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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
who produces base approval decisions on 'pharmaceutical needs assessments' ?
LA's health and wellbeing board
26
what do pharmaceutical needs assessments do?
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
3 tiers of NHS pharmacy contractual framework?
- essential services - advanced services - locally commissioned services- enhanced services
28
what are essential services?
nationally agreed and commissioned by NHS England
29
where does advanced services get their funding?
global sum
30
who commissions locally commissioned services?
LAs. CCGs and NHS England local offices
31
what do locally commissioned services reflect?
pharmaceutical needs assessment
32
7 essential services?
``` dispensing repeats disposal of unwanted medicines public health promotion signposting support for self care- minor ailments clinical governance ```
33
how many public health campaigns a year must a pharmacy take part in for the essential services?
6
34
what is the community pharmacy assurance framework?
part of contract monitoring questionnaire completion +- inspections contract monitoring
35
which services does contract monitoring cover?
Essential and advanced services
36
what is clinical governance
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
terms of service: clinical governance. what does this entail?
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
what does the questionnaire sample size depend on? what must you do with results of questionnaire?
dispensing volume | reflect on results and take action
39
how do audits work in clinical governance?
one audit decided by the pharmacy and one decided nationally- e.g. 2014/15 was emergency supply
40
pharmacies need a whistle blowing policy. TF
TRUE- need a way for patients to raise concerns
41
how many advanced services are there under the NHS community pharmacy contract? what are they
``` 6 MUR and prescription intervention service NMS flu vaccination appliance use review service stoma application customisation service ```
42
do you need to be commissioned to provide the advanced services?
no can choose to provide any so long as you meet requirements
43
what does the NMS focus on?
patients with long term conditions that have been prescribed new medicines
44
ambitions of NMS
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
do pharmacies need to fulfil criteria to provide NMS
YES
46
pharmacies can choose to provide NMS its not compulsory. TF
TRUE
47
Do you get paid for the NMS
One off payment for implementation of the service and target payments for achieving certain number of interventions related to Rx volume of pharmacy
48
NMS focuses on which clinical conditions?
asthma/ COPD type 2 diabetes antiplatelet/ anti coag therapy hypertension
49
how must patients get into NMS?
can be referred by prescriber or offered service when they present with a prescription
50
what did evaluation of the NMS show
significantly increased adherence to new medicine saved money patients were supportive of the service
51
_____% of patients dont take medicines as prescribed
30-50%
52
examples of intentional non adherance
scared of side effects thinking the medicines aren't working religion having too many drugs
53
examples of non intentional non adherance
``` not understanding memory unable to open- arthritis visual impairment medicines finish at different dates ```
54
who can CPs offer the flu vaccines too?
patients in at risk groups
55
who gets a PGD?
patients in at risk groups
56
aims of NHS CP consultation service?
help people with minor illnesses- keep away from GP and A&E
57
examples of CPCS?
NUMSAS
58
examples of further service developments
``` 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
who commissions locally commissioned services
clinical commissionino groups NHS England local offices local authorities
60
commissioners of locally commissioned services must make sure that?
carried out on a suitable premises by a trained and qualified persons appropriate equipment aligned with national guidelines/ local needs
61
examples of enhanced services?
``` anti coag monitoring PGD service needle and syringe exchange service care home service home delivery ```

Pharmacist (9 decks)

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