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Pharmacist > NHS legislation > Flashcards

NHS legislation Flashcards

1
Q

what aren’t pharmacists paid for

A

the provision of advice

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2
Q

what did the original NHS Act 1946 get replaced

A

1977

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3
Q

what did the 1977 active the secretary of state the power to do?

A

negotiate with the professional body of pharmacy the terms of service under which community pharmacies supple services under the NHS

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4
Q

What did this negotiation lead to

A

the ‘terms of service’- conditions upon pharmacists to deliver NHS services

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5
Q

the terms of service ‘pharmacy contract’ are the same across NI England Wales and scot? TF

A

FALSE

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6
Q

NHS legislation determines right to practice of pharmacists, establishment of pharmacies or arrangements for dispensing private Rx’s. TF

A

FALSE

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7
Q

If you dont have a contract you can still practice as a pharmacist. TF

A

TRUE

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8
Q

if you dont have a contract what does this mean?

A

you can only dispense private Rx’s- dont offer any NHS services

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9
Q

NHS legislation doesn’t determine what products are prescribable under the NH. TF

A

FALSE- it does

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10
Q

NHS does determine patient charges for drugs dispensed under NHS and grounds for exemption. TF

A

TRUE

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11
Q

What is the CPCF

A

community pharmacy contractual framework- pharmacy contract spoken about in previous cards

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12
Q

what does the CPCF determine?

A

contractual arrangements or terms of service for NHS community pharmacies

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13
Q

who negotiated the contract?

A

DHSC, NHS England and improvement, PSNC (pharmaceutical services negotiating committee)

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14
Q

what does the pharmacy contract do in terms of funding pharmacies?

A

5 year investment in community pharmacies

secures almost £13 billion over the 5 years

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15
Q

what does annual review of pharmacy contract see a gradual shift away from?? and to?

A

away from dispensing to delivery of services

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16
Q

what is the pharmacy quality scheme? what does it focus on?

A

payments made to community pharmacy contractors meeting certain quality criteria.
focuses on services and quality of these services, not the number of dispensed items

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17
Q

what 4 criteria must the contractor meet to be eligible?

A

offer influenza vaccine and/or NMS
pharmacy staff must be able to send and receive NHSmail- up to date with technology
have up to date NHS website profile
80% of pharmacy professionals achieved level 2 safeguarding status for children and vulnerable adults

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18
Q

what will happen to these 4 criteria in April 2020?

A

they will become terms of service

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19
Q

if you meet this criteria what happens?

A

will receive the quality payment

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20
Q

what is the pharmacy integration fund?

A

supports the development of clinical pharmacy parcice in a wider range of primary care settings, resulting in more integrated and effective NHS primary care patient pathway

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21
Q

who is responsible for allocation of the pharmacy integration fund?

A

NHS England

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22
Q

Pharmacy integration fund aims?

A

make better use of community pharmacy, PTs and pharmacists
improve patient access
relieve pressure on GPs and A&E

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23
Q

who maintains pharmaceutical lists?

A

NHS England

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24
Q

where are applications for new or relocated premises made too?

A

NHS England local offices

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25
Q

who produces base approval decisions on ‘pharmaceutical needs assessments’ ?

A

LA’s health and wellbeing board

26
Q

what do pharmaceutical needs assessments do?

A

identify pharmaceutical services that are needed and those that are provided
stops pharmacies being clumped together in the same region- so everyone has an accessible pharmacy

27
Q

3 tiers of NHS pharmacy contractual framework?

A
  • essential services
  • advanced services
  • locally commissioned services- enhanced services
28
Q

what are essential services?

A

nationally agreed and commissioned by NHS England

29
Q

where does advanced services get their funding?

A

global sum

30
Q

who commissions locally commissioned services?

A

LAs. CCGs and NHS England local offices

31
Q

what do locally commissioned services reflect?

A

pharmaceutical needs assessment

32
Q

7 essential services?

A 
dispensing 
repeats
disposal of unwanted medicines
public health promotion
signposting 
support for self care- minor ailments 
clinical governance
33
Q

how many public health campaigns a year must a pharmacy take part in for the essential services?

A

6

34
Q

what is the community pharmacy assurance framework?

A

part of contract monitoring questionnaire completion +- inspections
contract monitoring

35
Q

which services does contract monitoring cover?

A

Essential and advanced services

36
Q

what is clinical governance

A

a system through which healthcare providers are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish

37
Q

terms of service: clinical governance. what does this entail?

A

notify patient of NHS services provided by pharmacy
annual CP patient satisfaction questionnaire
monitor medicines owed and out of stock
establish complaint systems and review and act on complaints

38
Q

what does the questionnaire sample size depend on? what must you do with results of questionnaire?

A

dispensing volume

reflect on results and take action

39
Q

how do audits work in clinical governance?

A

one audit decided by the pharmacy and one decided nationally- e.g. 2014/15 was emergency supply

40
Q

pharmacies need a whistle blowing policy. TF

A

TRUE- need a way for patients to raise concerns

41
Q

how many advanced services are there under the NHS community pharmacy contract? what are they

A 
6 
MUR and prescription intervention service 
NMS
flu vaccination 
appliance use review service 
stoma application customisation service
42
Q

do you need to be commissioned to provide the advanced services?

A

no can choose to provide any so long as you meet requirements

43
Q

what does the NMS focus on?

A

patients with long term conditions that have been prescribed new medicines

44
Q

ambitions of NMS

A

improve adherence
increase patient engagement with their conditions and medicines
reduce waste
reduce hospital admissions due to adverse effects
increase ADR reporting
positive patient assessments

45
Q

do pharmacies need to fulfil criteria to provide NMS

A

YES

46
Q

pharmacies can choose to provide NMS its not compulsory. TF

A

TRUE

47
Q

Do you get paid for the NMS

A

One off payment for implementation of the service and target payments for achieving certain number of interventions related to Rx volume of pharmacy

48
Q

NMS focuses on which clinical conditions?

A

asthma/ COPD
type 2 diabetes
antiplatelet/ anti coag therapy
hypertension

49
Q

how must patients get into NMS?

A

can be referred by prescriber or offered service when they present with a prescription

50
Q

what did evaluation of the NMS show

A

significantly increased adherence to new medicine
saved money
patients were supportive of the service

51
Q

_____% of patients dont take medicines as prescribed

A

30-50%

52
Q

examples of intentional non adherance

A

scared of side effects
thinking the medicines aren’t working
religion
having too many drugs

53
Q

examples of non intentional non adherance

A 
not understanding 
memory 
unable to open- arthritis 
visual impairment 
medicines finish at different dates
54
Q

who can CPs offer the flu vaccines too?

A

patients in at risk groups

55
Q

who gets a PGD?

A

patients in at risk groups

56
Q

aims of NHS CP consultation service?

A

help people with minor illnesses- keep away from GP and A&E

57
Q

examples of CPCS?

A

NUMSAS

58
Q

examples of further service developments

A 
extension of 6 PH campaigns 
Hep C testing 
Detecting undiagnosed CVD
stop smoking support referrals from secondary care 
AM resistance
monitoring diabetics etc patient 
improve palliative care medicines
59
Q

who commissions locally commissioned services

A

clinical commissionino groups
NHS England local offices
local authorities

60
Q

commissioners of locally commissioned services must make sure that?

A

carried out on a suitable premises
by a trained and qualified persons
appropriate equipment
aligned with national guidelines/ local needs

61
Q

examples of enhanced services?

A 
anti coag monitoring 
PGD service 
needle and syringe exchange service 
care home service 
home delivery

Pharmacist (9 decks)

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