The Pharmacy contract - Essential & Advanced Flashcards
Essential services listed
- All Pharmacy contractor as part of NHS services offered by all pharmacist
Locally commissioned service
- Contracted via a number of different routes for specific services CCG and Health board in wales
Essential services
- Dispensing medicines
- Dispensing Appliances
- Repeat dispensing
- Clinical Governance - 7 pillars
- Discharge Medicines Services
- Public Health
- Signposing - sending people to specialist
- Self care
- Disposal of unwanted medicines
Dispensing
- Supply of mediand appliances ordered on NHS prescriptions, together with information and advice
- Ensures safety and maintainance of appropriate records
- EPS - electronic prescription
- Dispense on drug tariff
Repeat Dispensing
- Repeat dispensing is an Essential Service within the Community Pharmacy Contractual Framework
- Dispense repeat dispensing prescriptions issued by a GP
- Ensure that each repeat supply is required
Clinical governance
- A framework through which NHS organisationd are accountable for continuing quality improvemment
- Use standard operating procedures learning from adverse drug reaction, recording reporting and continuing professional development assessing patient satisfaction
Pillars of clinical goverance
Process of quality improvement
- Patient and public involvement
- Clinical audit
- Risk management
- Clinical effectiveness
Pillars of clinical goverance
Staff focus
- Staffing and staff management
- Education, training and CPD
Pillars of clinical goverance
Use of information
- Use info to support clinical governance and health delivery p
Discharge medicine service
- Patient who have recently been discharged from hospital get support from local pharmacy
- Hospital refer patient on who would benifit from extra guidance
4 oppertunistic advice
- Have diabetes
- Be at risk of coranary heart disease (high BP)
- People who smoke
- Are overweight
Disposal of unwanted medicines
- Community pharmacy unwanted medicine
- Returned solid medicines/ ampoules, liquids and aerosols are separated
Signposting
Require further support, advice or
treatment which cannot be provided by the
pharmacy
Support for self care
- Derive maximum benefit from caring for themselves or their families
- Advice to people, including carers, requesting help with the treatment of minor illness
Advanced Services
Community Pharmacist Consultation service
- Connects patient who have minor illness to need an urgent supply
- 111 services referrals from GPs
4 priority services for CPCS
- Common ailment
- Emergency contraception - Key priority
- Emergency medicine
- Seasonal flu - Key priority
Seasonal flu jabs
- Pregnant
- 50 or more in age
- You have a long term chronic condition
- Those that live in a care home
Hepitis C
- Antibody testing added to CP
- Those who inject heroin and ilcit drugs are at risk
Hypertension case finding
- Identifying people at risk of hypertension and
offering them blood pressure measurement - Is offering 24 hour ambulatory blood pressure monitoring
New Medicine Service
- Newly prescribed a medicine to manage a long term condition,
- Which will generally help them to appropriately improve their medication
Conditions that are eligible for new medicine service
asthma and COPD
* diabetes (Type 2)
* hypertension
* hypercholesterolaemia
* osteoporosis
* gout
* glaucoma
* epilepsy
* Parkinson’s disease
Stoma Appliance Customisation
- Customisation of a quantity of more than
one stoma appliance, based on the patient’s measurements - Ensure proper use and comfortable fitting of the stoma appliance and to improve the duration of
usage, thereby reducing waste
Stop Smoking
- Discharged from hospital to a community pharmacy of their choice to continue their
smoking cessation care pathway
Enhanced services
- Primary Care Covid-19 Immunisation
- Accrediting in Wales
- Care Home support
- Emergency hormonal contraception
- Independant Prescribing
- Stop smoking service
- Needle and syringe supply
- Pateint sharps service - disposal of sharps
- Sore throat test and treat
- Substamce misuse