Law 4 Flashcards
1
Q
What is EPS (3)
A
- electronic prescription service
- NHS service sending Rx from surgery to pharmacy without the need for a paper copy
- Makes it easier for patient’s to pick up their prescribed meds
2
Q
What does EPS mean for the patient (3)
A
- convenience - don’t have to return to GP for the paper copy
- Choice of where Rx is sent
- Shorter wait time - Rx may be ready on arrival
3
Q
Who is EPS suitable for (3)
A
- patient-remote consultations
- patients with stable conditions - don’t have to go to the surgery every month
- Patients with the same pharmacy on Rx collection service
4
Q
Where can EPS be used (3)
A
- Pharmacy
- dispensing GP practice
- Dispensing appliance contractor
5
Q
Who is EPS not suitable for (2)
A
- Patients who don’t get prescriptions often
- patients who use different pharmacies
6
Q
How can a patient change their EPS nomination (3)
A
- get the nomination cancelled at the original pharmacy & let the new provider know
- notify surgeon
- set up in advance of new RX - or may be sent to the wrong place
7
Q
Who sees EPS (3)
A
- Same people at GP surgeries and Pharmacies
- NHS Rx payment and fraud agencies see the paper copy already
- Pharmacy staff see items on repeat - have access to repeat system
8
Q
what are the advantages of EPS (6)
A
- patient safety
- convenience
- better use of GP & pharmacists time
- fewer surgery visits
- review Rx on screen
- clear audit trail
9
Q
What are the disadvantages of EPS (3)
A
- patient choice
- patient arrives before Rx
- Discrepancy resolutions may take longer
10
Q
What is the pharmacy first service (7)
A
- advanced service introduced Jan 31 2024
- urgent repeat medication supply electronic referral from NHS 111
- Minor illnesses electronic referral from NHS 111
- Clinical pathways (7 conditions) electronic referral from NHS 111/self-referral/GP referral
- Pharmacy referrals from PharmOutcomes
- Includes consultation resulting in advice/medicine supply/referral
- Minor ailments
11
Q
What conditions are covered by pharmacy first (7)
A
Impetigo - 1+
Acute otitis media - 1-17
Shingles - 18+
Sinusitis - 12+
Uncomplicated UTIs - women 16-64
Sore throat - 5+
Infected insect bites - 1+
12
Q
how is pharmacy first used in urgent medication supply (4)
A
- may include accessing National Care Records Service (NCRS)
- pharmacist decides whether to supply or not
- no S2 or S3 CDs allowed
- Pharmacists get paid for service
13
Q
How are supplied by instalment issued (8)
A
- FP10MDA - blue form issued from GP/Hospital treatment centre
- page 1 = prescription, page 2 = details of each supply
- details of supply entered in CD register if S2 CD
- can be used for any S2 CD, buprenorphine & diazepam
- Max 14 days supply
- Valid 28 days
- no retrospective supplies
- can be handed to representative if agreed by patient & pharmacist
14
Q
what are the conditions of instalment prescriptions (7)
A
- comply with prescription requirements if S2/S3 CD
- specify number of instalments & quantity supplies in each instalment
- intervals to be observed between instalments
- max 14 days supply
- instalment amount & dose specified separately
- first instalment within 28 days of prescription date
- pharmacists cannot supply doses intended for the missed day
15
Q
what is a patient group direction (PDG) (4)
A
- a written direction relating to the supply/administration of a P or POM to a patient with an identified clinical condition without prescription/prescriber instructions
- must be signed by a doctor/dentist/pharmacist
- healthcare professional is responsible for assessing if patient fits PGD criteria
- since August 2000
