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Professional Prarice Flashcards

1
Q

The drug tariff is complied on behalf of … by the …

A

Department of health

Compiled by the pharmaceutical directorate of the NHSBSA (business services authority)

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2
Q

The DT is issued monthly to

A

Pharmacy contractors
Doctor surgeries
Applicants contractor
Nurse prescribers

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3
Q

DT gives details of

A 
1 Standard of products to be supplied 
2 payment to contractors 
3 appliances, desssings and reagents allowed on FP10/WP10
4 drugs NOT allowed on FP 10
5 dental prescribing list 
6 nurse, pharmacist, optometrist prescirbing list 
7 rx charged for patients 
8 rx endorsement by pharmacists
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4
Q

Part I supply of drugs, appliances & chemical reagents

Clause 1,23,4,5,5A,5B

A

1 drug must be of suitable standard
2,3 only appliances and chemical reagents listed in part 9and 10 can be supplied on NHS RX
4 oxygen therapy service
5 claims for payment should be sent off no later than the 5th of the month following supply
5A claims for payment, RDS similar to normal rx
5B net ingredient cost NIC less deduction sale, plus prof fee, container allowance, additional fee, out of pocket expense

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5
Q

Part II -clause 6
Info about identification of the RXer, what’s the rule?
-clause 7 payment for drugs
- clause 8 basic price list
-clause 9 rx endorsement, what is it and why. Endorse not necessary unless in cat C w more than 1 pk size
- 10, extra endorsing?

A

Expect from dental rx, the pricing authority may return the rx form to pharmacist if it has no rxer code
- indicate what’s been supplied/ state no of items on form
Why?- can cancel script prevents reuse/ enable NHSBSA to pay
- add qty supplied

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6
Q

Broken bulk part 2 c 11
What is it?
How to endorse?
What does it not applied to

A

Smallest pack size available is greater than qty required, remains of that pack not used- payment for whole pack can be claimed
Endorse BB and pack size supplied to claim payment
Not apply to spe containers, cat A+M is sm pk size

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7
Q

OOP expense

A

Out of pocket expense p2c12

Payment for expenses of obtaining a drug not from part 8 catA-M /9a/9r

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8
Q

P2c13 reconstitution of certain oral liquid, how does the contractor get paid

A

The contractor will be paid for quantity made up rather than the quantity on prescription

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9
Q

How to endorse discount drug

A

Drugs were discount is it deducted

No endowment required

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10
Q

Examples of types of drugs that discount it’s not deducted

A 
CD
IGs
Insulins 
Vaccines 
Cold chain storage 
Cytotoxic 
Unlicensed med
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11
Q

Definition of a special

A

Specials are unlicensed relevant medicinal product for human use
Specially prepared to meet a prescription ordered for individual patient
Without need for MA

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12
Q

Part 3a how much is professional fee

A

90p

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13
Q

How to supply a prescription of branded drug and of generic

How does DH pay for the rx?

A

If branded drug prescribed that product must be supplied
If generic prescribed any product may be supplied
DT P8a lists price that DH will pay for generic regardless of cost to pharmacist

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14
Q

Under what condition is BB allowed

A

For part 8a basic prices of drugs
CatA drugs readily available -
If smallest pack size >£50

CatC- prices on basis of particular brand/ supplier, not readily ava as generic
BB allowed p

CatM- drugs which are readily available whereDH calculate reimbursement price from information submitted by manufacturers
BB allowed if sm pk size>£50

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15
Q

Part 8A
What does these symbols mean
Black - square, circle, double S

A
  • special container
  • item req reconstitution
  • selected list scheme (SLS
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16
Q

Part 8B is?
How to pay these type of med
Where is it sourced

A
  • Arrangements for payment for unlicensed medicines
  • Have a minimum quantity and price that is determined by Secretary of State
  • Price is payable for any amount up to minimum quantity then increase in increment
  • Sourced from special manufacturer whose license is from MHRAP
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17
Q 
Part 8B formulations covered by drug tariff
STD
SF
AF
CF
FF
LF
PF
NSF
Bulk square 
Double S
A 
Standard formulation including standard flavours
Sugar free
Alcohol free 
colour free 
Flavour free
Lactose free preservative free non-standard flavour 
special container 
selected list scheme
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18
Q

Part X (10) oxygen via prescription or others?

A

HOOF Home oxygen order form not FP10

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19
Q

What’s ACBS

Does rxer need to endorse it?

A

Advisory committee on borderline substances
When food/ toiletry –> drug
Need to endorse script ACBS

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20
Q

Three list in ACBS

A

List A - PRODUCTS and conditions for which each product may be used
List B- CONDITIONS and what products may be used for listed conditions
List C- Blank- products rejected by ACBS–> inc in part 18A

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21
Q

Part 16 - rx charges
STD price
No charge items
Section 10 contraceptives

A

£8.40
Not charged to patient but counted as items for professional fees per item, one charge for drugs with same form but different strengths

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22
Q

What is DT part XVIIIA?

What happen if pharm supplied item on the list

A

Black list

If supplied, will not be paid

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23
Q

What’s part XVIIIB - SLS?

What are the req for these rx

A

List of drugs which can be rxed on FP10 in certain circumstances
Req prescriber to mark the script SLS

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24
Q

Part XX- requisition and private rx for CD

A

FP10PCD - submit to NHSBSA for audit then 2 years retention, submit with FP34PCD by fifth of month (6th?)
Requisition to supply CD (sch2/3) order via FP10CDF form and submit to NHSBSA

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25
Can optometrist rx CDs?/ unlicensed med
Cannot rx ANY CD independently ! | No
26
NCSO
No Cheaper stick obtainable - when there is shortage of products due to manufacturing prob - an equivalent product with higher price than on the DT is supplied- write NCSO for reimbursement base on endorsement
27
When can a OOP expensed be obtained
Exceptional circumstances If drug is not in part VIII CatA+M Part XIA, IXR IXB,C Cat C
28
What's is the 'contract'? | Who negotiate with the government on behalf of pharmacy contractors?
Administrative arrangement between pharmacist and various agencies The PSNC- pharmaceutical services negotiating committee, NOW KNOWN AS CPCF- community pharmacy contractual framework
29
What are the current relevant legislation?
The NHS act 2006 Local government and public improvement in health act 2007 The health act 2009 -mandatory PNA pharmaceutical needs assessments, -revise market entry test Nhs the health and social care act 2012 The NHS regulations 2013
30
The clinical governance approved particulars that define specific requirements -set out in term of service
``` 1 incident reporting 2 info governance programme 3 info satisfaction survey 4 premises 5 pharmacy practice leaflet ```
31
How to endorse a drug that's in the part VIIIA? / not in it?
Not necessary UNLESS IN CAT C +MORE THAN 1 PK SIZE Generic Endorse with pk size List brand name/ manuf/ wholesaler
32
How to endorse a product that's not available?
DH allow contractors to endorse product with NCSO if in part VIII
33
How to endorse a rx if supply quantity at variance
Endorse with the qty supplied
34
Pharm must supply the EXTACT qty of order expect for | How to endorse
``` Special containers Sterile prod Effervescent prod Tubes/ aerosols Lipid prep for bath ``` Endorse w no. And size of these containers
35
The current medical act that governs the regulation of medical professionals, when did it come into force
Medical act 1983
36
Composition of GMC | When established
6 medical men inc chair 6 lay mem 1858 act
37
Registrations and licensing for doctors
1 MUST BE REG N LICENSED to practise 2 uni medicine degrees 3 foundation prog PART1 -F1 leads to eligibility to register n PRACTISE UNDER SUPERVISION 4 full reg in F2
38
Will the doctor be allowed to practise as a GP principal when they entered GP register?
No
39
``` What does these mean MRCP MRCS FRCGP DRCOG BMA ```
``` M- members RC- royal collage P- physicians S- surgeons F- fellow GP GENERAL PRATICE D- diploma G- gynaecologists (pregnancy£ ```
40
Gps rx right
Any POMs, ES OF POM under HMR 2012 | S2,3 CD under MDA1971
41
Dentists act (what year?
1984
42
Where can you search your dentist?
General dental council online
43
Ancillary staff reg for GDC
``` Dental Nurses Technicians Therapist Hygienist ```
44
Can a EEA DENTIST request for S1,2,3 CDs? | What are the req
No | Need to have UK MA
45
When was nursing midwifery council created? How many mem? How many registrants
1/4/2002 14 mem 7 reg, 7 lay 700,000
46
Can NIP/PIP rx CD? | ES?
Yes any CD S2-5 Exp diamorphine cocaine dipipanone Yes
47
How does midwife get supply of CD
Authority - supply order | - signed by doctor
48
Optometrist act. When?
1989
49
The general optical council keep reg of ...
Dispensing opticians Optometrist Bodies corporate as ophthalmic opticians Student opticians !
50
What's the major misconduct from inviestifsting committee and disciplinary committee (GOC
Unlawful for people who are not reg medical praticioner or reg optometrist to TEST EYE SIGHT
51
What can optometrist rx? | And obtain?
All GSL ALL P POM EYE DROP N OINTMENT CONTAINS CHLORAMPHENICOL some POMS Obtains anaesthetics - caine 's for USE IN COURSE not supply
52
``` Health n care professions council When Composition Reg mem How many categories ```
4/2002 6lay 6 prof 350,000 15
53
What can chiropodist (soft tissue surgeons ) do
Administer parental anaesthetic
54
What does the profession standard authority do
Regulate the regulators
55
Veterinary surgeons act When? Offence to practices as vet unless
1966 Reg veterinary surgeons Supplementary register
56
Until when was the veterinary med were reg by the medicine act? Then what happened
Oct 2005 | Vet med reg came into force
57
What year of VMR is still in force?
2013
58
What was established as a government agency under department for environment food and rural affairs
VM directorate
59
Define VMP
Product with a UK marketing authorisation Schedule five allows incorporation into feed According to the veterinary prescription
60
Define special feed additive
Authorised under EC regulation | Coccifiostats, histomonostats, other zoo technical additives
61
Define pre mixture for animal
A mixture of vmp or sfa with feed materials intended for future mixing
62
How to verify a vet rx
``` Product info database PID NOAH compendium MEP RCVS register Veterinary formulary ```
63
What is the profession standards authority for health and social care in 2012
CHRE- council for healthcare regulatory excellence
64
What can console for healthcare regulatory excellence do in terms of fitness to practice
Has power to refer fitness to practice committee decisions to High Court
65
What does CHRE do
Monetary policy in UK and Europe and advise UK government
66
Does dual registeratuin (pharm and dentist) count as impaired fitness to oratise?
Yes
67
Rights of the registrant under fitness to practice
Provisions under article 6(1) of European convention on human rights - unbiased tribunal: court of justice - a right to be present and represented at any hearing - a right to be informed of reasons for any decision
68
Can FtP committee remove/ suspend a registrant? For how long? For how long can they place conditions on the registrant's registration?
Yeah 12 months Up to 3 years
69
The fitness to practise committee has the power to issue interim orders, before a practical on three grounds... ? And when does it become effective
The protection of the public In the public interest In the interests of the registrant Interim orders take IMMEDIATE EFFEXT
70
The RPS Foundation pharmacy framework clusters | 4
1 patient and pharmaceutical care 2 professional practice 3 personal practice 4 mng and organisation
71
When was the five-year forward view published
October 2014
72
What does the five-year forward view include
New shared vision of care for NHS , based around models of care Describes how health services need to change over the next five years, to close the widening gap in the health of population, quality of care and the funding of service
73
What is the new models of care
Breakdown divides between different parts of health services as well as between NHS and social care No on size fits all nor should 1000 flowers bloom
74
List the 7 new models of care
1. Multispeciality communitu providers - gp of GPs provide local care 2. Primary and acute care system (hospital) 3. Urgent and emergency care networks 4. Acute care collaboration 5. Specialises care 6. Modern maternity services 7. enhanced health in care home
75
What are the core functions of community pharmacy
To facilitate personalised care for people with long-term conditions To be the trusted convenient first port of call for healthcare advice and treatment To improve neighbourhood house and wellbeing hub
76
Dec 2016 Community pharmacy clinical service review by Richard Murray director of policy at the Kings fund Key recoms
- encourage electronic RD - MUR incorporate into full clinical reviews - minor aliment service in all pharmacy by 2018 - smoking cessation service,make it national - overcome prof boundaries to ensure closer working bw hcp
77
What is Francis report 2013
Widespread failing across the mid Staffordshire NHS foundation trust 290 recommendations for improvement Patient centre focus
78
What is berwick report 2013
Patient safety above all Engage enpower and hear patient at all time Foster staff who can improve Woking processes Transparency
79
Why does the health education England exist
To improve The quality of care but ensuring of our workforce has the right numbers skills values and behaviours to meet the needs of patients
80
Management skills and behaviours list 5
``` People mgt Finicial skills n information mgt Clinical governance Service delivery Professional leadership ```
81
The nature and effect of a positive leadership style
- leadership that emphasises care for staff and high-quality support service - engaged employees - high quality compassion and care - patient satisfaction - successful healthcare organisations
82
The hay group- 6 leadership styles
- directive - visionary - affiliative - participative - coaching - pace setting
83
What is the NHS and RPS leadership framework
``` Inspiring shared purpose Pleading with care Evaluating information- think creatively Connect our Service- whole system Engaging the team Holding to account- responsibility /measure what has achieved Develop capability Influencing for result HI LEC DIE ```
84
When did NHS launch
1948
85
How many patients in uk | How many healthcare employees
65 M | 1.5M
86
How many people are living with diabetes in uk/ what % is T1DM
4.5 M | 10%
87
What's the time to deliver for the 5 year forward view
4 June 2015
88
What are the 3 main point of the 5 year forward view
Health and wellbeing Care and quanlity Funding and efficacy
89
what is the plan used to support implementation of the 5YFV- what does it tell us
Sustainability and transformation plans STP build around the needs of local population
90
What are the NHS Core values
``` Respect and dignity commitment to quality of care Compassion Improving lives Working together for patience Everyone counts ```

Professional Practice 2 (6 decks)

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