Law 4 Flashcards
What is EPS (3)
- 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
What does EPS mean for the patient (3)
- 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
Who is EPS suitable for (3)
- 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
Where can EPS be used (3)
- Pharmacy
- dispensing GP practice
- Dispensing appliance contractor
Who is EPS not suitable for (2)
- Patients who don’t get prescriptions often
- patients who use different pharmacies
How can a patient change their EPS nomination (3)
- 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
Who sees EPS (3)
- 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
what are the advantages of EPS (6)
- patient safety
- convenience
- better use of GP & pharmacists time
- fewer surgery visits
- review Rx on screen
- clear audit trail
What are the disadvantages of EPS (3)
- patient choice
- patient arrives before Rx
- Discrepancy resolutions may take longer
What is the pharmacy first service (7)
- 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
What conditions are covered by pharmacy first (7)
Impetigo - 1+
Acute otitis media - 1-17
Shingles - 18+
Sinusitis - 12+
Uncomplicated UTIs - women 16-64
Sore throat - 5+
Infected insect bites - 1+
how is pharmacy first used in urgent medication supply (4)
- 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
How are supplied by instalment issued (8)
- 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
what are the conditions of instalment prescriptions (7)
- 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
what is a patient group direction (PDG) (4)
- 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
what details are required for a valid PGD (11)
- period PGD is in effect
- Medicine description
- Quantity restrictions
- Clinical situations
- Patient criteria
- Exclusion criteria
- further advice cases
- medicine form
- strength, dosage, route of administration, frequency & minimum/maximum period
- referral arrangements
- record details to be kept
what are PGD examples (2)
- Liverpool Pharmacy First Service
- Chloramphenicol 0.5% eye drops - 3 months - 2 years - superficial eye infections
What qualifications & training for pharmacists working under PGDs (3)
- qualified pharmacist registered with the GPhC
- Competent to work under PGDs with training to administer/supply
- Working in community & accredited to provide minor ailments service
What competency assessment is required for pharmacists working under PGDs
CPPE declaration of competence documents (DoCs)
what on going training & competency is required for pharmacists working under PGDs (2)
- Commitment to continuing updating & re-validation according to the accreditation requirements for the commissioning organisation
- Commitment to keep up to date with clinical developments in this area or change to the recommendations for the medicine listed as part of their CPD
