Community Pharmacy Flashcards

1
Q

What are the 2 pharmaceutical lists?

A
  • Pharmacy Contractor list - name and address of persons providing pharmaceutical services
  • Dispensing Appliance Contractor - name and address of persons that provide appliances
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2
Q

When applying for the NHS applications for the Pharmacy Contractors list, which test is performed for market entry assessment?

A

Fit and Proper Person test

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3
Q

What does the Fit and Proper Person test cover?

A
  • Convictions and cautions
  • Investigations on fitness to practice
  • Investigations on professional conduct by employer
  • Pharmaceutical qualifications and works experience
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4
Q

If you are deemed fit and have been subjected to a new fitness to practice, what should you do?

A
  • Notify the Integrated Care Board (ICB) within 7 days
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5
Q

True or False: Notifying the ICB on your new fitness to practice will lead to you being removed from the Pharmaceutical Contractors List.

A

False. Notifying the ICB will mean they will be more lenient as you have owned up to it.
Failure to do so will lead to you being removed from the Pharmaceutical Contractors List.

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6
Q

What is the Community Pharmacy Audit Framework (CPAF)?

A

To monitor the pharmacies services and make sure they are running appropriately.

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7
Q

What is the process of CPAF?

A
  1. CPAF screening questionnaire
  2. CPAF full questionnaire
  3. Monitoring visits
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8
Q

Who would come for the monitoring visit that is part of the CPAF? What is their role?

A

A person authorised in writing by NHS England. To make sure that the pharmacy is complying with the requirements and has certain procedures in place.

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9
Q

What are the 2 penalties?

A
  • Remedial notice - can be fixed
  • Breach notice - cannot be fixed
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10
Q

Any of these notices can result in what?

A

NHS England will withold payment

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11
Q

Continuous breaches of the terms of service will result in what?

A

NHS England will remove the pharmacy from the contractors list.

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12
Q

What are the 3 things that must be included on a remedial breach?

A
  1. The breach
  2. The steps taken to remedy the breach
  3. Time within when it should be done
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13
Q

What must be written on a breach notice?

A

The pharmacy owner must not repeat the breach.

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14
Q

Would the following result in a remedial notice or a breach notice?
A pharmacy owner failing to open during the listed hours.

A

Breach notice.

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15
Q

What are the 3 types of services called?

A
  • Essential services
  • Advanced services
  • Enhanced services
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16
Q

What are the 9 essential services?

A
  • Dispensing medicines
  • Repeat dispensing and eRD
  • Dispensing Appliances
  • Public Health (lifestyle advice)
  • Healthy Living Pharmacy
  • Support for Self-care
  • Signposting
  • Disposal of Unwanted Medicines
  • Discharge Medicines Service
17
Q

What comes under the Dispensing of Medicines essential service?

A
  • Records
  • Record advice, interventions, referrals
  • Dispense in form acceptable to patient
  • Owings slip
  • Medication advice
18
Q

What comes under the Repeat Dispensing essential service?

A

Need to regularly check up on the patient for medication that they are taking.

19
Q

What comes under the Dispensing of Appliances essential service?

A
  • If don’t dispense appliances, refer patient to somewhere that does
  • Dispense with ‘reasonable promptness’
  • Offer home delivery
20
Q

What comes under the Public Health essential service?

A
  • Required to participate in up to 6 campaigns
  • Undertake prescription-based interventions on major areas of public health concerns
21
Q

What comes under the Healthy Living Pharmacy essential service?

A
  • Workforce development - Health champion and leader
  • Engagement
  • Environment
22
Q

What comes under the Support for Self-care essential service?

A
  • OTC and advice
  • Referrals
  • Records if relevant for patient care
23
Q

What comes under the Signposting essential service?

A

For person who requires further support, advice, treatment which cannot be provided by the pharmacy.
-> Refer to another healthcare professional

24
Q

What comes under the Disposal of unwanted medicines essential service?

A
  • Must accept unwanted medicines
  • SOPs on what to do (including if there are any needles or sharps)
25
What are the aims of the Discharge Medicines Service?
- Shared decision making - Reduce harm from medicines - Improve patient understanding - Reduce hospital administrations - Support development of effective team
26
What is the process followed when a patient is discharged from the hospital?
1. Community pharmacy receive a discharge referral 2. Community pharmacy receives the first prescription following discharge 3. Community pharmacy check patients' understanding of their medicines.
27
What should you do when you receive a discharge referral?
- Check for clinical info and actions - Compare list of medicines to previous list - Raise any issues with NHS trust or GP - Appropriate notes made on PMR - Any prescriptions waiting for collection, check if still appropriate
28
What should you do when you receive the first prescription following discharge?
- Medicines prescribed are appropriate - Any issues, contact GP - Appropriate notes made on PMR
29
What should you do when you checking patient's understanding of medicines?
- Confidential discussion -> shared decision making - Valuable info share with GP - Offer to dispose medicines not needed - Make note on PMR