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HANA Pharmacy Law and Ethics > PM4B Law Update 2 > Flashcards

PM4B Law Update 2 Flashcards

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1
Q

The community pharmacy contractual framework 2019/20 to 2023/4

HM Government has agreed to make a five year investment in community pharmacies. Some Changes include:

A
  • following negotiations between PSNC, department of health and social care and NHS England and improvement,
  • a new NHS community pharmacist consultation service
  • a new pharmacy quality scheme
  • change in status of MURs
  • Change in Established Payments
  • Essential requirement for community pharmacy contractors to be level 1 HLP
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2
Q

CPCF

A
  • Local
  • Advanced
  • Essential
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3
Q

Advances Services

A

1) MUR to be decommissioned from April 2021
2) Appliance use review
3) Stroma Appliance Customisation
4) New medicine Service
5) Flu Vaccination Service
6) Community Pharmacist Consultation Service
7) Hep C testing

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4
Q

Locally Commissioned Services

A
  • minor ailments service
  • Emergency hormonal contraception
  • Care home service
  • Stop smoking
  • Needle and Syringe exchange
  • Monitored dosage systems
  • Supervised consumption
  • Sexual Health Screening
  • Vaccinations
  • Alcohol screening and brief interventions
  • Weight management
  • Falls Reduction
  • Independent and supplementary prescribing
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5
Q

Hep C Testing

A
  • community pharmacy hepatitis C antibody testing service
  • focused on provision of point of care testing for hep C antibodies to ppl who inject drugs
  • eligible for test PWID >18 not engaged in community drug n alcohol treatment service
  • before test, pharmacist or technician have pre-test discussion with PWID
  • after discussion, PWID must give consent; can be gained verbally
  • Where people test positive, will be sent for a confirmatory test and treatment
  • National hep C programme elimination exercise, service is limited
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6
Q

Community pharmacy consultation service

A

-where patients are referred into community pharmacy. Pharmacies will take referrals from NHS 111 telephone or online service, general practice for minor illness and urgent med supply

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7
Q

what happens if there is no referral on CPCS IT system and you are contacted by the patient?

A
  • check patient is at correct pharmacy
  • Check NHS email
  • Contact NHS 111 providers health professionals number or GP . Confirm patients NHS number and GP with NHS 111 call handler or GP surgery and ask for them to re-send the referral
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8
Q

Can consultations be done by telephone?

A

yes, pharmacists can provide consultation over phone unless there is a clinical need to see the patient

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9
Q

Advanced services: Changed to consent

A
  • no longer contractual requirement that written consent is given for flu vaccination, MUR, and NMS, and AUR
  • instead verbal consent can be made with written record of service
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10
Q

Further changes in CPCF

A
  • new NMR Service to ensure changed in med made in secondary care are implemented when patient discharged back into community = discharge med service
  • considering expansion of NMS
  • new service to improve palliative care meds
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11
Q

Serious Shortage protocol (SSP)

A

=-new legislation enables ministers, in the event of a POM being in serious shortage, to issue protocols to allow community pharmacies to dispense against specific protocol instead of an rx without going back to prescriber first

  • pharmacist must condor SSP with their professional judgement, and suggest an alternative that is reasonable and appropriate for patient, may supply alternative only specified in SSP, provided that pt agrees with alternative SSP supply
  • dispensed SSP must have label that show that supply has been made in accordance with SSP and identify SSP
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12
Q

Types of SSP

A
  • An alternative quantity: to ensure any remaining stock is retained by CP for supply to patients who have a particular need for it
  • An alternative formulation: there is or may be a serious shortage of one formulation, another formulation may be supplied
  • Alternative strength: if there is SSP of one strength, diff strength may be supplied, dose remains that prescribed by the doctor on rx
  • Generic equivalent: separate parts of constituent may also be supplied
  • therapeutic equivalent: med with a different active substance may be supplied
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13
Q

SSP appropriateness

A
  • pharmacy owners don’t have to use SSP, if they believe that not reasonable or inappropriate, and is in a good time scale, they can supply normal product
  • Pharmacy can refuse supply under SSP, must refer back to prescriber
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14
Q

SSP Endorsements

A
  • NCSO: to indicate the supply was made in accordance with SSP
  • Details of product supplied in accordance w SSP (drug name, strength, quantity, formulation, supplier name or brand)
  • Quantity supplied
  • Pack Size
  • Invoice Price: only if NHSBSA has no list price available
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15
Q

Valproate

A
  • -when dispensing to woman who are able to get pregnant, must discuss whether or not they are on a PPP and if they are aware of the risks and that they are taking effective contraception unless already pregnant
  • if the prescriber has not discussed risk with patient and the patient is not taking effect contraception, must refer to GP or specialist urgently
  • advise patients not to stop taking medication and immediately contact GP or specialist in case of suspected pregnancy
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16
Q

What to do when dispensing valproate?

A
  • provide a valproate patient card every time you dispense a valproate med to all female patients
  • ask if they have received an updated valproate patient guide and provide a copy if they have not received this
  • dispense valproate in original package with outer warning and avoid repacking. in situation where this cannot be avoided, always provide a copy of PIL, and add a warning sticker to outside of box
  • ensure important info is well known throughout staff
17
Q

Oral retinoids

A
  • must not be used in preggo, and in women and girls must be on PPP
  • negative pregnancy test, issuing an rx and dispensing isotretinoin should ideally occur on the same day
  • of chick preggo and on isotretinoin, stop treatment and go to prescribing doctor
  • RX for isotretinoin should ideally be limited to 30 day supply and should be issued following negative pregnancy test
  • rx should be collected from pharmacy within 7 days of it being signed by doctor
  • all patients should be informed the they shouldn’t give med to other people, return unused capsules to pharmacist, not get pregnant for one month after use and don’t donate blood
  • must check patient has been given patient reminder card

HANA Pharmacy Law and Ethics (21 decks)

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