The NHS (pharmaceutical services) regulations 2013 Flashcards
5 primary functions
regulate additions to the list of pharmaceutical contractors
fitness to practice requirements
pharmacy contractual framework
rural dispensing controls
pharmaceutical needs assessment requirements
content of the regulations
pharmaceutical lists and applications for admissions to a pharmaceutical list
inclusion , suspension and removal from pharmaceutical lists
payments
provisions of pharmaceutical services by doctors
terms of service of NHS pharmacists
>essential services
>hours of opening
>clinical governance
terms of service of appliance contractors
terms of service of dispensing doctors
pharmaceutical lists
2 lists (a) a list of persons who undertake to provide pharmaceutical services in particular by way of the provision of drugs
(b) a list of persons who undertake to provide pharmaceutical services only by way of provision of appliances
those lists must include - the address of the premises of pharmacists , opening hours of the premises
NHSCB must - (a) prepare , maintain and publish a list (to be called EPS) of all the NHS chemists situated in that area who participate in the electronic prescription service and
(b) include on its EPS list the address of any premises at which the electronic prescription service is provided
published by the NHSCB in England , health and social care board in NI
entry onto the pharmaceutical list
Apply to NHSCB/PPC in the prescribed form
Other than a minor relocation or transfer of ownership, application is only granted if it is deemed necessary or expedient to grant it, with reference to several factors
The NHSCB/PPC must remove from the list the name of any pharmacist who has died or who has ceased to be a pharmacist
pharmacy practices committee
health and social care board committee
four committees , each drawn from area panels mapped to legacy boards - northern , western , southern and eastern
considers requests for inclusion in the pharmaceutical list
comprises 7 members - non executive director , vice chair , 3 pharmacists and 3 non-pharmacists
‘control of entry ‘ test
upon application NHSCB/PPC invites views from interested parties which must be received within 45 days
NHSCB/PPC must prepare a pharmaceutical needs assessment before considering the application
three issues to be considered :
>neighbourhood
>adequacy
>necessary or expedient
‘neighbourhood’
no definition for neighbourhood with regulations
can be physical , geographical or social
differs between rural and non rural areas
does not comprise a residential area
NHSCB should provide information on needs for services in a particular area
‘adequacy’
consider adequacy of current provision in terms of
>access
>choice
>diversity
>innovation
>services to specific patient groups
>long term impact
current provision does not have to be wholly adequate
adequacy is a sliding scale
‘necessary or expedient ‘
demographic data
known health problems and any particular local needs
views of local groups
Environmental or seasonal factors
social factors - deprivation indices
local authority plans
local business profile
existing services
HSC boards plan for development of primary care services
exemptions to control of entry test
premises in an approved large retail area
premises where the applicant is willing to stay open for at least 100 hours per week
premises in a new one stop primary care centre - 18,000 patients
internet pharmacies
controlled locality
determined by the NHSCB/PPC as being ‘rural in character’
regulations require NHSCB/PPC to publish maps with determined rural areas clearly identified
if no map available , or doubt exists , the following criteria are considered ; amenities , facilities , services , transport , population , planning applications
rural areas can change - planned developments , industrial areas haves ceased production
once an area has been determined as rural that determination remains in existence for 5years unless there Is a substantial change
applications in controlled localities
there are two matters concerning pharmacy applications for premises in controlled localities
>prejudice test
>necessary or expedient test
prejudice test
nothing must be done to prevent people in the area having access to GMS or PhS at the level provided for by NHS terms of services
terms of service - essential services
dispensing and associated services
accept and dispose of unwanted returned patient medicines
promote public health and health lifestyles
undertake prescription linked interventions
provide information on availability of other health and social care providers
provide advice and support to people caring for themselves or their families
terms of service - hours of opening
NHS- 40 hours a week
NI regulations - 30 hours a week
