Patient Focused Services

List the essential services offered by the community pharmacy

Discharge Medicines Service - support patients who have discharged with medicines (from new drugs)

Dispensing Medicines

Repeat Dispensing / Electronic RD

Public Health (Promotion of Healthy Lifestyles)

Disposal of Unwanted Medicines

Healthy Living Pharmacies

Self care

Signposting

Dispensing Appliances

What is the contract between community pharmacies an the NHS?

Essential Services offered by all pharmacy contractors as part of the NHS Community Pharmacy Contractual Framework (the 'pharmacy contract')

When should medicines related communication systems be in place?

when patients move from one care setting to another

When should medicines reconciliation processes be in place?

for all persons discharged from a hospital or another care setting back into primary care and the act of reconciling the medicines should happen within a week of the patient being discharged

What are the 3 stages of the discharge medicine service?

1. A discharge referral is received by the pharmacy - action within 72 hours:

• - check clinical info

• -medicines reconciliation

• -issues raised with NHS trust / GP

• -PMR

• -Check clinical appropriateness of existing medicines

2. First prescription received by pharmacy following discharge (this may not be a repeat prescription)

3. Check patient's understanding of their medicines regimen

What is Clinical governance?

What does it entail

a system that ensures healthcare providers improve the quality of care they provide

Involves:

• Clinical audit • Community Pharmacy Patient Questionnaire (CPPQ) • Emergency and Business Continuity Planning • NHS complaints procedure • Patient safety incident reporting • Practice leaflet requirements • Raising concerns (Whistle-blowing)

What are the 9 advanced services?

-Optional - community pharmacies get paid for this

Pharmacy First (Jan 2024)

Pharmacy Contraception Service

Flu vaccinations

Hypertension case-finding service Oct 2021 New Medicine Service (NMS)

Smoking cessation service

Appliance Use Reviews (AUR)

Stoma Appliance Customisation (SAC)

- Lateral Flow Device service

What is included in pharmacy first services?

• Advanced service : advice and NHS-funded treatment, where clinically appropriate, for seven common conditions:

• sinusitis • sore throat

• acute otitis media (RTS infections)

• infected insect bite

• Impetigo (RTS Infections)

• Shingles (RTS Dermatology)

• uncomplicated urinary tract infections in women

What is the pharmacy new medicine service for and 3 stages?

• Advanced service : advice and NHS-funded treatment, where clinically appropriate, for seven common conditions: • sinusitis • sore throat • acute otitis media (RTS infections) • infected insect bite • Impetigo (RTS Infections) • Shingles (RTS Dermatology) • uncomplicated urinary tract infections in women

• 3 Stages:

1. patient engagement; 2. intervention

3. follow up

List 3 NMS eligible conditions

• asthma and COPD • diabetes (Type 2) • hypertension • hypercholesterolaemia • osteoporosis • gout • glaucoma • epilepsy • Parkinson's disease • urinary incontinence/retention • heart failure • acute coronary syndromes • atrial fibrillation • long term risks of venous thromboembolism/embolism • stroke / transient ischemic attack • coronary heart disease • antidepressants

What is the hypertension case finding service aims?

-Aimed at >40s

-Refer to GP to confirm diagnosis and for appropriate management

• 2 Stages :

• Identify target patients and undertake 'clinic' BP • Ambulatory Blood Pressure Monitoring (ABPM)

Aim of Pharmacy Contraception Service

service aims : provide people greater choice and access when considering continuing their current form of contraception.

What areas do women health strategies focus on

Menstrual health and gynaecological conditions • Fertility, pregnancy, pregnancy loss and postnatal support • Menopause • Mental health and wellbeing • Cancers • Health impacts of violence against women and girls • Healthy ageing and long-term conditions

What are Enhanced and locally commissioned pharmacy services

-optional

• EHC • Anticoagulant testing • Cystitis Test and Treat • Substance Dependency - consumption / needle exchange • Vaccinations - HPV, Pneumonia, Travel , Chickenpox

-Covid vaccination service