Common use of Service Outline Clause in Contracts

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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record form. This record form will be retained in the pharmacy for 3 months after the supply to allow for post verification checks. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a copy of the record to the patient’s general practitioner. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given to take part in the service, which includes consent to share information with the patient’s own general practitioner, where applicable the GP Out of Hours Service, NHS111 and viewing of the Summary Care Record.

Service Outline. 3.1 The pharmacist will: (a) Routinely check Interview the XXX.xxx email to pick up the notification of the referral patient (or, in a timely manner. bpandemic only, the patient’s representative) 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.; (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription; (c) Arrange for If the patient patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to come contact the last supplying pharmacy or the prescriber, to the pharmacy for a face-to-face consultation. d) Complete the face-to-face consultation, where possible confirming the previous treatment ensuring ensure that successive supplies are not made under the emergency supply regulations and good practice guidance are met.provisions; and e(d) 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 patientWhere appropriate, 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 his 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 servicemanner. 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 Area Team may wish to limit the quantity of medication except where it that is supplied so that the service is not possible used in preference to dispense this volume (e.g. inhalers, creams etcthe established ‘in hours’ route of supply.); 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record formpaperwork/IT system provided by the commissioner. This record form paperwork will be retained in used for the pharmacy recording of relevant service information for 3 months after the supply to allow for post verification checkspurposes of audit and the claiming of payment. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a 3.4 One copy of the record in sub-paragraph 3.4 (c) will be sent to the patient’s general practitionerpractitioner for information. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given for this data sharing. 3.5 A copy of the record in sub-paragraph 3.4 (c) will be submitted to take part the commissioner for payment. Patient consent will need to be given for this data sharing. 3.6 A prescription charge should be collected unless the patient is exempt in the service, which includes consent to share information accordance with the patient’s own general practitionerNHS Charges for Drugs and Appliances Regulations. Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be deducted from the sum payable to the pharmacy. 3.7 If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy to check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner. 3.8 The pharmacy contractor must have a standard operating procedure in place for this service. 3.9 Locally agreed referral pathways will be put in place and will be followed where applicable the GP Out pharmacy is not able to make an urgently required supply of Hours Service, NHS111 and viewing of the Summary Care Recorda prescription only medicine.

Service Outline. 3.1 The pharmacist will: (a) Routinely check Interview the XXX.xxx email to pick up the notification of the referral patient (or, in a timely manner. bpandemic only, the patient’s representative) 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.; (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription; (c) Arrange for If the patient patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to come contact the last supplying pharmacy or the prescriber, to the pharmacy for a face-to-face consultation. d) Complete the face-to-face consultation, where possible confirming the previous treatment ensuring ensure that successive supplies are not made under the emergency supply regulations and good practice guidance are met.provisions; and e(d) 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 patientWhere appropriate, 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 his 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 servicemanner. 3.2 The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The local agreement is that the pharmacist will supply a maximum of 7 five (5) 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 instancepatient. 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record formpaperwork/IT system provided by the commissioner. This record form paperwork will be retained in used for the pharmacy recording of relevant service information for 3 months after the supply to allow for post verification checkspurposes of audit and the claiming of payment. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a 3.4 One copy of the record in sub-paragraph 3.4 (c) will be sent to the patient’s general practitionerpractitioner for information. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given for this data sharing. 3.5 A copy of the record in sub-paragraph 3.4 (c) will be submitted to take part the commissioner for payment. Patient consent will need to be given for this data sharing. 3.6 A prescription charge should be collected unless the patient is exempt in the service, which includes consent to share information accordance with the patient’s own general practitionerNHS Charges for Drugs and Appliances Regulations. Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be deducted from the sum payable to the pharmacy. 3.7 If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy to check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner. 3.8 The pharmacy contractor must have a standard operating procedure in place for this service. 3.9 Locally agreed referral pathways will be put in place and will be followed where applicable the GP Out pharmacy is not able to make an urgently required supply of Hours Service, NHS111 and viewing of the Summary Care Recorda prescription only medicine.

Service Outline. 3.1 Prior to commencement of the scheme each pharmacist must ensure they have signed the Service Level Agreement. The pharmacist will: a) Routinely pharmacy holds the specified list of medicines required to deliver this service and will dispense these in response to NHS prescriptions presented. An appropriate CCG employee will be entitled to check the XXX.xxx email stock is available as part of planned or unannounced visit or where there have been reports of failure to pick up hold minimum stocks. The pharmacy will be expected to hold the notification minimum stock level unless there is evidence of drugs being dispensed and awaiting stock replenishment. The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the referral service have relevant knowledge in a timely manner. b) Contact the patient by phone to interview the patient assess suitability / eligibility to use operation of the service, identify including locums. 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 the pharmacies SOPs relating to this service. As a minimum the SOPs will cover the need to monitor stock levels and check expiry dates. Locums must be made aware that if any of the drugs on the list is dispensed then they must ensure appropriate stock is re-ordered. NHS Great Yarmouth & Waveney CCG will agree with local stakeholders the medicines needed formulary and stock levels required to establish deliver this service. The CCG will regularly review 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 formulary to ensure that the emergency supply regulations formulary reflects the availability of new medicines and good changes in practice guidance or guidelines, and ideas for developing this are metwelcomed from pharmacists. 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 at least the minimum stock levels as indicated in the current list and display this list within the pharmacy. The responsible pharmacist will have a record: (a) of duty to ensure stock is available at all times. Should stock not be available due to a prescription having been dispensed that day then the emergency supply, setting out the name and address of the patient, responsible pharmacist will have a duty to contact other participating pharmacies to ensure 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied can be dispensed. The CCG will disseminate information on the Urgent Repeat Medication Supply Service record formservice to participating pharmacies, other pharmacy contractors and health care professionals in order that they can signpost clients to the service. This record The CCG will reimburse the pharmacy any purchased drugs which have expired within the SLA. The pharmacy should complete the relevant claim form (Appendix 2) and return to the CCG for reimbursement A retainer of £200 will be retained in paid to all pharmacies operating under this scheme. Any pharmacies joining the pharmacy for 3 months after the supply to allow for post verification checks. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which scheme part way through will send receive a copy of the record to the patient’s general practitionerpro-rata payment. The supply reimbursement of drug costs and remuneration for this service will be recorded onto PharmOutcomes as soon as is possible after met through the supply and within 48 hours of the notification from normal route for NHS 111. 3.4 Patient consent prescriptions. The CCG will need not reimburse any new pharmacies signing up to be given to take part in the this service, which includes consent for the cost of any date expired stock held prior to share information with the patient’s own general practitioner, where applicable the GP Out starting this agreement. Claims made for drugs expiring within 12 months of Hours Service, NHS111 and viewing of the Summary Care Recordsigning this SLA will require proof that they were not held in stock prior to signing this agreement.

Service Outline. 3.1 The pharmacist will: a) : Receive an email from the NHS 111 service advising that a patient has been referred the pharmacy for an emergency supply of repeat medication from the PURM service at the pharmacy. 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 to 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) . If no supply is to be made the pharmacist to document any referrals and outcome of discussion. Documentation of any repeat medicines not supplied when requested is important evidence for the service demonstrating reduced medicines waste. 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’ patient’s 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 Patient Pharmacy Urgent Repeat Medicine Supply Medicines Service Record Form. g) Form to validate any exemptions from prescription payment and confirm supply. The pharmacist will advise and educate 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 behaviours where appropriate and preventing the future need for emergency supplies. The Urgent Supply of Repeat Medication pharmacist will also use the opportunity to reinforce positive patient’s behaviours for achieving medicines optimisation. The PURM service must not be used to attempt to change the patient’s use of their usual pharmacy. If evidence of diverting, 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 their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012Xxx 0000. The pharmacist will supply a maximum of 7 days up to 28 day's supply 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is or not supplied when requested on the Patient Pharmacy Urgent Repeat Medication Supply Medicines Service record formRecord Form. This record form will be retained in the pharmacy for 3 months after the supply to allow for post verification checks. (d) . of the consultation and any repeat medicine that is supplied and not supplied on the IT system (PharmOutcomes) which will send generate a copy of the record to the patient’s general practitioner. The supply will be recorded onto PharmOutcomes the system as soon as is possible after the supply and within 48 hours of the notification from NHS 111.. of activity and patient experience using the service monitoring including any medicines not supplied of services delivered, ‘exemption status’’ and medicines supplied in the IT invoicing system by the 7th day of each month 3.4 Patient consent will need to be given to take part in the service, which includes consent to share information with the patient’s own general practitioner, where applicable the GP Out of Hours Service, NHS111 Service and viewing of the Summary Care RecordNHS 111. This will be undertaken by NHS 111.

Service Outline. 3.1 The pharmacist will: a) Routinely check Pharmacy contractors providing this service will be required to;  Ensure all pharmacists and their staff engaged in the XXX.xxx email to pick up the notification delivery of this service are aware of the referral requirements and content of this agreement  Carry a stock of Levonelle One Step® for supply to suitable patients  Have professional staff suitably trained to provide the service and ensure all pharmacy staff is aware of how to deal with the initial request and refer onto the pharmacist  Have an appropriate consultation room in which to provide the service in line with that required for the provision of the MUR service.  Operate the service for at least 80% of the full pharmacy opening hours. In the absence of an accredited pharmacist patients must be signposted to an alternative pharmacy or organisation and complete the signposting record paperwork (see performance management and service quality)  Where under exceptional circumstances a timely manner. b) Contact the patient by phone pharmacy is unable to interview the patient assess suitability / eligibility to use provide the service, identify SWYPFT must be notified and the medicines needed reason why the service cannot be provided  Record activity in an auditable manner and in a way specified in this agreement  Offer targeted health promotion interventions, access to establish information, advice and screening  Participate in any local initiatives to promote the nature service, specifically by displaying the service logo in the premises window either by the sticker provided or a pre-approved corporate alternative  Provide the service to appropriate patients who either “walk in” or are signposted from another organisation  Where the patient chooses to do so, make appropriate arrangements for patients to take medication dispensed under this agreement within the Contractors premises and at the time of the emergency. cprovision of the service The service must be provided by a practising pharmacist registered with the General Pharmaceutical Council who have been accredited and have their names on a provider list kept by NHS commissioners. Prior to provision of the service, all pharmacists providing the service are required to;  Have the appropriate skills, training and checks to deliver this service to young people aged 16 and over  Have completed the current CPPE Emergency Hormonal Contraception open learning programme (2012) 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 corresponding assessment (or representativeprevious editions with updates) must complete  Have completed the relevant sections current CPPE Safeguarding Children open learning programme (2102) and corresponding assessment (or equivalent) Evidence of the Urgent Repeat Medicine Supply Service Record Form. g) training, qualification and checks may be requested 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 shall 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 provided 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 current product licence for Levonelle One Step® which can be dispensed found at and guidance set out in this instance. 3.3 Appendix A  The pharmacy will maintain offer free emergency contraception as early as possible, preferably within 12 hrs, but within 72 hours of earliest risk to any female aged 16 years and over.  The pharmacy will discuss ongoing contraception, in particular Long Acting Reversible Contraception.  The pharmacy will discuss STIs and offer a record: Chlamydia test. Postal chlamydia test kits will be provided by SWYPFT which can be taken away and used by the patient  The pharmacy will discuss the C Card + scheme and provide sign up and a supply of condoms as required. SWYPFT will supply condoms to the pharmacist to use for this purpose.  The service shall be delivered in an identified consultation area. This area shall be such that patient confidentiality is maintained at all times. Access to the area shall be controlled by the pharmacist.  The pharmacy will offer a user-friendly, non-judgmental, client-centred and confidential service.  The pharmacy will provide support and advice to people accessing the service, including advice on safe sex, condom use and advice on the use of regular contraceptive methods.  The pharmacy will link into local sexual health and community contraceptive services (aCaSH, GP, Genito-Urinary Medicine (GUM) as appropriate) so that there is a robust and rapid referral pathway for people who need onward signposting to services that provide on-going contraception, for example long acting reversible contraception (LARC) and diagnosis and management of STIs.  If the patient discloses any sexual health symptoms or details circumstances of concern or safeguarding risks, during the consultation, they should be referred to GP, CaSH, GUM clinic or Safeguarding service as appropriate. The Contractor shall record the details 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 meeting in accordance with the Human Medicines Regulations 2012; (b) of guidance in Appendix B and using the consultation and any medicine that is supplied form contained in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record form. This record form will be retained in the pharmacy for 3 months after the supply to allow for post verification checks. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a copy of the record to the patient’s general practitioner. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given to take part in the service, which includes consent to share information with the patient’s own general practitioner, where applicable the GP Out of Hours Service, NHS111 and viewing of the Summary Care Record.this agreement Appendix C

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 Interview 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. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication. (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary resident), the patient would be expected to have with them some evidence of the medicine required either: t of or This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) Arrange for If the patient patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to come contact the last supplying pharmacy or the prescriber, to the pharmacy for a face-to-face consultation. d) Complete the face-to-face consultation, where possible confirming the previous treatment ensuring ensure that successive supplies are not made under the emergency supply regulations and good practice guidance are metprovisions. e(d) 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 patientWhere appropriate, 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 his representative on the importance of ordering prescriptions in a timely manner from their usual pharmacy to support and ensure they understand the re-ordering system used by the patients in understanding GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the importance pharmacist ensures that the patient has a supply of not running all medication which they will run out of in the following 48 hours and that medication with which will run out shortly after that is ordered as a matter of urgency in 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 servicenormal way. 3.2 The pharmacist will at his/her their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The pharmacist will maximum quantity to be supplied under this service is up to 14 days* of treatment. (*Where a supply is made in a maximum special container, the quantity may be rounded up to the nearest number of 7 days of medication except where it is not possible full packs. This may apply 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record formor ointments or special tablet containers. This record form will be retained in the pharmacy for 3 months after the supply to allow for post verification checks. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a copy of the record to the patient’s general practitioner. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given to take part in the service, which includes consent to share information with the patient’s own general practitioner, where applicable the GP Out of Hours Service, NHS111 and viewing of the Summary Care Record.E.

Service Outline. 3.1 The pharmacist will: (a) Routinely check Interview the XXX.xxx email to pick up the notification of the referral patient (or, in a timely manner. bpandemic only, the patient’s representative) 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.; (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription; (c) Arrange for If the patient patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to come contact the last supplying pharmacy or the prescriber, to the pharmacy for a face-to-face consultation. d) Complete the face-to-face consultation, where possible confirming the previous treatment ensuring ensure that successive supplies are not made under the emergency supply regulations and good practice guidance are met.provisions; and e(d) 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 patientWhere appropriate, 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 his 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 servicemanner. 3.2 The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The local Area Team agreement is that the pharmacist will supply a maximum of 7 five (5) 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 instancepatient. 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 consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record formpaperwork/IT system provided by the commissioner. This record form paperwork will be retained in used for the pharmacy recording of relevant service information for 3 months after the supply to allow for post verification checkspurposes of audit and the claiming of payment. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a 3.4 One copy of the record in sub-paragraph 3.4 (c) will be sent to the patient’s general practitionerpractitioner for information. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given for this data sharing. 3.5 A copy of the record in sub-paragraph 3.4 (c) will be submitted to take part the commissioner for payment. Patient consent will need to be given for this data sharing. 3.6 A prescription charge should be collected unless the patient is exempt in the service, which includes consent to share information accordance with the patient’s own general practitionerNHS Charges for Drugs and Appliances Regulations. Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be deducted from the sum payable to the pharmacy. 3.7 If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy to check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner. 3.8 The pharmacy contractor must have a standard operating procedure in place for this service. 3.9 Locally agreed referral pathways will be put in place and will be followed where applicable the GP Out pharmacy is not able to make an urgently required supply of Hours Service, NHS111 and viewing of the Summary Care Recorda prescription only medicine.