NHS Legislation Flashcards
What replaced the NHS Act 1946 in 1977?
And act which gave the secretary of state for health powers to negotiate with the body of pharmacy. Can negotiate the terms of service under which community pharmacies supply services
terms of service became a legal framework under which community pharmacist contractors provide services - across England, Wales, Scotland and NI
What does NHS Legislation determine?
- products prescribable under the NHS
- patient charges for drugs dispensed under the NHS, and the grounds for exemption
What does NHS legislation not determine?
right to practice of pharmacists, the establishment of pharmacies or arrangements for dispensing private prescriptions
What is the Pharmacy Contract?
Determines the contractual arrangements for NHS community pharmacy services, including:
- award of NHS pharmaceutical contracts
- supply of medicines
- provision of services
Who negotiates the Pharmacy Contract?
NHS England and the PSNC
What is the CPCF?
Community pharmacy contractual framework
What are the recent changes to the CPCF?
- consolidation of a range of fees into a single activity fee
- phasing out establishment payments
- quality payments
- Pharmacy access scheme
What is the quality payment scheme?
Payments introduced as part of the CPCF in 2017/18
Payments made to community pharmacy contractors meeting certain quality criteria
What are the gateway criteria to be eligible to get quality payments?
- provision of at least one advanced service
- NHS.uk entry up to date (opening hours, patient questionnaire results)
- ability for staff to send and receive nhs email
- can link to NHS digital systems e.g. electronic prescribing service, SCR
What are the domains where you are scored to receive a quality payment?
Patient safety Public Health Digital/urgent care Clinical effectiveness Workforce
What is the PhIF?
Pharmacy Integration Fund
The aim of the PhIF is to support the development of clinical pharmacy practice in a wider range of primary care settings, resulting in a more integrated and effective NHS primary care patient pathway
What are the aims of the PhIF?
- make better use of community pharamcy, pharmacists and pharmacy technicians
- improve access for patients
- relieve pressures on GPs and A&E
- contribute to delivering a 7 day service
Market entry: who holds a list of registered pharmacies?
NHS England
Market entry: for what do you need to apply to NHS England for?
New, additional or relocated pharmacies
Market entry: what are approval decisions based on?
The PNA produced by local authorities, as these determine the services that are needed
What are the three teirs of community pharmacy services
Essential services
Advanced Services
Locally Commission Services (incl. enhanced services)
Who funds/commissions each of the three tiers of pharmacy services?
Essential - NHS England
Advanced - NHS England
Enhanced - local authorities, CCGs and local NHS England offices to reflect PNA
NHS England’s role in commissioning of services?
Accountable for direct commissioning on “core” NHS pharmaceutical services (essential and advanced)
Local offices also responsible for locally commissioned services
Role of CCGs and LAs in commissioning of services?
Responsible for locally commissioned (but not enhanced) services
Assess pharmacies applying to them to provide services using ‘Any Qualified Provider’ route or after Tender process outside the Community Pharmacy Contract