emergency supply and pharmacy first Flashcards

Question

how much is the pharmacy paid for providing the pharmacy first service

Answer 1

reduces the demand on urgent care treatments, A&E departments, and GP services

Answer 2

MUST BE REFFERED!!

Answer 3

Escalation of care to another HCP The supply of a medicine Providing reassurance of self-care advice

Answer 4

Pharmacy receives an electronic referral (if patient presents and the pharmacy do not have a referral, the pharmacist will contact NHS 111 or HCP) Pharmacist contacts the patient usually over the phone and asks the patient to come to the pharmacy for a face-to-face consultation Pharmacist checks for red flags, if any are identified, the patient must be referred to higher acuity services Pharmacist identifies any current medical conditions or concurrent medication. Access to the patient’s NCRS might be required (consent from patient required) The pharmacist will provide self-care advice on the management of the low acuity condition including printed information At the end of every consultation the pharmacist should give the closing statement to the patient - “If your symptoms do not improve, or become worse, then either come back to see me or seek advice from your GP. You can call NHS 111 or 999 if the matter is urgent, and a pharmacist or GP is not available” Should medication be required for the presenting condition then this can be given through a minor ailment scheme (if available), through an OTC sale or referral to an appropriate prescriber

Answer 5

Refer the patient for an urgent in-hours appointment (Mon – Fri, 0800 to 1830). After agreeing this course of action with the patient, the pharmacist must call the surgery to arrange an appointment for the patient Call the NHS 111 service if the patient’s own GP is not available – pharmacist should call using the HCP line for fast access to a clinician. The clinician will provide advice which may include an onward referral or support to resolve the issue Signpost the patient to A & E or call 999 – If this occurs the pharmacist must report the case to local NHS England on the same day the consultation occurs or as soon as possible after the pharmacy opens on the next working day

Answer 6

Pharmacist receives an electronic referral. NHS 111 will give the patient the pharmacy’s phone number to call in the following 30 minutes to alert the pharmacist to the referral Pharmacist to call the patient if there has been no contact 30 minutes since the referral was received During the phone call, the pharmacist must interview the patient to assess the suitability and legality of making an emergency supply and confirm that they have the medicine/appliance in stock If the pharmacist is unable to provide the emergency supply, then they must: Refer the patient to their own GP Contact the local OOH provider to discuss a solution and if necessary, request that a HCP contact the patient A pharmacist should not refer the patient back to NHS 111 Patient consent must be provided for receiving the service Pharmacist to access NCRS to assess suitability of emergency supply (if NCRS is not accessed, the reason why must be recorded e.g. there is a prescription on EPS tracker) If the pharmacy does not stock the medicine/appliance, the pharmacist must contact another pharmacy that has the product and forward the referral to that pharmacy If the pharmacist makes a supply, then records and labels should be produced as per an emergency supply (previous slides) If a patient normally pays for their prescription, an NHS charge is taken per item The pharmacist needs to advise the patient of the importance of ordering their medication in a timely manner A GP notification must be sent to the GP surgery following the emergency supply The pharmacy must capture the patient’s exemption on an FP10DT EPS dispensing token which is submitted at the end of the month to NHSBSA – this ensures that the pharmacy is correctly paid for the medication/appliance provided

Answer 7

Sinusitis – 12 years and over Sore throat – 5 years and over Acute otitis media – 1 to 17 years Infected insect bite – 1 year and over Impetigo – 1 year and over Shingles – 18 years and over Uncomplicated UTI – Women 16 to 64 years