pharmaceutical care services contract
DESCRIPTION
Pharmaceutical Care Services Contract. Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care April 2012. New Pharmaceutical Care Services Contract. Minor Ailment Service (e-MAS)July 06 Public Health Service(PHS)July 07 Additional PH ServicesAug/Dec 08 - PowerPoint PPT PresentationTRANSCRIPT
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Pharmaceutical Care Services Contract
Dorothy FindlayPharmacistNHS Lanarkshire – Primary Care
April 2012
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New Pharmaceutical Care Services Contract
•Minor Ailment Service (e-MAS) July 06
•Public Health Service (PHS)July 07
•Additional PH ServicesAug/Dec 08
•Acute Medication Service (e-AMS) ongoing
•Chronic Medication Service (e-CMS) May 10
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Minor Ailments Service
Service is for patients who
Are registered with a GP in Scotland
Did not previously pay for prescriptions
Do not live in a nursing home or residential care home
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Minor Ailments Service
Patients registers with pharmacy Patient presents at pharmacy Pharmacist offers
•NHS Prescription & advice•Advice only•Referral to other practitioner
Patient counselled
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MAS Statistics
• NHS Lanarkshire 100,315 Registrations /month
• 17,835 Rxs per month• Some will be new NHS activity• Some will be activity redirected from GP
surgery
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e-Minor Ailments Service• Main indications by BNF Chapter
• Allergies• Cold Sores• Coughs• Analgesics• Dermatology
– Average cost £2.06– Total cost £478,548
(0.39%)
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Some Changes to MAS
• NRT – not prescribable VIA THIS SERVICE since 01/07/07
• “Chronic” Minor Ailment prescribing»e.g. Hay Fever»Allowed ( professional
discretion)
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Public Health Service
• Health improvement– 4 x 6/52 campaigns each year– Agreed between CPS and SGHD
»Bowel Screening»Seasonal Flu»NHS24 Be Ready for Winter»Stroke Awareness
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New PH Services
• Smoking cessation Aug 08
• Emergency contraception Dec 08
• Chlamydia Dec 08
• Training provided for all pharmacists
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Smoking Cessation
• Minimum dataset completion• CO meters• Smoking cessation facilitators –
additional training – close liaison• Successes very valuable
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Sexual Health Services
• Emergency contraception & Chlamydia testing and treatment Dec 08
• EHC- 76,635 items Scotland• (Apr 10- Mar 11)
• Chlamydia testing kits supplied from pharmacies & patient posts back to labs. Labs contact patient with result
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Acute Medication Service
• GP produces bar-coded Rx (hard copy)• E-message also sent to e-store• Patients presents Rx in pharmacy • Pharmacy scans bar code which
downloads e-message• Rx dispensed• Pharmacist confirms dispensing – e-
message sent to PSD• No change in clinical practice• More efficient ( in time)• More data & quicker data about
Rx/dispensing processes
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Chronic Medication ServiceLong Term Conditions
GP authorisation Patient registers with pharmacy Patient will have an electronic
pharmacy based PMR & care plan Structured discussion with patient re
compliance, how best to take meds, ADRs etc
e-communication with GP practice Serial prescribing/dispensing 3 way partnership
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Guess how much?
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Total Cost ~ £1,400
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£5
£36
£41
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£59
£31