Service Outline. The pharmacy contractor will:
3.1 Ensure that as many pharmacists as possible, including locum pharmacists, employed to work in the pharmacy are aware of the service.
3.2 In circumstances where the pharmacy is unable to supply the item(s) on demand, direct/signpost the patient, carer or health professional to the nearest pharmacy provider of the palliative care drugs stockist scheme, checking first that they have the supply in stock
3.3 Ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local procedures and guidelines. The pharmacy contractor shall also ensure that documentation relating to the service, local procedures and guidelines issued by the commissioner are easily accessible in the pharmacy.
Service Outline. 3.1 The pharmacist will:
a) Routinely check the XXX.xxx email to pick up the notification of the referral in a timely manner.
b) Contact the patient by phone to interview the patient assess suitability / eligibility to use the service, identify the medicines needed and to establish the nature of the emergency.
c) Arrange for the patient to come to the pharmacy for a face-to-face consultation.
d) Complete the face-to-face consultation, where possible confirming the previous treatment ensuring that the emergency supply regulations and good practice guidance are met.
e) The pharmacist can use their professional judgment and where it is deemed appropriate interview the patient over the phone to ensure that the emergency supply regulations and good practice guidance are met. The patients’ representative can then collect the medication from the pharmacy on their behalf. It is expected that the majority of emergency supplies will be made to the patient, not their representative. Where a representative collects the medication the rationale for a telephone interview and the representative collecting the supply will be recorded.
f) The patient (or representative) must complete the relevant sections of the Urgent Repeat Medicine Supply Service Record Form.
g) The pharmacist will advise the patient or their representative on the importance of ordering prescriptions in a timely manner from their usual pharmacy to support patients in understanding of the importance of not running out of medication with the aim of changing behaviors and preventing the future need for emergency supplies. The Urgent Supply of Repeat Medication service must not be used to attempt to change the patient’s use of their usual pharmacy. If evidence of diverting, or attempting to change patient’s use of pharmacy is found then a pharmacy will be removed from this service.
3.2 The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The pharmacist will supply a maximum of 7 days of medication except where it is not possible to dispense this volume (e.g. inhalers, creams etc.); the smallest pack size should be dispensed in this instance.
3.3 The pharmacy will maintain a record:
(a) of the emergency supply, setting out the name and address of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012;
(b) of the consul...
Service Outline. There will be three aspects to the service; Chlamydia screening Condom distribution Treatment of infection Pharmacies must sign up to chlamydia screening to become an accredited site. The treatment of infection and condom distribution part of the service is optional.
Service Outline. 3.1 The Contractor will stock the specialist medicines listed in the formulary in Appendix 1 and will dispense these medicines upon receipt of an appropriate NHS prescription.
3.2 The Contractor must keep appropriate records of dispensing on their computerised medication records.
3.3 The Contractor must promptly re-ordered any medicines from the formulary which are dispensed, and must promptly inform the Commissioner if there are significant supply issues which affect any of the relevant medicines.
3.4 The Contractor must provide information and advice to the patient, carer and health care professional as they would with any prescription. It should also refer or signpost patients to specialist centres, support groups or other health and social care professionals where appropriate.
3.5 The Contractor must ensure that this service is available at all times within their contracted opening hours (both core and supplementary opening hours), and on any bank or public holidays on which the pharmacy is open.
3.6 If the Contractor is unable to fulfil a prescription, it must:
3.6.1 make contact with other pharmacies which provide this enhanced service to identify one which is open and has the required medicine in stock
3.6.2 direct the patient, carer or clinician to the nearest such pharmacy
3.6.3 complete the form attached in Appendix 2 and return it to the Commissioner within 7 days.
3.7 The Contractor must ensure that all pharmacists (including locum pharmacists) and staff involved in the provision of the service have the relevant knowledge and are appropriately trained in the operation of the service within the pharmacy’s own standard operating procedures.
3.8 The Commissioner will agree with local stakeholders the medicines formulary and stock levels required to deliver this service. The Commissioner will regularly review the formulary to ensure that it reflects the availability of new medicines and changes in practice or guidelines. The Contractor will ensure that they hold in stock any new additions to the medicines formulary within two weeks of notification by the Commissioner.
3.9 The Commissioner will disseminate information on the service to other pharmacy contractors and health care professionals in order that they can signpost patients to pharmacies providing the service.
Service Outline. 3.1 The pharmacy will provide the needle exchange packs in a suitable bag to the service user. The part of the pharmacy used for the provision of the service must provide a sufficient level of privacy and safety for service users and other members of the public accessing the pharmacy.
3.2 Used equipment is normally returned by the service user for safe disposal.
3.3 The pharmacy will have appropriate health promotion material available for the users of the service and promotes its uptake. This material will be provided by WWTR.
3.4 Pharmacies contracted to provide the Needle Exchange service shall display the national logo in a prominent position visible from outside the premises. For further supplies of the needle exchange window sticker please email the contract manager.
3.5 The pharmacy should order sufficient materials to ensure continuity of the service (see Section 4)
3.6 The pharmacy will provide support and advice to the user, including referral to WWTR and other health and social care professionals where appropriate.
3.7 The pharmacy will promote safe practice to the user, including advice on sexual health and STIs, HIV and Hepatitis C transmission, and Hepatitis B immunisation.
3.8 An accredited pharmacist does not need to undertake the transaction or be present when the transaction occurs. However, the pharmacist will be responsible for ensuring that any staff member undertaking the transaction is competent to do so and have undertaken the required training.
3.9 The pharmacy will ensure that staff are made aware of the risks associated with the handling of returned used equipment and the correct procedure used to minimise those risks. Please refer to the pharmacy’s own safety guidance.
3.10 A needle stick injury Standard Operating Procedures should be in place and visible to all staff. Used needles and sharps boxes must not be handled directly by any pharmacy staff. Sharps bins should be offered to clients to deposit used ‘works’ directly into.
3.11 It is strongly advised that staff in the delivery of this service are immunised against Hepatitis B.
3.12 If the service user requests equipment not supplied within the needle exchange programme, the pharmacy will refer them to the WWTR service.
3.13 Pharmacists and staff involved in the provision of the service must be aware of and operate within any locally agreed protocols and follow their company Standard Operating Procedures that cover the provision of this service.
3.14 The pharmacy will deal w...
Service Outline. 4.1 The main client group is women under the age of 50 years who might require emergency contraception within 72 hours of unprotected sexual intercourse or failure of a contraceptive method.
4.2 The part of the pharmacy used for provision of the service provides a sufficient level of privacy (ideally at the level required for the provision of the Medicines Use Review service) and safety and meets other locally agreed criteria.
4.3 A service will be provided that assesses the need and suitability for a client to receive EHC, in line with the PGD. Where appropriate a supply will be made; where a supply of EHC is not appropriate, advice and referral to another source of assistance, if appropriate, will be provided. Clients who have exceeded the time limit for EHC will be informed about the possibility of use of an IUD and should be referred to a local service as soon as possible.
4.4 Inclusion and exclusion criteria, which are detailed in the PGD, will be applied during provision of the service.
4.5 The service will be provided in compliance with Fraser guidance and Department of Health guidance on confidential sexual health advice and treatment for young people aged under 16.
4.6 Verbal and written advice on the avoidance of STIs and the use of regular contraceptive methods, including advice on the use of condoms, will be provided to the client. This should be supplemented by a referral to a service that can provide treatment and further advice and care.
4.7 The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service have relevant knowledge and are appropriately trained in the operation of the service, including sensitive, client centred communication skills.
4.8 The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols.
4.9 The pharmacy must maintain appropriate records to ensure effective ongoing service delivery and audit. Records will be confidential and should be stored securely and for a length of time in line with local NHS and CCC record retention policies.
4.10 Pharmacists may need to share relevant information with other healthcare professionals and agencies, in line with locally determined confidentiality arrangements, including, where appropriate, the need for the permission of the client to share the information.
4.11 The pharmacist may make a supply to a girl s/he believes to be under 16; ho...
Service Outline. The service will provide targeted screening on an opportunistic, planned or patient led basis based on the FAST questionnaire. Thereafter an offer of a ‘Brief Intervention/Alcohol Education including delivery of the appropriate Brief Intervention elements’, and onward referral to a specialist service, as clinically appropriate.
a) To as clinically appropriate screen patients identified as at risk.
b) To offer and deliver a ‘Brief Intervention’/Alcohol Education to those with a positive screen.
Service Outline. 4.1 The main client group is women under the age of 50 years who might require emergency contraception within 72 hours of unprotected sexual intercourse or failure of a contraceptive method.
Service Outline. The following elements of the service would need to be in place already for the purpose of this service:
Service Outline. 3.1 The pharmacy will at the point of handing out a completed prescription to a patient (or their representative where the patient has consented to the representative acting in this capacity) discuss with the patient the contents of the completed prescription and whether each item as dispensed is required by the patient.
3.2 Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item.
3.3 When the pharmacist makes an intervention as described in 1.2, they will make a record of the intervention on XxxxxXxxxxxxx that captures the following information:
(a) The name and address of the patient
(b) The name and practice of the prescriber
(c) The date of the intervention
(d) The name, strength (if required), form and quantity of the item that the intervention has been made on
(e) The reason, as reported by the patient, that item was prescribed but is no longer required.
(f) Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future
3.4 When the pharmacist makes an intervention as described in 3.2, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This will be normally be done automatically by the PharmOutcomes system, but may sometime require the pharmacy to post the notification).
3.5 When the pharmacist makes an intervention, as described in 3.2, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients safe use of the prescribed medicines.
3.6 Where a pharmacy makes an intervention described in 3.2 on a prescribed item, they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient.
3.7 Where a pharmacy makes an intervention as described in 3.2, on an item that is prescribed on a paper prescription form, they shall score through the item so as to make it illegible.
3.8 Where a pharmacy makes an intervention as described in 3.2, on an item that is prescribed through the Electronic...
