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Pharmacy Law and Ethics ☆ > Law 4 > Flashcards

Law 4 Flashcards

1
Q

What is the Electronic Prescription Service (EPS) (2)

A
  1. An NHS system to make it easier for patients to pick up these prescribed medicines.
  2. sends a Rx from surgery to the pharmacy without the need for a paper copy
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2
Q

What does EPS mean for a patient (3)

A
  1. More convenient - the Rx will be sent electronically to the pharmacy.
  2. More choice to where Rx is sent
  3. Less waiting time - prescription may already be ready
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3
Q

Who is EPS suitable for (3)

A
  1. Any patient–remote consultations
  2. Patients with a stable condition who don’t want to go to the surgery every month to collect a Rx
  3. Patients who use mostly the same pharmacy and are already on a Rx collection service
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4
Q

Who is EPS not suitable for (2)

A
  1. If patients do not get prescriptions very often
  2. Pick up medicines from different pharmacies.
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5
Q

How can patients use EPS (4)

A
  1. Choose a place for your GP practice to send your Rx electronically:
  2. a pharmacy
  3. a dispensing appliance contractor
  4. a dispensing GP practice
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6
Q

Can a patient change their nomination or cancel it (4)

A
  1. Tell GP if you do not want your Rx sent electronically.
  2. You can change pharmacies; you just need to get your nomination cancelled at the original pharmacy and let the new provider know.
  3. Need to notify the surgeon, also.
  4. Must be set up in advance of new Rx being due as it may be sent to the wrong place.
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7
Q

Is EPS reliable, secure and confidential (3)

A
  1. Electronic Rxs will be seen by the same people in GP surgeries, pharmacies,
  2. NHS Rx payment and fraud agencies that see the paper Rxs already.
  3. Pharmacy staff will see your items on repeat; they already have access to this repeat system.
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8
Q

What are the advantages of EPS (6)

A
  1. Patient safety
  2. Convenience
  3. Better use of GP & pharmacist’s time
  4. Fewer visits to the surgery to pick up paper Rxs
  5. Review Rxs on screen.
  6. Clear audit trail
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9
Q

What are the disadvantages of EPS (3)

A
  1. Patient choice
  2. A patient arrives at the pharmacy before the Rx arrives.
  3. Discrepancy resolution may take longer.
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10
Q

What is the Pharmacy’s first service? (12)

A
  1. Advanced service introduced on 31st January 2024
  2. Pharmacy First (urgent repeat medicine supply) – previously commissioned as the Community Pharmacy Consultation Service (CPCS)
  3. Pharmacy First (NHS referrals for minor illness) – previously commissioned as the CPCS.
  4. Pharmacy First (clinical pathways) – new element
  5. Supply of urgent medicines electronic referral from NHS 111
  6. Minor illness electronic referral from NHS 111, general practices and other authorised healthcare providers
  7. Clinical pathways electronic referral from NHS 111, general practices and other authorised healthcare providers. It can also be a self-referral
  8. The pharmacy receives a referral through PharmOutcomes.
  9. Urgent medicine supply
  10. Minor ailment
  11. Clinical pathway (7 common conditions where a POM may be provided)
  12. If a minor ailment/clinical pathway pharmacist has a consultation with the patient and decides to give advice, sell/supply medicine or refer to a GP or other Healthcare Professional
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11
Q

What conditions are covered by the pharmacy first (7)

A
  1. Acute otitis media - 1 to 17 years old
  2. Impetigo - 1 year old and over
  3. Infected insect bites - 1 year old and over
  4. Shingles - 18 years and over
  5. Sinusitis - 12 years and over
  6. Sore throat - 5 years and over
  7. Uncomplicated urinary tract infections - women 16-64 years old
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12
Q

How can pharmacy first be used in urgent medicine supply (4)

A
  1. Emergency supply may include accessing the National Care Records Service (NCRS)
  2. Pharmacists can decide whether to supply the medicine or not.
  3. No S2 or S3 controlled drugs allowed.
  4. Pharmacists are now being paid to provide the service.
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13
Q

How are drug misusers treated (4)

A
  1. Aims to reduce or stabilise addiction
  2. Pharmacists should be part of a team with prescribers, key workers and social workers.
  3. Supply of syringes by sale or needle exchange schemes
  4. Supply of drugs may include supervision of dosing or supply by instalment.
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14
Q

How are supplies by instalment issued (3)

A
  1. FP10MDA A blue form issued by general practitioners and Hospital Treatment Centres
  2. Consists of two pages, one which bears the prescription and the other for entry of details of each supply.
  3. Details of each supply must also be entered in the CD Register if S2 controlled drug.
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15
Q

What is an FP10MDA (5)

A
  1. Issued by prescribers for instalment dispensing of CDs – normally via treatment services
  2. It can be used for any CD S2, buprenorphine and diazepam.
  3. Max 14 days supply.
  4. No retrospective supplies.
  5. It is supplied to a representative if agreed by the patient and pharmacist.
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16
Q

What are the conditions of instalment prescriptions? (7)

A
  1. Must comply with prescription requirements if S2 CD or S3
  2. Must specify the number of instalments and quantity to be supplied in each instalment
  3. The intervals to be observed between instalments (taking weekends into account when the pharmacy may be closed)
  4. Max 14 days supply
  5. The instalment amount and dose are specified separately. (daily supply or a few days)
  6. First instalment within 28 days of the date on the prescription
  7. “Instalment prescriptions covering more than one day should be collected on a specific day; if this collection is missed, the remainder of the instalment less the amount prescribed for the day(s) missed may be supplied.”
17
Q

What are Patient Group Directions (PGD) (5)

A
  1. In August 2000, the legislative framework was put in place to allow PGDs.
  2. A PGD is a written direction relating to the supply and/or administration of medicine (POM or P)
  3. A PGD must be signed by a doctor or dentist and a pharmacist.
  4. PGDs allow specified healthcare professionals to supply and/or administer a medicine directly to a patient with an identified clinical condition without the need for a prescription or instruction from a prescriber.
  5. The healthcare professional working within the PGD is responsible for assessing that the patient fits the criteria set out in the PGD.
18
Q

What details are required for a valid PGD (11)

A
  1. The period during which PGD will have an effect
  2. Description of medicine to which PGD relates
  3. Any restrictions on the quantity supplied
  4. Clinical situations where the POM or P medicine can be used to treat
  5. Criteria under which a person is eligible for treatment
  6. Details of who may be excluded from PGD
  7. Cases when further advice should be sought
  8. The form that can be administered
  9. Details of strength, dosage route of administration, frequency, min or max period of use, warnings, follow-up action.
  10. Arrangements for referral for advice
  11. Details of records to be kept
19
Q

What is a PGD example (2)

A
  1. Liverpool Pharmacy’s First service
  2. Chloramphenicol 0.5% eye drops for children aged 3 months – 2 years for the treatment of superficial eye infections.
20
Q

What are the qualifications and professional registration required for registered pharmacists working under PGDs (1)

A

Qualified pharmacist registered with the GPhC.

21
Q

What is the initial training required for registered pharmacists working under PGDs (2)

A
  1. Competent to work under PGDs, including satisfactory completion of training to administering/supply following this PGD.
  2. Working as a community pharmacist and accredited to provide the minor ailments service.
22
Q

What is the competency assessment required for registered pharmacists working under PGDs (1)

A

CPPE Declaration of Competence Documents (DoCs)

23
Q

What are the ongoing training and competency required for registered pharmacists working under PGDs (2)

A
  1. Commitment to continuing updating and re-validation according to the accreditation requirements of the commissioning organisation.
  2. Commitment to keep up-to-date with clinical developments in this area or changes to the recommendations for the medicine listed as part of their Continual Professional Development.

Pharmacy Law and Ethics ☆ (5 decks)

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