Clinical pharmacy service

Question 1

state the three stages in commissioning process

Answer 1

1. strategic planning
2. procurement
3. monitoring and evaluation

Question 2

what does strategic planning entails?

Answer 2

Assess needs (JSNA, JHWS, PNA), review existing service provision, gather supporting evidence, engage stakeholders.

Question 3

What does procurement entails?

Answer 3

Ensure appropriate clinical governance.
Requires understanding of community pharmacy.
Design the service & establish the patient pathway through the service, assess and address financial implications, contract development.

Question 4

what does monitoring and evaluation entails?

Answer 4

Define patient outcomes, capture the evidence, review the service.
Practicing and evidencing clinical governance

Question 5

What is clinical governance?

Answer 5

A systematic approach to maintaining and improving quality of care.

Question 6

What is the purpose of clinical governance?

Answer 6

Clinical governance is the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish.

Question 7

state the key component of clinical governance

Answer 7

1. Clear lines of responsibility & accountability for overall quality of clinical care
   Clinical audit
   2.Clinical guidelines & evidence based practice
   3.Continuing professional development
2. Monitoring of clinical care
3. Research & development
4. Risk management

Question 8

State the aim of COMMUNITY PHARMACY CONTRACT FRAMEWORK?

Answer 8

New 5 year contract aimed to better utilise the clinical skills of pharmacy teams and their accessibility.
Embed pharmacies within NHS as first port of call for minor ailments & health advice in England.

Question 9

List the key component of COMMUNITY PHARMACY CONTRACT FRAMEWORK?

Answer 9

1.Urgent care
2. Prevention
3. Medicines optimization &
safety
4. Pharmacy quality scheme (PQS)

Question 10

Community pharmacy consultation service (CPCS)
Providing urgent access to medicines & minor ailments advice
Advanced service
.True/false?

Answer 10

True

Question 11

what does prevention entails according to CPCS?

Answer 11

All pharmacies healthy living pharmacy level 1
Mandated health campaigns
Hep C testing
Trial other prevention programmes

Question 12

What is Pharmacy quality scheme (PQS)

Answer 12

Rewards pharmacy with points for clinical effectiveness, patient safety and patient experience
Points = £
Requirements change annually

Question 13

State the gateway criteria – to qualify for PQS?

Answer 13

MUST have delivered at least 20 x NMS in 22/23 financial year, AND
MUST have a current premises level patient safety report in place, which covers:
Analysis of incidents and incident patterns (taken from an ongoing log);
Evidence of sharing learning (both locally and nationally);
Actions taken in response to national patient safety alerts; and
Learnings from a review of all patient safety incidents

Question 14

state the domain of PQS (2022/23)

Answer 14

1. Risk management & safeguarding
   2.Respiratory
   3.Healthy living support
   4.Addressing unwarranted variation in care
   5.Prevention