nhs services Flashcards
(25 cards)
are essential service mandatory and how are they paid
yes and paid for each dispensed item
are advanced and enhanced and Locallycomissioned services mandatory and hwo are they paid
optional and paid for each patient interaction
8 esstential services
- Dispensing (medication and appliances)
- Repeat Dispensing
- Disposal of unwanted medicines
- Promotion of healthy lifestyles (public health)
- Sign-posting patients to other healthcare providers
- Healthy Living Pharmacy
- Support for self-care
- Discharge Medicines Service
how lomg is a repeat for
up to 12 months usually in28 day batches
3 levels of health promotion
Level 1: Promotion-Promoting health, wellbeing and self-care
Level 2: Prevention-providing services (commissioner-led
Level 3: Protection-Providing treatment (commissioner-led)
6 places to sign post
information service
local support groups
other healthcare professionals e.g. GP
charity websites/support
local NHS or other service e.g. NHS 111
Also take part in local and national health campaigns
6 aims/benefits to discharge medicines service
To ensure better communication of changes made to a patient’s medicines in hospital
Optimise the use of medicines, with shared decision making
Reduce harm from medicines at transfers of care
Improve patients’ understanding of their medicines and how to take them following discharge from hospital
Reduce hospital readmissions
Support the development of effective team-working across hospital, community and primary care networks pharmacy teams and GP teams and provide clarity about respective role
4 stages of DMS
hospital refer patients for DMS at their community pharmacy
Community pharmacists compare medicines at discharge to those patients were taking before admission, clinically check the discharge meds and ensure prescriptions in pharmacy match discharge
Check the first new prescription from GP reflects discharge
Discuss with patient/carer to ensure patients understand which medicines they should now be using
5 high risk medicines that should use DMS
digoxin, warfarin, insulin, lithium, CDs, methotrexate, NSAIDS
newly started resp meds including inhalers
medication follow ups
meds that can cause dependency like opioids
varying doses
7 high risk patientsthat should use DMS
5 or more meds, where risk of harm or interaction is increased
new meds prescribed in hospital
med changes in hospital
MI, stroke patients as likelihood of new meds being prescribed
those who are confused about their medications and have already needed addition support from a healthcare professional
those who have help at home with meds
learning disabilities
9 advanced services
New Medicines Service (NMS)
Flu vaccination service
Appliance Use Review (AUR) Service
Stoma Appliance Customisation (SAC) Service
Pharmacy Contraception Service (PCS)
Hypertension Case Finding service
PHARMACY FIRST
Lateral flow device (LFD) service
Smoking cessation service
10 ppls for advacned NMS
Asthma and COPD:
2. Diabetes (Type 2);
3. Hypertension;
4. Hypercholesterolaemia;
5. Osteoporosis;
6. Gout;
7. Glaucoma;
8. Epilepsy;
9. Parkinson’s disease;
why are these patients chosen for NMS
have the greatest degree of non-adherence
will benefit the most
3 stages of advanced NMS
- Patient Engagement (Day 0)
- Intervention (Day 7-14)
- Follow Up (Day 21-28)
7 benefits of advanced NMS
Improves adherence
Reduces hospital admissions
Increases patient engagement with their conditions/ medicines
Reduces medicines wastage
Increased yellow card reporting
Patients like it
Supports the development of outcome and/or quality measures
3 benefits of flu vaccination
Improve patient choice
GP service: High level of uptake by over 65s but low uptake of flu vaccine to ‘at risk’ groups
Provide more consistent coverage and less local variation in flu vaccine uptake
4 requirments of supply of POM without prescription
Patient Group Direction (PGD)
Verification of online and/ or face to face training
Standard Operating Procedures (SOPs)
Regular renewal and review of training/ contract
5 requirments for advances NHS flu service
training face to face every 3 year, optional after inital
e-learning and e-assessment (yearly)
Declaration of Competence (DoC)
NHS PGD and pharmacy SOP
Patient assessment and consent
3 elements of pahrmacy first
clinical pathway consultation
urgent supply of repeat meds and applications
referrals for minor illness consultations
7 pharmacy first conditions
sinusitis - 12yr and over
sore throat 5yr and over
acute otitis media - 1-17yr
infected insect bite 1yr and over
impetetigo - 1yr and over
shingles 18yr and over
uncomplicated UTI 16-64yr women
4 organisations that pay for locally comissioned services
public Health England (PHE)
UKHSA
OHID
NHS England (NHSE)
4 ICS funded
INR clinics and warfarin supply
Tailored dispensing service
Latent TB service
Palliative care service
NHSE funded 1
out of hours service
PHE funded 7
EHC to young people
Chlamydia testing/treatment
Free condoms
Stop smoking
Supervised consumption of methadone/ buprenorphine
Needle exchange
NHS Health Checks
