Contractors will be required to. 4.1.1 Ensure that all waste collected within this SLA will meet the requirements of NHS Lothian waste policy (Appendix 1) and SHTN3 (National Waste guidance- link in Section 9 of this SLA) and is within the categories stated in this agreement. All waste bins (including sharps bins) should be no more than 2/3 full and marked with the contractor code and the letters LQ. Sharps bins must have the fitted label completed identifying who assembled the box and when and who sealed the box. Sharps bins that are returned by patients must include their CHI number on the label this is to ensure complete traceability. If CHI number is unknown, the contractor code should be used.
4.1.2 Provide/complete all necessary waste transfer documentation at point of collection.
4.1.3 Ensure that all waste presented is Health & Safety compliant by following the information in the top bullet point of this section.
4.1.4 Take action on any notified breaches.
4.1.5 Work with the Logistics department to ensure collection arrangements are as simple and efficient as possible.
4.1.6 Ensure safe and suitable access to waste storage area, and parking is available where possible for logistics staff and collection vehicle.
4.1.7 Where the contractor moves waste bins to one location for collection by NHS Lothian bins must be marked with the information outlined above by the original producer.
4.1.8 Ensure an adequate stock of appropriate sizes and colour of bins and lids by liaising with NHS Lothian Logistics staff at times of waste collection.
4.1.9 Ensure all medicine and sharps waste from patients is accepted when presented and disposed of safely and appropriately.
4.1.10 Ensure safe and appropriate storage and segregation (see Appendix 2 for segregation chart) of both empty and full prescribed medicines and sharps bins.
4.1.11 Maintain knowledge relevant to providing the service to patients and undertake further training if required.
4.1.12 Ensure appropriate Standard Operating Procedures are in place to ensure all pharmacy staff understand their duty of care responsibilities and work within the health & safety requirements and infection control guidance for handling, segregating and storing medicines and sharps bins.
4.1.13 Participate in any audit co-ordinated by NHS Lothian.
4.1.14 Notify NHS Lothian Primary Care Contract Organisation (PCCO) of any change in contracted opening hours or any other relevant changes that may affect the collection and delivery of waste materials.
Contractors will be required to. 4.1.1 Hold adequate stocks of palliative care medicines as specified in the agreed palliative care stock list in Annex 1.
4.1.2 Ensure that there is a continuity of pharmaceutical palliative care advice from their pharmacy.
4.1.3 Work in partnership with local GP’s, District Nurses, XxxXxxxxx Nurses and the area Specialist Palliative Care Pharmacists.
4.1.4 Ensure documentation is maintained and recorded according to local protocols.
4.1.5 Maintain knowledge relevant to providing the service and undertake further training in palliative care if required. This and the obligations of others are detailed in section 5.
4.1.6 Maintain good communication between stakeholders thus ensuring that information about the scheme is widely distributed.
4.1.7 Obtain/maintain up to date knowledge relevant to providing pharmaceutical care for the palliative patient, the pharmacist must undertake relevant training and attend the three Palliative Care Network meetings offered annually.
4.1.8 Ensure appropriate Standard Operating Procedures are in place to ensure all pharmacy staff understand the service and referral process.
4.1.9 Participate in any audit co-ordinated by NHS Lothian.
4.1.10 Notify NHS Lothian Primary Care Contracts Team (PCCT) of any change in contracted opening hours or any other relevant changes that may affect the service.
4.1.11 Have a named pharmacist for each Network pharmacy and inform PCCT/ lead pharmacist for palliative care network when the named pharmacist at the site changes or the named pharmacist will not be working from that site for a period longer than one month. PCCT/ lead pharmacist for palliative care network should also be informed if the named pharmacist works from the premises less than 3 days per week.
4.1.12 If on change of ownership a new owner chooses to opt out of the Network, they will be required to return a full set of stock for transfer to the pharmacy that takes its place in the Network or be invoiced by NHS Lothian for the full set of stock. Any resource materials should also be returned.
