Community pharmacy

Question 1

When was the national health service act released?

Answer 1

1946 - free, universal healthcare

Question 2

When was the current contract introduced and what does it entail?

Answer 2

• 2019
• Community pharmacy contractual framework
• Recognises role community pharmacy has in NHS long term plan
• Greater use of community pharmacists’ skills

Question 3

What is the community pharmacy contract and what is it governed by?

Answer 3

• Allows a pharmacy to dispense NHS prescription

- NHS community pharmacy contractual framework - ensures they provide all essential services

Question 4

For community pharmacy, which body negotiates the NHS contract?

Answer 4

Pharmaceutical services negotiating committee

Question 5

The Pharmaceutical services negotiating committee is funded by what?

Answer 5

Pharmacy contractors

Question 6

What is included in the community pharmacy contract framework?

Answer 6

• Essential services
• Advanced services
• Enhanced services
• NHS/non-NHS locally commissioned services

Question 7

List the essential services

Answer 7

• Dispensing of meds
• Dispensing of appliances
• Repeat dispensing
• Disposal of unwanted medicines
• Promotion of healthy lifestyle
• Signposting
• Support for self care

Question 8

Dispensing of medicines

Answer 8

• Supply of med + appliance
• Advice given to patients including interactions
• Recording all med dispensed
• Dispensed in accordance to the equality act 2010

Question 9

Repeat dispensing

Answer 9

• Batch authorised by GP
• Checks no changes to med + supply is appropriate
• Records kept after each dispensing

Question 10

Disposal of unwanted medicines

Answer 10

• Collection of unwanted medicines from hhs + individuals
• Returns + out of date med
• Segregate waste for appropriate disposal
• Destruction of CD
• Can’t take sharps

Question 11

Public health campaigns

Answer 11

• Advice given on healthy lifestyle topics
• May be asked to be involved in upto 6 local campaigns a year - organised by local health authorities
• National campaigns

Question 12

Signposting

Answer 12

• Staff refer patients to other health care professionals

- Info held in each pharmacy on where patients can be signposted locally

Question 13

Dispensing appliances

Answer 13

• Hosiery, dressing, catheters
• Listed in part IX of drug tariff
• Advice given at point of dispensing

Question 14

List the advanced services

Answer 14

• Appliance use review
• Hep C testing service
• Stoma appliance customisation
• New med service
• Flu vaccination
• CPCS

Question 15

New med service

Answer 15

• Provide support over 4-6 weeks

- Patients on newly prescribed meds

Question 16

Stoma appliance customisation

Answer 16

• Specific training needed

- Required to apply to NHS prescription service

Question 17

Appliance use review

Answer 17

• Appliance refers to products in part IX of drug tariff

- Required to apply to NHS prescription service

Question 18

CPCS

Answer 18

NHS 11 refers patients to pharmacies for:

• Management of minor ailments
• Urgent supply of med

Question 19

Flu vaccination

Answer 19

• Initially for patients eligible for NHS flu vacc

- Extended to care home + care workers

Question 20

What is the pharmacy quality scheme?

Answer 20

Rewards community pharmacies for delivering quality criteria in:

• Clinical effectiveness
• Patient safety
• Patient experience