Sale and Supply 4 Flashcards
What are Patient Group Directions?
Permits the supply of POMs without a prescription
Written direction to supply and administer or administer only a POM, signed by a doctor or a dentist and the person authorised to make the supply e.g. pharmacist
Three main types of PGD:
HC professionals to supply medicines on behalf of an NHS body
Assist a doctor or dentist providing primary care NHS services
Supply of a POM by a named person lawfully conducting a retail pharmacy business
Pharmacists in PGDs
Pharmacists involved in the supply and/or administration of a POM under a PGD must:
ensure they have up to date knowledge relating to the clinical area covered by the PGD
ensure they have undertaken the training required for the operation of the PGD
be satisfied that the PGD is legally valid
ensre protocols are followed and appropriate information recorded, must identify the pharmacist assuming responsibility for each supply
To be valid, a PGD must contain the following information:
Period of effect, description or class of POM, any restrictions to quantity, clinical situations which it may be used to treat, criteria under which a person shall be eligible for treatment, exclusion criteria, circumstances needing further advice from a doctor or dentist, pharmaceutical form or forms allowed, applicable dosage or maximum dosage, route of administration, frequency of administration, maximum or minimum period, any relevant warnings or follow up information, arrangments for referral, details of records to be kept
Types of medication you may see on a PGD
Trimethoprim for uncomplicated UTIs Chloramphenicol or fusidic acid for the treatment of bacterial conjunctivitis Orlistat for weight loss Zyban or champix for smoking cessation EHC (levonelle)
Influenza vaccination PGD
Private service in most areas
Pharmacists are trained to inject and to deal with anaphylaxis
Depending on the area there can be an NHS service set up i.e. all of England
Patients should be informed if they are suitable for NHS service
Wholesale dealing: MHRA
Responsible for oversight and enforcement of the wholesale of medicines
Most wholesalers require a Wholesale Dealer’s License
MHRA takes the view that the supply of medicines by community and hospital pharmacies to other HC professionals is an important and appropriate part of their professional practice
Pharmacies don’t need a Wholesale Dealer’s License to:
Supply medicines to the public in the UK and others authorised to receive medicines
Obtain small quantities of a medicine from another pharmacist in order to meet the needs of individual patients
Supply of medicines to other healthcare providers in the UK who need to hold medicines for treatment/supply to patients
Wholesale dealing: signed orders
Legislation does not specify the details that need to be included on signed order
At the minimum would need the details that would be recorded in the register
Signed orders for CDs do have legislation covering them
Some healthcare providers are limited in what POMs they can obtain
Three types of collection and delivery services:
Standard prescription collection service
Managed prescription collection service
Delivery service
Standard prescription collection service
An arrangement where a pharmacy receives a prescription other than directly from the patient or representative
Must: obtain consent to receive patient’s prescriptions, explain to patients/carers what service involves including when to collect, prescription must be collected by individuals acting in accordance with the pharmacists directions, procedures must safeguard confidentiality and security
Managed prescription collection service
Still involves the collection of prescriptions from a surgery
The patient doesn’t prompt the pharmacy to order
The pharmacy prompts the patient when the medication is due
Began in order to help manage increasing workload
Must still follow the same procedures as for standard service
Collection and delivery services
Medicines are handed to patient or carer other than on registered pharmacy premises
Still have a professional responsibility to ensure that they know how to use medication safely and are not experiencing any side effects or compliance difficulties
Obtain consent
Appropriate records must be kept
Delivery services
The pharmacist must ensure the delivery mechanisms:
are safe, ensure prompt delivery with instructions for use, medicines are handed to the patient or carer unless alternative arrangements have been made, confirm correct name and address, cater for special storage instructions, clear audit trail, obtain signature to verify safe delivery, safeguards confidentiality
Staff training: sales of pharmacy medicines
Pharmacists must ensure competent staff who: obtain sufficient information to make supply, give appropriate advice about medicine, know when to refer to the pharmacist, ensure safe and effective sales, be alert to abused products, understand that confidentiality is essential
