Repeat Dispensing Flashcards

1
Q

What type of service is RD?

A

Essential service in CP contract for patient with stable long-term conditions

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2
Q

Describe the benefits of RD

A
  • Convenient for patient
  • Decreases workload for prescriber and staff
  • Enhances role pof pharmacist
  • Manages workload and stock more efficiently
  • Reduces waste saving NHS costs
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3
Q

Describe what an FP10RA is

A

Repeat authorisation - legal and clinical authority to supply - 1 per batch

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4
Q

Describe what an FP10RD is

A

Repeat dispensing - more than 1 - invoice for payment

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5
Q

What is the mandatory format for FP10RD/RAs?

A

Computar generated

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6
Q

List the criteria for RD

A
  • Patient with long term conditions and stable medication regimen
  • Patient regularly uses same pharmacy
  • Consent to share into between pharmacy and GP
  • GP has final say if they are suitable
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7
Q

Which patients are not suitable for RD?

A
  • Newly diagnosed patients who have unstable conditions
  • Acute meds / changes in medication regimen
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8
Q

What medicines/doses are excluded from RD?

A
  • CD 2 and 3
  • ‘PRN’
  • Non-oral medicines

difficult to know when patient requires them so can be on a separate repeat

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9
Q

How does RD work in the GP?

A
  • Surgery staff generate repeat batch - up to 12 months
  • Issues dated with date of generation
  • RA signed by GP
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10
Q

How does RD work in a pharmacy?

A
  • 1st RD within 6 months of date - within 28 days for CD 4
  • Keep RA at pharmacy and patient encouraged to leave RD as well
  • All Rx must be dispensed within 12 months
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11
Q

What happens to the RA/RD after dispensing?

A
  • Keep RA in pharmacy until last RD send to NHSBSA
  • Send RD to NHSBSA at the end of each dispensing month
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12
Q

State the questions that pharmacist must ask patient between each batch

A
  • Are you taking the medicines appropriately?
  • Has your condition changed?
  • Are you taking any new Rx/OTC medicines?
  • Is there anything you don’t need?
  • Inform Pt of next collection date
    If it is final batch - inform Pt of last batch and to contact GP for clinical check
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13
Q

Why is keeping a legal audit important?

A
  • Records supply of RD service
  • Information can be passed to GP to show compliance and med changes
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14
Q

Describe the importance of communication between pharmacy and GP.

A
  • Stopping or starting meds
  • Strength changes
  • Missed collections by patient
  • Hospital admission/ med changes by secondary care
  • Patient consistently doesn’t request an item
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