The Pharmacy contract - Essential & Advanced

Question 1

Essential services listed

Answer 1

• All Pharmacy contractor as part of NHS services offered by all pharmacist

Question 2

Locally commissioned service

Answer 2

• Contracted via a number of different routes for specific services CCG and Health board in wales

Question 3

Essential services

Answer 3

• Dispensing medicines
• Dispensing Appliances
• Repeat dispensing
• Clinical Governance - 7 pillars
• Discharge Medicines Services
• Public Health
• Signposing - sending people to specialist
• Self care
• Disposal of unwanted medicines

Question 4

Dispensing

Answer 4

• Supply of mediand appliances ordered on NHS prescriptions, together with information and advice
• Ensures safety and maintainance of appropriate records
• EPS - electronic prescription
• Dispense on drug tariff

Question 5

Repeat Dispensing

Answer 5

• Repeat dispensing is an Essential Service within the Community Pharmacy Contractual Framework
• Dispense repeat dispensing prescriptions issued by a GP
• Ensure that each repeat supply is required

Question 6

Clinical governance

Answer 6

• A framework through which NHS organisationd are accountable for continuing quality improvemment
• Use standard operating procedures learning from adverse drug reaction, recording reporting and continuing professional development assessing patient satisfaction

Question 7

Pillars of clinical goverance

Process of quality improvement

Answer 7

• Patient and public involvement
• Clinical audit
• Risk management
• Clinical effectiveness

Question 8

Pillars of clinical goverance

Staff focus

Answer 8

• Staffing and staff management
• Education, training and CPD

Question 9

Pillars of clinical goverance

Use of information

Answer 9

• Use info to support clinical governance and health delivery p

Question 10

Discharge medicine service

Answer 10

• Patient who have recently been discharged from hospital get support from local pharmacy
• Hospital refer patient on who would benifit from extra guidance

Question 11

4 oppertunistic advice

Answer 11

• Have diabetes
• Be at risk of coranary heart disease (high BP)
• People who smoke
• Are overweight

Question 12

Disposal of unwanted medicines

Answer 12

• Community pharmacy unwanted medicine
• Returned solid medicines/ ampoules, liquids and aerosols are separated

Question 13

Signposting

Answer 13

Require further support, advice or
treatment which cannot be provided by the
pharmacy

Question 14

Support for self care

Answer 14

• Derive maximum benefit from caring for themselves or their families
• Advice to people, including carers, requesting help with the treatment of minor illness

Question 15

Advanced Services

Community Pharmacist Consultation service

Answer 15

• Connects patient who have minor illness to need an urgent supply
• 111 services referrals from GPs

Question 16

4 priority services for CPCS

Answer 16

• Common ailment
• Emergency contraception - Key priority
• Emergency medicine
• Seasonal flu - Key priority

Question 17

Seasonal flu jabs

Answer 17

• Pregnant
• 50 or more in age
• You have a long term chronic condition
• Those that live in a care home

Question 18

Hepitis C

Answer 18

• Antibody testing added to CP
• Those who inject heroin and ilcit drugs are at risk

Question 19

Hypertension case finding

Answer 19

• Identifying people at risk of hypertension and
  offering them blood pressure measurement
• Is offering 24 hour ambulatory blood pressure monitoring

Question 20

New Medicine Service

Answer 20

• Newly prescribed a medicine to manage a long term condition,
• Which will generally help them to appropriately improve their medication

Question 21

Conditions that are eligible for new medicine service

Answer 21

asthma and COPD
* diabetes (Type 2)
* hypertension
* hypercholesterolaemia
* osteoporosis
* gout
* glaucoma
* epilepsy
* Parkinson’s disease

Question 22

Stoma Appliance Customisation

Answer 22

• Customisation of a quantity of more than
  one stoma appliance, based on the patient’s measurements
• Ensure proper use and comfortable fitting of the stoma appliance and to improve the duration of
  usage, thereby reducing waste

Question 23

Stop Smoking

Answer 23

• Discharged from hospital to a community pharmacy of their choice to continue their
  smoking cessation care pathway

Question 24

Enhanced services

Answer 24

• Primary Care Covid-19 Immunisation
• Accrediting in Wales
• Care Home support
• Emergency hormonal contraception
• Independant Prescribing
• Stop smoking service
• Needle and syringe supply
• Pateint sharps service - disposal of sharps
• Sore throat test and treat
• Substamce misuse

Question 25

Emergency hormonal contraception

Answer 25

- Record form guidelines to follow when prescribing & consultation

Question 26

Advanced services

Answer 26

- Appliance use and review - Flu vaccination service - Hep C test service - Hypertention case finding service - Community pharmacist case finding service - Stoma appliance customisation - New medicines and lateral flow