Community Pharmacy Flashcards

1
Q

Describe the purpose of the CP contract.

A

Ensures provision of essential services

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2
Q

Who monitors essential services?

A

NHS England

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3
Q

What is an essential service in a CP?

A

Must be offered by all CPs as part of the CP contract

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4
Q

What is an advanced service and who is it commissioned by?

A

Can be offered by CPs as long as they meet the requirements and it is commissioned by the local authority (LA)

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5
Q

What are locally commissioned services?

A

Commissioned by LAs, CCGs, NHS England depending on local needs.

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6
Q

What are the 8 essential services?

A
  1. Dispensing medicines/appliances
  2. Repeat Dispense
  3. Clinical governance
  4. Disposal of unwanted medicines
  5. Promotion of healthy lifestyle
  6. Signposting
  7. Self-care support
  8. DMS
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7
Q

Describe dispensing medicines/appliances.

A

Maintain records and record interventions

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8
Q

Describe Repeat dispensing

A

For patients with stable medication regimen, managed for up 1 year using batch Rx

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9
Q

Describe clinical governance

A

SOPs, practice audits, CP patient questionnaire, patient safety incident report

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10
Q

Describe promotion of healthy lifestyle

A

opportunistic advice of patients receiving Rx requirement to do up to 6 health campaigns

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11
Q

Describe signposting

A

Referring patient to other healthcare professionals, info should be held in pharmacies for local signposting

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12
Q

Describe self care support

A

Advice and support for patient and their families for long term conditions - responding to symptoms

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13
Q

Describe DMS

A

This is suitable patients identified by hospitals to:
- reduce medicines harm at care transfer
- reduce hospital readmissions
- improve patient understanding of meds and optimise their use

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14
Q

What are the 9 advances services that are available?

A
  1. Appliance use review
  2. Hep C testing
  3. Stoma appliance customisation
  4. Stop smoking
  5. Flu vaccine
  6. C-19 LF distribution service
  7. HPT case funding
  8. NMS
  9. CPCS
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14
Q

What are the 9 advances services that are available?

A
  1. Appliance use review
  2. Hep C testing
  3. Stoma appliance customisation
  4. Stop smoking
  5. Flu vaccine
  6. C-19 LF distribution service
  7. HPT case funding
  8. NMS
  9. CPCS
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15
Q

Describe appliance use review

A

Products in part XI of drug tariff

16
Q

Describe Hep C testing

A

Point of care to people who inject drugs

17
Q

Describe stoma appliance customisation

A

specific training is required

18
Q

Describe stop smoking

A

for patients referred by hospitals

19
Q

Describe Flu vaccine

A

to maximise uptake in risk groups by increasing accessibility

20
Q

Describe C-19 LF distribution service

A

aims to identify positive cases and reduce transmission

21
Q

Describe HPT case finding

A

initial BP check followed by 24 hour ambulatory monitoring

22
Q

Describe NMS

A

4 week support for patients with long term conditions such as asthma, HPT and who have been prescribed new medicines to ensure proper use and adherence

23
Q

Describe CPCS

A

Connects patient with minor illness/urgent supply of medicines to CP which relieves pressure on NHS via 111 referral

24
Describe the pharmacy quality scheme (PQS)
Supports the NHS long term plan by rewarding CPs with PGS payments for meeting the 2021/22 domains
25
Briefly explain the 2021/22 domains
1. Medicines safety & optimisation - anticoagulation audit 2. Respiratory - PAAP and promoting spacer use for children and pMDI use. Inhaler technique checks for new inhalers. Return of unwanted/used inhalers. 3. Digital - remote consultation 4. Primary care network - flu vaccinations 5. Prevention - infection, prevention, control & review of anti-microbial use 6. Addressing unwanted variation in care - CPPE e-learning and assessment on health inequalities 7. Action plan promoting C-19 vaccine & myth busting 8. Health living support - weight management, CPPE learning and action plan