Community Pharmacy Consultation Service (CPCS)

Question 1

What type of service is CPCS?

Answer 1

Advanced service - patient referred to pharmacist via 111 or GP

Question 2

What is this service for?

Answer 2

• Urgent supply or regular meds
• Minor ailment consultation

Question 3

What are the aims of CPCS?

Answer 3

• Involve pharmacies in urgent care
• Improve patient awareness that pharmacies can help in the future
• Identify self management
• Reduce A&E, hospital and walk ins to reduce NHS costs

Question 4

Briefly describe the 5 contractor requirements

Answer 4

• Meet all NHS essential services
• Notify NHS England via NHSBSA
• Staff are competent
• SOPs in place including key contact details
• Participate in local audit or urgent care organise by NHS 111 or local urgent care commissioner

Question 5

Describe the requirements of consultation room

Answer 5

• Away from public
• Clearly designated as confidential area
• Sit 2 people and be able to talk without being overheard
• Have IT equipment

Question 6

What are IT requirement?

Answer 6

• SCR
• NHS mailbox
• Pharmoutcomes - NHS 111 referrals
• Alert to GP that their Pt has requested CPCS

Question 7

State the 2 types of CPCS referral

Answer 7

• Urgent med supply by 111 referral
• Minor ailments by 111 or GP referral

Question 8

Describe the information to retrieve during the interview (FtF/telephone) with patient referred for urgent medicine supply by 111

Answer 8

• Name, address, DOB
• Explain service to patient
• Reason for request and emergency
• Name of GP
• Medicine request, previously prescribed?
• Is there urgent need?
• Appropriate without prescriber? abuse/acute

Question 9

What should you do if the pharmacy does not have the stock for the request?

Answer 9

Use service directory to find other pharmacy and contact them & refer of they have med

Question 10

What quantity does the HMR allow for supply?

Answer 10

• Up to 30 days
• Full packs of creams, inhaler, liquid antibiotics, insulin and full course for oral contraceptives

Question 11

What are the CD restrictions for urgent supply?

Answer 11

• Max 5 days for CD 4/5
• Not allowed CD2/3 except phenobarbital for epilepsy

Question 12

What must the dispensing label state?

Answer 12

‘Emergency supply’

Question 13

Where should records be made?

Answer 13

• PMR
• POM reg
• Pharm outcomes

Question 14

Describe referrals and escalation

Answer 14

• Out of hours or GP for CD 2/3
• Concerns - other services

Question 15

What advice should you give patients?

Answer 15

• How to avoid running out of medicines again
• Importance of medicines on time

Question 16

Describe the process for minor ailment referrals by 111 or GP

Answer 16

• Pharmacist can contact GP requesting urgent appointment if agreed with patient
• Refer to out of hours must be done via 111
• A&E or 999 if serious

Question 17

What is the payment to CP for each service?

Answer 17

£14 per referral