Community Pharmacy

Question 1

Describe the purpose of the CP contract.

Answer 1

Ensures provision of essential services

Question 2

Who monitors essential services?

Answer 2

NHS England

Question 3

What is an essential service in a CP?

Answer 3

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

Question 4

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

Answer 4

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

Question 5

What are locally commissioned services?

Answer 5

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

Question 6

What are the 8 essential services?

Answer 6

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

Question 7

Describe dispensing medicines/appliances.

Answer 7

Maintain records and record interventions

Question 8

Describe Repeat dispensing

Answer 8

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

Question 9

Describe clinical governance

Answer 9

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

Question 10

Describe promotion of healthy lifestyle

Answer 10

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

Question 11

Describe signposting

Answer 11

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

Question 12

Describe self care support

Answer 12

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

Question 13

Describe DMS

Answer 13

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

Question 14

What are the 9 advances services that are available?

Answer 14

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

Question 14

What are the 9 advances services that are available?

Answer 14

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

Question 15

Describe appliance use review

Answer 15

Products in part XI of drug tariff

Question 16

Describe Hep C testing

Answer 16

Point of care to people who inject drugs

Question 17

Describe stoma appliance customisation

Answer 17

specific training is required

Question 18

Describe stop smoking

Answer 18

for patients referred by hospitals

Question 19

Describe Flu vaccine

Answer 19

to maximise uptake in risk groups by increasing accessibility

Question 20

Describe C-19 LF distribution service

Answer 20

aims to identify positive cases and reduce transmission

Question 21

Describe HPT case finding

Answer 21

initial BP check followed by 24 hour ambulatory monitoring

Question 22

Describe NMS

Answer 22

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

Question 23

Describe CPCS

Answer 23

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

Question 24

Describe the pharmacy quality scheme (PQS)

Answer 24

Supports the NHS long term plan by rewarding CPs with PGS payments for meeting the 2021/22 domains

Question 25

Briefly explain the 2021/22 domains

Answer 25

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