The Pharmacy Contract Essential And Advanced Services Flashcards
(47 cards)
What services/ commissioned services do pharmacies offer ?
- essential services
- locally commissioned services
- advanced services
- community pharmacist consultation service
- essential facts, stats and quotes
- seasonal flu vaccination service
- commissioners portal
- services database
- new medicine service (NMS)
What is a commissioned service ?
One that is payed for
Which are the different routes which locally commissioned services can be contracted ?
local authorities, Health Boards (Wales), Clinical Commissioning Groups (CCGs - England) and local NHS England teams.
What essential services are offered by all pharmacy contractors as part of the NHS community pharmacy contractual framework (‘the pharmacy contract’) ?
- dispensing medicines
- dispensing appliances
- repeat dispensing
- clinical governance
- discharge medicines service
- public health (promotion of healthy lifestyle)
- signposting
- support for self care
- disposal of unwanted medicines
What will pharmacy teams do under the repeat dispensing service ?
- dispense repeat dispensing prescriptions issued by a GP;
- ensure that each repeat supply is required; and
- seek to ascertain that there is no reason why the patient should be referred back to their GP.
When is repeat dispensing/ electronic repeat dispensing (eRD) used ?
For chronic illness that can’t be cure, but can be managed
What us clinical governance ?
It is “a framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish”.
What are some examples of clinical governance ?
- use of SOPs - standard operating procedures: recording, reporting and learning from adverse incidents.
- participation in continuing processional development and clinical audit.
- assessing patient satisfaction.
What are the components of the process for quality improvement ?
1) patient and public involvement
2) clinal audit
3) risk management
4) clinical effectiveness
What are the main components for the process of staff focus ?
- staffing and staff management
- education, training and CPD
What is the main component for using information ?
- use of information to support clinical governance and healthcare delivery
How will the NHS DMS (discharge medicines service) benefit the patient ?
The NHS DMS will help patients get the maximum benefits from new medicines they’ve been prescribed by giving them the opportunity to ask questions to pharmacists and ensuring any concerns are identified as early as possible.
- this referral is a digital process.
What is the benefit of the DMS (discharge medicines service) on the extended health acre system ?
It is part of the Health Secretary’s ‘Pharmacy First’ approach to ease wider pressures on A&Es and GP.
The provision of opportunistic healthy lifestyle advice and public health advice is given to patients receiving prescriptions who appear to have …
- diabetes
- be at risk of coronary heart disease (CHD), especially those with higher BP
- who smoke
- are overweight
Give an outline of the service: prescription linked intervention …
- Pharmacists and their staff will give opportunistic advice to people presenting prescriptions.
- The advice is given verbally, but may be backed up by written information.
- A record of the advice given is made on the patient’s pharmacy record.
- Pharmacy contractors have systems in place to ensure that appropriate advice is given to patients.
Outline why this service is given: campaign based service …
The pharmacy provides this service to its primary care organisations (PCO) for up to 6 campaigns per year.
Give a service outline for the disposal of unwanted medicines …
Service outline:
- Community pharmacies act as a collection point for the public’s unwanted medicines.
- Returned medication are stored in UN type containers provided by the waste disposal contractor.
- Returned solid medicines/ ampoules, liquids and aerosols are separated.
- Pharmacy contractors should ensure that their staff are made aware of the risk associated with the handling of waste medicines.
- Appropriate protective equipment, including gloves, overalls and materials to deal with spillage, must be readily available close to the storage site.
What is signposting ?
The provision of information to people visiting the pharmacy, who require further support, advice or treatment which cannot be provided by the pharmacy, on other health and social care providers or support organisations who may be able to assist the person.
What is support for self care ?
The provision of advice and support by pharmacy staff to enable people to derive maximum benefit from caring for themselves or their families.
Outline the service “support for self care” given by pharmacies …
- Pharmacy staff provide advice to people, including carers, requesting help with the treatment of minor illness and long-term conditions, including general information and advice on how to manage illness.
- Pharmacy staff advise on the appropriate use of the wide range of non-prescription medicines which can be used in the self-care of minor illness and long-term conditions.
- Pharmacy staff make healthy lifestyle interventions opportunistically when appropriate.
- Pharmacy staff receive self-care referrals from NHS Direct and HCPs.
- Pharmacy staff signpost patients to other health and social care providers.
- For patients known to the pharmacy staff, records of advice given, products purchased or referrals made are made on a patient’s pharmacy record when the pharmacist deems it to be of clinical significance.
List the advanced services carries out by pharmacies …
- appliance use review (AUR)
- flu vaccine service
- community pharmacist consultation service (CPCS)
- hepatitis C testing service
- hypertension case-finding service
- pandemic delivery service
- c-19 lateral flow device distribution service
- new medicine service (NMS)
- stoma appliance customization (SAC)
- stop smoking advances service
What is an SOP (standard operating procedure) ?
Steps to carry out a task correctly.
How do AURs (appliance use review) improve the patients knowledge and use of any appliance ?
- Establishing the way the patient uses the appliance;
- Identifying, discussing and assisting in the resolution of poor or ineffective use of the appliance by the patient;
- Advising the patient on the safe and appropriate storage of the appliance;
- Advising the patient on the safe and proper disposal of the appliances that are used or unwanted.
Why is the community pharmacist consultation service (CPCS) service important ?
The service connects patients who have a minor illness or need an urgent supply of a medicine with a CP.
