Pharmacy Contract

What is the contract

• Arrangements between pharmacy contractors and various agencies

• pharmacy contractor provides pharmaceutical services to the public under the NHS regulation

what was the CPCF like in 2005 -2016 before the change

• Funding was down to items - the more you dispense the more money you made

• MUR and NMS introduced

when was nms introduced

2011

why was CPCF changed

• Increasing pressure on NHS in all sectors

• Gps cannot achieve their new quality targets without help from other HCPs

• financial pressures

current relevant legislation

NHS act 2006

Local Govt and Public improvement in Health ACt 2007

Health Act 2009

NHS health and social care act 2012

Equality Act 2010

what was the CPCF update in 2019

5 year settlement designed to support the NHS long term plan

• intro to pharm Quality scheme

• intro to community pharmacist ocnsultation scheme

2.592 billion pounds funding per year

what are the three tires of services under CPCF

• essential services

• advanced services

• locally commissioned service

what are essential services - must be provided

1. dispensing medicines

2. repeat dispensing

3. dispensing appliances

4. disposal of unwanted meds

5. promotion of healthy lifestyles

6. signposting

7. support for self-care

8. clinical governance (PQS)

aims of repeat prescriptions

inc patient choice & convinience

minimise wastage by red number of meds dispansed

reduce workload of GPs

uplift use of ETP/EPS

aims of disposing unwanted medicines

• Ensure public has easy method of safely disposing unwanted meds

• Reduce volume of stored unwanted meds in ppls homes

• Reduce risk of exposing to public unwanted meds

• Reduce environmental damage caused by inappropriate disposal methods for unwanted meds

aims of promoting healthy lifestyles

• inc patient and public knowledge and understand key healthy lifestyle

• empower them to take actions which will improve their health

• target ‘heard to reach’ sectors who aren’t usually exposed to health promotion activities

aims of signposting

• advise people of other appropriate health and social care providers or support organisations

• enable people to contact and access further care and support to their needs

• minimise inappropriate use of health and social care services

aims of supporting self care

• enhance access and choice for ppl who wanna take care of themselves or fam

• people better able to care for themselves or manage their condition both immediately and in future

• minimise inappropriate use of health and social care services

what is support for self care

• treatment of minor illness

• management of long term conditions

• lifestyle interventions

• recieve referals from NHA 111

• signposting

what is clinical governance

• System where HC provider is accountable for continuously improving the quality of service and safeguarding to high standards of care.

clincial governance requirements in a community pharmacy

• Patient and public involvement programme

• clinical audit programme

• risk management programme

• staff and management programme

• use of information

• premises standards

• implementing approved particulars

5 key areas for clinical governance

1. emergency planning/business continuity

2. NHS complaint procedure

3. patient safety incident reporting

4. practise leaflet requirements

5. raising concerns

current advanced NHS services in community pharmacy

1. community pharmacist consultation service

2. Flu vaccination service

3. HT case finding

4. NMS

5. smoking cessation

6. contraception service

7. appliance use review

8. stoma appliance customisation

what are the two parts of the pharmacy quality scheme

• part 1 : gateway criteria

• part 2 : quality criteria

What is the control of entry criteria NHS - regs 2005

basically anyone who wants to open a pharmacy has to demonstrate a need for it in that area and there are certain categories it must fit

What two new schemes were introduced in the CPCF 2019

• pharmacy quality scheme

• community pharmacist consultation scheme

which regulation is clinical governance part of?

schedule 4 of NHS regulations 2013

in part 4

what is PQS-gateway criteria

• its like an initial threshold that pharms must meet to be eligible to participate in the PQS (like get more money)

what is the PQS- quality domains

once pharm meets gateway criteria they can earn payments

reimbursed based on number/complexitity of criteria they meet within Quality domains