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Professional Practice 2 > Professional Prarice > Flashcards

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
Q

Can optometrist rx CDs?/ unlicensed med

A

Cannot rx ANY CD independently !

No

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26
Q

NCSO

A

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

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27
Q

When can a OOP expensed be obtained

A

Exceptional circumstances
If drug is not in part VIII CatA+M
Part XIA, IXR

IXB,C
Cat C

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28
Q

What’s is the ‘contract’?

Who negotiate with the government on behalf of pharmacy contractors?

A

Administrative arrangement between pharmacist and various agencies
The PSNC- pharmaceutical services negotiating committee, NOW KNOWN AS CPCF- community pharmacy contractual framework

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29
Q

What are the current relevant legislation?

A

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

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30
Q

The clinical governance approved particulars that define specific requirements -set out in term of service

A 
1 incident reporting 
2 info governance programme 
3 info satisfaction survey 
4 premises
5 pharmacy practice leaflet
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31
Q

How to endorse a drug that’s in the part VIIIA? / not in it?

A

Not necessary UNLESS IN CAT C +MORE THAN 1 PK SIZE

Generic Endorse with pk size
List brand name/ manuf/ wholesaler

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32
Q

How to endorse a product that’s not available?

A

DH allow contractors to endorse product with NCSO if in part VIII

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33
Q

How to endorse a rx if supply quantity at variance

A

Endorse with the qty supplied

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34
Q

Pharm must supply the EXTACT qty of order expect for

How to endorse

A 
Special containers
Sterile prod
Effervescent prod
Tubes/ aerosols 
Lipid prep for bath

Endorse w no. And size of these containers

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35
Q

The current medical act that governs the regulation of medical professionals, when did it come into force

A

Medical act 1983

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36
Q

Composition of GMC

When established

A

6 medical men inc chair
6 lay mem
1858 act

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37
Q

Registrations and licensing for doctors

A

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
Q

Will the doctor be allowed to practise as a GP principal when they entered GP register?

A

No

39
Q 
What does these mean
MRCP
MRCS
FRCGP
DRCOG
BMA
A 
M- members 
RC- royal collage 
P- physicians
S- surgeons 
F- fellow GP GENERAL PRATICE 
D- diploma G- gynaecologists (pregnancy£
40
Q

Gps rx right

A

Any POMs, ES OF POM under HMR 2012

S2,3 CD under MDA1971

41
Q

Dentists act (what year?

A

1984

42
Q

Where can you search your dentist?

A

General dental council online

43
Q

Ancillary staff reg for GDC

A 
Dental 
Nurses 
Technicians 
Therapist 
Hygienist
44
Q

Can a EEA DENTIST request for S1,2,3 CDs?

What are the req

A

No

Need to have UK MA

45
Q

When was nursing midwifery council created?
How many mem?
How many registrants

A

1/4/2002
14 mem 7 reg, 7 lay
700,000

46
Q

Can NIP/PIP rx CD?

ES?

A

Yes any CD S2-5
Exp diamorphine cocaine dipipanone
Yes

47
Q

How does midwife get supply of CD

A

Authority - supply order

- signed by doctor

48
Q

Optometrist act. When?

A

1989

49
Q

The general optical council keep reg of …

A

Dispensing opticians
Optometrist
Bodies corporate as ophthalmic opticians
Student opticians !

50
Q

What’s the major misconduct from inviestifsting committee and disciplinary committee (GOC

A

Unlawful for people who are not reg medical praticioner or reg optometrist to TEST EYE SIGHT

51
Q

What can optometrist rx?

And obtain?

A

All GSL
ALL P
POM EYE DROP N OINTMENT CONTAINS CHLORAMPHENICOL
some POMS

Obtains anaesthetics - caine ‘s for USE IN COURSE not supply

52
Q 
Health n care professions council 
When 
Composition 
Reg mem 
How many categories
A

4/2002
6lay 6 prof
350,000
15

53
Q

What can chiropodist (soft tissue surgeons ) do

A

Administer parental anaesthetic

54
Q

What does the profession standard authority do

A

Regulate the regulators

55
Q

Veterinary surgeons act
When?
Offence to practices as vet unless

A

1966
Reg veterinary surgeons
Supplementary register

56
Q

Until when was the veterinary med were reg by the medicine act?
Then what happened

A

Oct 2005

Vet med reg came into force

57
Q

What year of VMR is still in force?

A

2013

58
Q

What was established as a government agency under department for environment food and rural affairs

A

VM directorate

59
Q

Define VMP

A

Product with a UK marketing authorisation
Schedule five allows incorporation into feed
According to the veterinary prescription

60
Q

Define special feed additive

A

Authorised under EC regulation

Coccifiostats, histomonostats, other zoo technical additives

61
Q

Define pre mixture for animal

A

A mixture of vmp or sfa with feed materials intended for future mixing

62
Q

How to verify a vet rx

A 
Product info database PID
NOAH compendium 
MEP
RCVS register 
Veterinary formulary
63
Q

What is the profession standards authority for health and social care in 2012

A

CHRE- council for healthcare regulatory excellence

64
Q

What can console for healthcare regulatory excellence do in terms of fitness to practice

A

Has power to refer fitness to practice committee decisions to High Court

65
Q

What does CHRE do

A

Monetary policy in UK and Europe and advise UK government

66
Q

Does dual registeratuin (pharm and dentist) count as impaired fitness to oratise?

A

Yes

67
Q

Rights of the registrant under fitness to practice

A

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
Q

Can FtP committee remove/ suspend a registrant? For how long?
For how long can they place conditions on the registrant’s registration?

A

Yeah
12 months
Up to 3 years

69
Q

The fitness to practise committee has the power to issue interim orders, before a practical on three grounds… ? And when does it become effective

A

The protection of the public
In the public interest
In the interests of the registrant

Interim orders take IMMEDIATE EFFEXT

70
Q

The RPS Foundation pharmacy framework clusters

4

A

1 patient and pharmaceutical care
2 professional practice
3 personal practice
4 mng and organisation

71
Q

When was the five-year forward view published

A

October 2014

72
Q

What does the five-year forward view include

A

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
Q

What is the new models of care

A

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
Q

List the 7 new models of care

A
  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
Q

What are the core functions of community pharmacy

A

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
Q

Dec 2016 Community pharmacy clinical service review by Richard Murray director of policy at the Kings fund
Key recoms

A
  • 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
Q

What is Francis report 2013

A

Widespread failing across the mid Staffordshire NHS foundation trust
290 recommendations for improvement
Patient centre focus

78
Q

What is berwick report 2013

A

Patient safety above all
Engage enpower and hear patient at all time
Foster staff who can improve Woking processes
Transparency

79
Q

Why does the health education England exist

A

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
Q

Management skills and behaviours list 5

A 
People mgt
Finicial skills n information mgt
Clinical governance 
Service delivery 
Professional leadership
81
Q

The nature and effect of a positive leadership style

A
  • leadership that emphasises care for staff and high-quality support service
  • engaged employees
  • high quality compassion and care
  • patient satisfaction
  • successful healthcare organisations
82
Q

The hay group- 6 leadership styles

A
  • directive
  • visionary
  • affiliative
  • participative
  • coaching
  • pace setting
83
Q

What is the NHS and RPS leadership framework

A 
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
Q

When did NHS launch

A

1948

85
Q

How many patients in uk

How many healthcare employees

A

65 M

1.5M

86
Q

How many people are living with diabetes in uk/ what % is T1DM

A

4.5 M

10%

87
Q

What’s the time to deliver for the 5 year forward view

A

4 June 2015

88
Q

What are the 3 main point of the 5 year forward view

A

Health and wellbeing
Care and quanlity
Funding and efficacy

89
Q

what is the plan used to support implementation of the 5YFV- what does it tell us

A

Sustainability and transformation plans
STP
build around the needs of local population

90
Q

What are the NHS Core values

A 
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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