Pharmacy First Flashcards
What are the 4 areas of focus for recovering access to primary care?
- Empower patients
- Implement modern GP access
- Build capacity
- Reduce workload
What are the 2 main reasons why a patient may need access to Pharmacy First?
- Minor illness
- Need urgent repeat medicines
How do patients access pharmacy first?
Self referral
Referral by:
- NHS 111
- GP
- A&E
Who may not refer a patient if they need an urgent repeat medicine?
GP as they can issue this prescription for the patient.
How should we treat a Pharmacy First request?
As an emergency supply at the request of a patient.
True or False: Patients don’t need to be charged for their prescription when using Pharmacy First.
False. If the patient pays for their prescription, they should be charges a prescription charge.
What can you do when you don’t supply a treatment under the PGD?
- Referral to GP
- Can give advice -> sell OTC
- self-care advice
How many PGDs are there for how many conditions?
23 PGDs for 7 conditions
What should you do after a consultation if a patient is not eligible for a PGD?
Refer to GP or other service
What should you do after a consultation if a patient is eligible for a PGD?
- Supply POM under PGD
- Give patient treatment and advice
- End consultation
True or False: If a patient is slightly out of the age range for a PGD, you can still make that supply.
False, the patient MUST be referred to another service or privately prescribe.
Can pharmacists make a supply under a PGD?
Yes as long as they have undertaken the appropriate training.
True or False: PGDs are best used for treating acute conditions.
True
True or False: You can deviate slightly from a PGD.
False. You MUST follow it exactly. They must fit in the inclusion criteria for a supply to be made.
True or False: You can use clinical judgement when supplying a PGD.
False. You can’t if the patient is outside the inclusion criteria as that is deviating from the PGD. It must be followed exactly.
What are the 3 conditions we need to know about on Pharmacy First?
- Sinusitis: 12 and over
- Sore throat: 5 and over
- Acute otitis media: 1-17
What should you do if you are following a PGD and the patient does not meet the inclusion area?
Follow the section that states ‘action to be taken if the individual is excluded’
Can a PGD tell you WHERE to refer a patient?
Yes as it might be to the A&E or to a prescriber.
