penny lecture 5 Flashcards
How can you make a profit in the pharmacy dispensary?
- number of Rx’s dispensed
- payment for services
- accurate renumeration
- accurate reimbursement
- cutting costs
- quality payments
give examples of things that will get you a quality payment?
LASA
audit on NSAIDs and gastro-protection
CPPE risk management
training staff as ‘dementia friends’
Define renumeration:
payment for NHS services that the CP provides
define reimbursement:
repayment of costs of meds dispensed against NHS Rx’s
how does reimbursement of branded and generic meds differ?
branded repayment if based off manufacturers NHS price list whereas generic is based off the NHS drug tariff
Why was there an epipen shortage?
due to the low value of the £, it costs a lot to import products from other EU countries (where epipen is made)
What problems can arise due to stock shortages?
- double dispensing as you have to do an owing
- wastes staffs time trying to find the meds, ringing etc
- adherence can be reduced
- if we have to substitute meds, patients are often unhappy with this
- risk of patient harm
community pharmacies buy meds at less than the list price, why?
because they get a discount deduction scale based on their monthly dispensed meds
what is the equation for the monthly total reimbursement paid to an NHS pharmacy contractor?
(total cost of branded products + total cost of generics) - %discount deduction
What cost control things do pharmacy owners do?
- bulk purchase
- parallel import
- increase discount (from when you bulk buy)
- minimise stock levels (don’t order unless need)
What other costs are there involved in running a pharmacy?
staff, bills, rent, IT, deliveries
hospital pharmacies get some income via CQUIN, what is this?
commissioning for quality and innovation: so basically, a financial reward if tx is safe and effective
