnessed when destroying?
Sch 2
There is no requirement in the 2001 regulations that the disposal of date-expired medicines in Schedules 3, 4 and 5 to be witnessed or recorded. Nevertheless, NICE guidance confirms that even if legislation does not require a witness to be present when destroying pharmacy own stock CDs to consider having a witness present
67
How should a Cd drug be when it enters a waste container?
The Royal Pharmaceutical Society (RPS) has issued guidance that unwanted CDs returned from patients homes in Schedule 2, Schedule 3 and Schedule 4 (part 1) should be placed into waste containers only after the CD has been rendered irretrievable (i.e. by denaturing). Where practicable pharmacists should use CD denaturing kits in order to denature CDs, these can be obtained from some waste contractors and the NPA.
68
What does the COSHH legilisation require?
Control of Substances Hazardous to Health (COSHH) legislation requires
employers to control substances that are hazardous to health. All employers
must protect everyone using the workplace from exposure to hazardous substances in
the workplace; this includes staff and those using the premises eg customers.
69
What is a hazard?
Hazard’ is the danger something presents
70
What is a risk?
Risk’ is the likelihood of harm in a particular circumstance
71
What are examples of hazards?
Substances hazardous to health can include chemicals, products containing chemicals,
fumes, dusts, vapours, mists, nanotechnology, gases and asphyxiating gases and
biological agents (germs). These substances can cause harm if they are inhaled,
injected, swallowed or come in contact with the skin. If a substance has any of the
hazard symbols (see CLP Regulations below) on its packaging then the substance is
hazardous.
COSHH does not cover lead, asbestos or radioactive substances as they are covered by
other legislation.
72
What is an essential requirement for a COSHH in a workplace?
COSHH requires that a risk assessment of substances and procedures in the
workplace is carried out as part of managing risks. This must be done by a
competent person ie possibly someone else other than the pharmacist. They should
consider
73
What are the steps and considerations in a risk assessment? and what do they assess?
Steps in carrying out a risk assessment
Identify hazards
Assess the risks
Control the risks
Record your findings
Review the controls
Consider
where a substance is stored
* how it is used
* if it is controlled by CLP or other legislation
* any guidelines that apply
* handling precautions in normal use
* what to do if spillage occurs
* first aid procedures
* maximum exposure limits
Risk assessments assess the risk associated with
an area eg dispensary
a process eg needle exchange
an individual substance eg acetic acid.
74
How many employees in a workplace must the risk assessment be WRITTEN down?
If there are five or more employees the risk assessment must be written
down but it is strongly recommended that you write down all risk assessments.
75
How to employees prevent and reduce all exposure to hazardous substances?
finding out what the health hazards are
* deciding how to prevent harm to health (risk assessment)
* providing control measures to reduce harm to health
* monitoring use of control measures to ensure they are being used correctly
* keeping all control measures in good working order
* providing information, instruction and training for employees and others
* providing monitoring and health surveillance in appropriate cases
* planning for emergencies.
76
How are hazardous substances labelled?
any appropriate hazard statements and/ or
* any appropriate precautionary statements and
* a pictogram advising of the category of hazard
77
What are hazard statements?
A hazard statement is a phrase that describes the nature of the hazard in the
substance or mixture. Examples of hazard statements include:
Causes serious eye damage
Toxic if swallowed
Toxic to the aquatic life with long lasting effects
May cause allergy or asthma symptoms or breathing difficulties if inhaled
78
What is a precautionary statement?
A precautionary statement is a phrase that describes recommended measure(s) to
minimise or prevent adverse effects resulting from exposure to a hazardous substance
or mixture due to its use or disposal. Examples of precautionary statements include:
Wear eye protection
Do not eat, drink or smoke when using this product
Avoid release to the environment
In case of inadequate ventilation wear respiratory protection
79
What should containers with chemicals stored in them be like?
prevent escape of the chemical
* are not adversely affected by the chemical
* are strong enough to withstand normal handling
80
What should the label for a hazardous substance or mixture contain?
The label for a substance or mixture classified as ‘hazardous’ should contain:
* name, address and telephone number of the supplier(s);
* the nominal quantity of the substance or mixture in the package, unless this
quantity is specified elsewhere on the package;
* product identifiers;
* hazard statements, where applicable;
* appropriate precautionary statements where applicable;
* hazard pictograms, where applicable;
* the relevant signal word, where applicable;
* a section for supplemental information, where applicable
81
What is the difference between a controller and a processor?
The UK GDPR applies to ‘controllers’ and ‘processors’.
A controller determines the purposes and means of processing personal data.
A processor is responsible for processing personal data on behalf of a controller.
If you are a processor, the UK GDPR places specific legal obligations on you; for example, you are required to maintain records of personal data and processing activities. You will have legal liability if you are responsible for a breach.
However, if you are a controller, you are not relieved of your obligations where a processor is involved – the UK GDPR places further obligations on you to ensure your contracts with processors comply with the UK GDPR.
82
What organisations does the GDPR apply and not apply to?
The UK GDPR applies to processing carried out by organisations operating within the UK. It also applies to organisations outside the UK that offer goods or services to individuals in the UK.
The UK GDPR does not apply to certain activities including processing covered by the Law Enforcement Directive, processing for national security purposes and processing carried out by individuals purely for personal/household activities.
83
What are the UKs GDPR key principles?
Lawfulness, fairness and transparency
Purpose limitation
Data minimisation
Accuracy
Storage limitation
Integrity and confidentiality (security)
Accountability
84
What makes something unlawful?
a breach of a duty of confidence;
your organisation exceeding its legal powers or exercising those powers improperly;
an infringement of copyright;
a breach of an enforceable contractual agreement;
a breach of industry-specific legislation or regulations; or
a breach of the Human Rights Act 1998.
85
What are the 5 core services?
1. Pharmacy First
2. Quality improvement
3. Medicine care and review
4. Public health service
Acute medication service
86
What are the 3 outcomes of NHS pharmacy first?
1. Give advice on symptoms
2. Treatment if recommended
3. Referral to other services
87
Who is eligible for pharmacy first?
Anyone registered to a GP practice in Scotland or on temporary basis up for more than 3 months patient from england or another country can register as a temporary registration (inc care home residents)
People who live in Scotland including gypsy travellers or asylum seekers
Who present symptoms
88
List 5 minor treatments that can be treated with this service?
Eczema
Head Lice
Acne
Scabies
Impetigo
UTI - woman
Ulcers/verruca
Colds/flu
Constipation
Diarrhoea
Allergies
Head Lice - thread worms
Ear wax - olive oil
Muscle pain
89
What is the monthly payment to pharmacies for pharmacy first?
£1000 have to get target goals of pharmacy firsts each month
90
What is the threshold number of consultations required to reach the monthly activity payment pool?
PGD counts as 3
Pharmacy first counts as 1
Total each month 100
91
is chloramphenicol 0.5% allowed, pholcodine cough linctus 200ml, ibuprofen 5% gel 100g and olive oil ear drops 10ml allowed on pharmacy first?
Chloramphenicol 0.5% eyedrops are ALLOWED on FP
Pholcodine cough linctus 200mL is NOT ALLOWED on FP
Ibuprofen 5% Gel x 100g is NOT ALLOWED on FP ONLY 30g or 50g
Olive Oil ear drops x 10mL is ALLOWED
