penny lecture 3 Flashcards
What does the NHS legislation do and what doesn’t it do?
it DOESN’T prevent us practising, thats the role of GPhC
it DOES determine what products are prescribable and determines patient charges (£9) and those that are exempt
what is the pharmacy contract?
determines contractual arrangements for NHS community pharmacies and this is negotiated between NHS England and PSNC
what is the quality payment scheme?
payments made to community pharmacies if they meet certain criteria (collect points which can they claim a reward)
who is eligible for QPS?
- pharmacies with an AS e.g. NMS/MUR
- ability of staff to send and receive NHS mail
what is the pharmacy integration fund?
push to be more clinical and less ‘supply’
what are the three tiers in the NHS community pharmaceutical contractual framework?
- essential services (core)- commissioned by NHS England
- advanced services (core)- commissioned by NHS England
- locally commissioned services including enhanced services - commissioned by CCGs and LAs to reflect needs for that area
What are the 7 essential services?
dispensing, repeat dispensing, disposal of unwanted meds, public health promotion (Campaigns), signposting, support for self-care, clinical governance
what is involved in clinical governance (one of the essential services)? (making the pharmacy the best it can be)
display practice leaflet, undertake annual patient sat questionnaire, establish complaints system, clinical audit, standards of premises, risk management programme, whistle blowing policy
what 6 advanced services can community pharmacies choose to provide?
MUR NMS NUMSAS flu vaccination scheme AUR (appliance use review) SAC (stoma application customisation)
how long does a patient have to have been receiving their meds from that specific pharmacy, to get an MUR?
3 months
70% of MURs should be to target groups, what are the different target groups?
- those on high risk meds (NSAIDs/anticoagulants, diuretics)
- recently discharged from hospital
- respiratory disease
- CVD and are on at least 4 meds
how is the CP paid for providing NMS?
gets money for implementing it (on-off) and then gets target payments when they’ve done a certain number
What conditions are focused on for NMS?
- type 2 diabetes
- Asthma/COPD
- anti platelet/anticoagulant therapy
- hypertension
what are the main 2 perks of NMS since its been introduced?
patients are more adherant and it saved the NHS money
how can we improve NMS?
get GPs to refer to us for it, improve GP awareness, access to patient med records would be useful too
