Governance Quality Indicator The pharmacy reviews its own Standard Operating Procedures, and the referral pathways for the service, on an annual basis and whenever changes to the protocol are implemented. Community pharmacy providers will operate to appropriate standards of clinical governance as detailed in Essential Services 8 of the Community Pharmacy Contractual Framework (2005). In order to satisfactorily deliver this Enhanced Service as described in the Specification, pharmacy contractors will have a particular duty to ensure that: ▪ premises are of a standard suitable for such consultations ▪ usual steps are taken to maximise quality improvement and minimise risks involved in providing the service -which includes ensuring that ▪ there are demonstrably effective general policies, procedures and practice in place in relation to: • Health & Safety • Complaints • Confidentiality • Data Protection • Incident Reporting • Infection Control (Including Hand Hygiene) • Training, Development & Competence and also that ▪ pharmacists and staff involved in the provision of the stop smoking service (a) have relevant knowledge and are appropriately trained in the operation of the service and (b) are aware of and operate within the specific local operating protocols or procedures related to it. The Pharmacist Clinical Lead has overall responsibility for the safe and smooth running of the stop smoking service provided in their pharmacy. A Pharmacist Clinical Lead will normally be regularly employed to work in that pharmacy for at least 20 hours per week (35 - 40 hours in a 100 hour pharmacy). They will sign the SLA and have clinical responsibility for the operation of the service in that community pharmacy. Self assessment Describe how the governance criteria will be met and submit appropriate evidence • Provide copy of Standard Operating procedure • Infection control policies and associated SOPs Name of Pharmacist Clinical Lead Hours worked in pharmacy
