B1 Regulation of pharmacies Flashcards

(47 cards)

1
Q

in terms of pharmacy, what does retail mean?

A
  • selling to the public
  • supplying on NHS prescription is not a sale, but covered by the same law
  • selling or supplying to another pharmacy is not retailing but wholesaling
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2
Q

what is regulated within the pharmacy profession?

A
  • people
  • premises
  • products
  • businesses
  • online services
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3
Q

how are people regulated in the pharmacy profession? how?

A
  • GPhC
  • through registration
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4
Q

how are premises regulated in the pharmacy profession? how?

A
  • GPhC
  • through registration and inspection
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5
Q

how are products regulated in the pharmacy profession? how?

A
  • MHRA
  • marketing authorisations
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6
Q

how are businesses regulated in the pharmacy profession?

A

GPhC

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7
Q

how are online services regulated in the pharmacy profession? how?

A
  • GPhC and Care Quality Commission
  • through inspection, reports and MHRA advertising
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8
Q

state 3 legislations (laws) made by the parliament relevant to pharmacy

A
  • Medicines Act 1968
  • Human Medicines Regulations 2012
  • Misuse of Drugs Act 1971
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9
Q

in various legislations, it is stated that the sale of any medicines not on the GSL is prohibited. state what is meant by prohibited and state the exception to this

A
  • ‘prohibited’ means that sales or supplies are criminal offences
  • prohibitions often start with ‘no person shall’ then there are exceptions underneath
  • exception: a person who is ‘lawfully conducting a retail pharmacy business’
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10
Q

describe premises in pharmacy and their legal requirements. what kinds of premises does this include?

A
  • registered with GPhC
  • premises inspected and reports published
  • includes online, remote, distance selling pharmacies
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11
Q

what happens in the case of a breach of GPhC standards being found upon premises inspection?

A

power to impose conditions of registration

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12
Q

what are restricted titles? state some in pharmacy

A
  • you can only call yourself these titles if you have been through the protocol and studying of becoming registered to have this title

eg.
pharmacy
chemist
pharmacist
pharmacist independent prescriber
pharmacy technician

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13
Q

who is ultimately responsible for issues in a pharmacy?

A

the owner

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14
Q

what is the owner of a pharmacy classified as?

A
  • the person who conducts the business
  • employees, locums and managers are not the owners (unless the manager is also the owner)
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15
Q

what are the requirements for an owner of a pharmacy?

A

owner must be:
- a body corporate (usually a limited company registered at Companies House) OR
- a registered pharmacist OR
- a partnership of registered pharmacists (England or Wales) OR
- a partnership in which at least one partner is a registered pharmacist (Scotland)

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16
Q

other than the requirements for being an owner of a pharmacy, what else must be met?

A

conditions

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17
Q

describe Condition 1 for Responsible Pharmacist

A
  • only responsible for one set of premises at one time
  • must be at the premises
  • signed in and notice displayed at premises
  • permitted absence up to 2 hours in a day
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18
Q

Responsible Pharmacists are permitted to be absent from their premises for up to 2 hours a day. describe what sales can occur during this time

A
  • GSL medicines can be sold in their absence
  • other medicines being sold is currently a grey area that will be clarified in the future but generally it would not be allowed
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19
Q

what is the legal duty of the RP?

A

to secure the safe and effective sale and supply of ALL medicines:

  • at or from the particular premises
  • only while they are on duty and
  • only when the premises are open for sale or supply of medicines or
  • being assembled or dispensed
20
Q

how will the law change for RPs?

A

GPhC will make rules about:

  • whether and for how long the RP can be absent
  • whether and when the RP can be RP at more than one set of premises at the same time
21
Q

describe Condition 2 for Superintendent pharmacists

A
  • every company must have a superintendent pharmacist

the SP must:
- sign notification of appointment sent to GPhC
- be a senior manager of the retail pharmacy business
- have the authority to make decisions that affect the running of the retail pharmacy business so fas as concerns retail sale or supply of all medicines (I.e. including general sale medicines)

22
Q

what is the legal duty of the SP?

A

to secure that at all times, the business is carried on in ways that ensure its safe and effective running … so far as concerns the retail sale or supply of all medicinal products including GSL medicines

23
Q

simply describe the duties of a SP

A
  • senior manager of the business
  • decision-making authority
  • more than one company
  • safe and effective running of the business, so far as concerns sale or supply of all medicines
  • notification to GPhC
  • 24/7
24
Q

simply describe the duties of a RP

A
  • acts at direction of SP
  • the business at the pharmacy
  • one pharmacy
  • safe and effective running of the business at the premises, so far as concerns sale or supply of all medicines
  • notice displaying name at premises
  • only when signed in as RP
25
the sale or supply of P and POM medicines is unlawful unless...?
- on registered pharmacy premises - made personally by a pharmacist or under pharmacist's supervision
26
what is awaited in the supervision of sale and supply of P and POM medicines?
DHSC consultation and GPhC standards
27
describe chief pharmacists
- hospitals, prisons and similar institutions - not a legal requirement to have one - relevant to a defence if prosecuted for dispensing error - responsible for securing that the pharmacy service is carried on safely and effectively
28
what must a chief pharmacists play a significant role in?
- decision-making about how the pharmacy service is managed or organised OR - authority to make decisions about the sale or supply of medicines OR - have significant role in managing or organising
29
state 4 standards for chief pharmacists
1. provide strategic and professional leadership 2. develop a workforce with the right skills knowledge and experience 3. delegate responsibly and make sure there are clear lines of accountability 4. maintain and strengthen governance to ensure safe and effective delivery of pharmacy services
30
risks of online pharmacy
- no face-to-face assessment or questions - is the patient genuine? - is the patient telling the truth about age or medical history? - patients lie eg. weight loss or suicidal intentions (pharmacists are expected to be skeptical!) - patient may order more medication than is reasonably necessary including the ability to order from more than one online pharmacy - patient has the choice as to whether the online pharmacy should inform their doctor as to what has been prescribed and supplied online
31
state 3 things applicable to an online business (specifically pharmacy)
- standard operation procedures - record-keeping - staff training
32
what must websites for online pharmacy show?
- name of the pharmacy owner - physical address of the pharmacy - information about how to check the registration status of the pharmacy
33
state some guidance surrounding online pharmacy
- check identity of person seeking pharmacy services - don't prescribe medicines liable to misuse, overuse or abuse - not all prescribing can be based on checklist alone - if there is no consent to share info with GP, consider safety of prescription
34
describe the guidance surrounding online pharmacy and medicines for weight management
- must verify height and weight or BMI - must not rely on info from patient alone - in person or video consultation or clinical records or contact another prescriber - NOT a phone conversation with patient (not good enough for weight loss meds)
35
how do retail pharmacies provide NHS services?
- CPCF: Community Pharmacy Contractual Framework - agreed terms of service with NHS England, Community Pharmacy England and the governments
36
what are the 3 levels of service for how retail pharmacies provide NHS services?
- essential services - advanced services - enhanced services
37
how ( or where) are the 3 types of services in pharmacy agreed?
- essential agreed nationally - advanced agreed nationally - enhanced usually agreed locally (except the COVID-19 vaccination)
38
what does a breach of terms of service lead to in retail pharmacies?
- sanctions - can lead to withholding remuneration / loss of provider status
39
state 8 essential pharmacy services
- dispensing - repeat dispensing and eRD - Discharge Medicines Service (DMS) - disposal of unwanted medicines - public health - Healthy Living Pharmacy (HLP) - support for self care - signposting
40
describe dispensing as an essential pharmacy service
medicines and appliances on NHS prescriptions with information and advice and maintenance of appropriate records (reasonable promptness)
41
what does eRD stand for?
electronic repeat dispensing
42
describe public health as an essential pharmacy service
promotion of healthy lifestyles via campaigns
43
describe Healthy Living Pharmacy as an essential pharmacy service
provision of health promotion interventions
44
what are essential pharmacy services?
all pharmacies are required to do them under their terms of service
45
what are advanced pharmacy services?
services that registered pharmacies can choose to provide
46
state some examples of advanced pharmacy services
- flu vaccination - NMS - hypertension case finding - Pharmacy First
47
what are enhanced pharmacy services?
services that are specific to the local area