private services Flashcards
(13 cards)
4 private services
- Prescription ordering and/or collection service
- Delivery Service
- Compliance Aids (monitored dosage systems- MDS)
- Care Home Services
do patients pay
most free but not always free
3 ways pharmacy order repeat
Dropping repeat slip off
Emailing request to surgery
Ordering via surgery website
what transport does nhs pay for
funds delivery of certain appliances but not medications
6 advantages of MDS
Patients and carers love them
Increases business, especially if you have 7-day prescriptions
Provides patient centred care
Works well for patients with disability such as dexterity problems-a ‘reasonable adjustment’
to comply with the Equality Act 2010
Allows patients to remain independent for as long as possible (avoiding care home /hospital
admission)
You can charge patients
10 disadvanatges
No NHS funding and expensive- yet patients see it as an NHS service as it uses NHS prescriptions
De-skills patients
- Need a lot of well trained staff
- Time consuming
- Expensive – must pay for trays and extra staff time
- Difficult to manage, especially for patients that are frequently admitted to hospital
- High dispensing error rate
- Difficult to change medication regime once a set of trays has been supplied to patient
- If patients have difficulty remembering to take medication, MDS may not help
Not all medication can be placed in trays
locations of pharmacy sales
in pharmacy
private hospitals
private clinics
prisons
hospices
stock suplies to dentists, oil rigs, drug treatment cenntre, ambulance services
what certificate is needed to sell any medications
Wholesale Dealers Authorisation
does MHRA do inspections
yes
certificate for CDs
home office lisence annual application
how often does home office inspect
every 3 years
5 requirments for supplying POM without prescription
Patient Group Direction (PGD)
Verification of online and/ or face to face training
Standard Operating Procedures (SOPs)
Requires diagnostic questions/records for clinical effectiveness and patient safety
PGDs –patient records filled in online or as paper copy
10 PDGs
Erectile dysfunction
Influenza vaccine to people ineligible to receive the NHS flu vaccine
Hepatitis B vaccine (all brands)
Travel vaccines
Antimalarials
Stop smoking
Period delay
Hair loss
Salbutamol inhalers (for repeat supply)
Oral contraception
