Audit, PACT & QOF

Question 1

Roles of a practice based pharmacist

Answer 1

• Reviewing medicines in high risk patients
– Polypharmacy / high risk medicines
– Frail, elderly
– Hepatic or renal disease
• Helping to achieve seamless care for the patient
– On discharge liaise with secondary care and
community pharmacy
– Care homes / domiciliary visits
– Following up on MURs undertaken by community
pharmacists
• Running clinics (and/or supporting practice
nurses)
– IPs e.g. hypertension, diabetes, COPD, minor
ailments
• Reviewing practice prescribing data
• Audit
• Process issues
• Supporting campaigns

Question 2

Data management

Answer 2

• ePACT (Electronic Prescribing Analysis & CosT) data
• QOF (Quality and Outcomes Framework)
• Other data e.g. prescribing incentive schemes

Question 3

ePACT

Answer 3

• Main source of information on GP prescribing
• Derived from prescriptions dispensed by community pharmacists, dispensing GPs and appliance contractors
• Uses in practice
– Identify areas to audit
– Act on MHRA drug alerts / withdrawals
– Monitor adherence to formularies / guidance

Question 4

Prescribing measures

Answer 4

• Cost measures
– Net ingredient cost (NIC)
– Actual cost
• Volume measures
– Defined daily doses (DDD) – the assumed average
maintenance dose per day for a drug used for its
main indication in adults
– Average daily quantities (ADQ) – based on
prescribing in England