Professional Prarice Flashcards
The drug tariff is complied on behalf of … by the …
Department of health
Compiled by the pharmaceutical directorate of the NHSBSA (business services authority)
The DT is issued monthly to
Pharmacy contractors
Doctor surgeries
Applicants contractor
Nurse prescribers
DT gives details of
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
Part I supply of drugs, appliances & chemical reagents
Clause 1,23,4,5,5A,5B
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
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?
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
Broken bulk part 2 c 11
What is it?
How to endorse?
What does it not applied to
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
OOP expense
Out of pocket expense p2c12
Payment for expenses of obtaining a drug not from part 8 catA-M /9a/9r
P2c13 reconstitution of certain oral liquid, how does the contractor get paid
The contractor will be paid for quantity made up rather than the quantity on prescription
How to endorse discount drug
Drugs were discount is it deducted
No endowment required
Examples of types of drugs that discount it’s not deducted
CD IGs Insulins Vaccines Cold chain storage Cytotoxic Unlicensed med
Definition of a special
Specials are unlicensed relevant medicinal product for human use
Specially prepared to meet a prescription ordered for individual patient
Without need for MA
Part 3a how much is professional fee
90p
How to supply a prescription of branded drug and of generic
How does DH pay for the rx?
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
Under what condition is BB allowed
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
Part 8A
What does these symbols mean
Black - square, circle, double S
- special container
- item req reconstitution
- selected list scheme (SLS
Part 8B is?
How to pay these type of med
Where is it sourced
- 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
Part 8B formulations covered by drug tariff STD SF AF CF FF LF PF NSF Bulk square Double S
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
Part X (10) oxygen via prescription or others?
HOOF Home oxygen order form not FP10
What’s ACBS
Does rxer need to endorse it?
Advisory committee on borderline substances
When food/ toiletry –> drug
Need to endorse script ACBS
Three list in ACBS
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
Part 16 - rx charges
STD price
No charge items
Section 10 contraceptives
£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
What is DT part XVIIIA?
What happen if pharm supplied item on the list
Black list
If supplied, will not be paid
What’s part XVIIIB - SLS?
What are the req for these rx
List of drugs which can be rxed on FP10 in certain circumstances
Req prescriber to mark the script SLS
Part XX- requisition and private rx for CD
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
Can optometrist rx CDs?/ unlicensed med
Cannot rx ANY CD independently !
No
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
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
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
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
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
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
How to endorse a product that’s not available?
DH allow contractors to endorse product with NCSO if in part VIII
How to endorse a rx if supply quantity at variance
Endorse with the qty supplied
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
The current medical act that governs the regulation of medical professionals, when did it come into force
Medical act 1983
Composition of GMC
When established
6 medical men inc chair
6 lay mem
1858 act
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
Will the doctor be allowed to practise as a GP principal when they entered GP register?
No
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£
Gps rx right
Any POMs, ES OF POM under HMR 2012
S2,3 CD under MDA1971
Dentists act (what year?
1984
Where can you search your dentist?
General dental council online
Ancillary staff reg for GDC
Dental Nurses Technicians Therapist Hygienist
Can a EEA DENTIST request for S1,2,3 CDs?
What are the req
No
Need to have UK MA
When was nursing midwifery council created?
How many mem?
How many registrants
1/4/2002
14 mem 7 reg, 7 lay
700,000
Can NIP/PIP rx CD?
ES?
Yes any CD S2-5
Exp diamorphine cocaine dipipanone
Yes
How does midwife get supply of CD
Authority - supply order
- signed by doctor
Optometrist act. When?
1989
The general optical council keep reg of …
Dispensing opticians
Optometrist
Bodies corporate as ophthalmic opticians
Student opticians !
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
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
Health n care professions council When Composition Reg mem How many categories
4/2002
6lay 6 prof
350,000
15
What can chiropodist (soft tissue surgeons ) do
Administer parental anaesthetic
What does the profession standard authority do
Regulate the regulators
Veterinary surgeons act
When?
Offence to practices as vet unless
1966
Reg veterinary surgeons
Supplementary register
Until when was the veterinary med were reg by the medicine act?
Then what happened
Oct 2005
Vet med reg came into force
What year of VMR is still in force?
2013
What was established as a government agency under department for environment food and rural affairs
VM directorate
Define VMP
Product with a UK marketing authorisation
Schedule five allows incorporation into feed
According to the veterinary prescription
Define special feed additive
Authorised under EC regulation
Coccifiostats, histomonostats, other zoo technical additives
Define pre mixture for animal
A mixture of vmp or sfa with feed materials intended for future mixing
How to verify a vet rx
Product info database PID NOAH compendium MEP RCVS register Veterinary formulary
What is the profession standards authority for health and social care in 2012
CHRE- council for healthcare regulatory excellence
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
What does CHRE do
Monetary policy in UK and Europe and advise UK government
Does dual registeratuin (pharm and dentist) count as impaired fitness to oratise?
Yes
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
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
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
The RPS Foundation pharmacy framework clusters
4
1 patient and pharmaceutical care
2 professional practice
3 personal practice
4 mng and organisation
When was the five-year forward view published
October 2014
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
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
List the 7 new models of care
- Multispeciality communitu providers - gp of GPs provide local care
- Primary and acute care system (hospital)
- Urgent and emergency care networks
- Acute care collaboration
- Specialises care
- Modern maternity services
- enhanced health in care home
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
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
What is Francis report 2013
Widespread failing across the mid Staffordshire NHS foundation trust
290 recommendations for improvement
Patient centre focus
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
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
Management skills and behaviours list 5
People mgt Finicial skills n information mgt Clinical governance Service delivery Professional leadership
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
The hay group- 6 leadership styles
- directive
- visionary
- affiliative
- participative
- coaching
- pace setting
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
When did NHS launch
1948
How many patients in uk
How many healthcare employees
65 M
1.5M
How many people are living with diabetes in uk/ what % is T1DM
4.5 M
10%
What’s the time to deliver for the 5 year forward view
4 June 2015
What are the 3 main point of the 5 year forward view
Health and wellbeing
Care and quanlity
Funding and efficacy
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
What are the NHS Core values
Respect and dignity commitment to quality of care Compassion Improving lives Working together for patience Everyone counts
