Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care December 2014

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 Gluten Free Food Service (GFFS) Feb 14

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

Minor Ailments Service  Patients registers with pharmacy  Patient presents at pharmacy  Pharmacist offers NHS Prescription & advice Advice only Referral to other practitioner  Patient counselled

MAS Statistics NHS Scotland Approx 156,000 Rxs per month Some will be new NHS activity Some will be activity redirected from GP surgery

e-Minor Ailments Service Main indications Analgesics Allergies Skin GI Eye Preparations –Average cost £2.06 –Total cost approx 0.4% prescribing budget

Health Improvement Poster display Smoking cessation Emergency Hormonal Contraception Public Health Service

Health improvement –4 x 6/52 campaigns each year –Agreed between CPS and SGHD »Let’s Talk Medicines »NHS24 Number Change (111) »Lung Cancer »Seasonal Flu

Smoking Cessation Minimum national dataset completion CO meters Smoking cessation facilitators – additional training – close liaison Successes very valuable – achievement HEAT target

Sexual Health Services Emergency hormonal contraception 103,093 items Scotland ( Apr 13- Mar 14) 81,941 by community pharmacists Accessible (7/7, extended hours) No charge to patient

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

Chronic Medication Service Long 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

Gluten Free Food Service Patients with coeliac disease or dermatitis herpetiformis GP completes pharmacy referral form specifying number of units each month Patient chooses products from HB GF formulary No need for GP prescription Allows choice of different products each month Minimizes waste Care home patients not eligible Patients can choose still to use prescription service if preferred

Prescription for Excellence all patients, regardless of their age and setting of care, will receive high quality pharmaceutical care using the clinical skills of the pharmacist to their full potential. all pharmacists, regardless of whether they work in a hospital, community, NHS Board, or other setting, undertaking an enhanced role in preventing ill health and providing a clinical input to a caseload of patients.

Medicines Waste

6 week press and radio campaign Posters in all Community Pharmacies

Guess how much?

Total Cost ~ £1,400

£5 £36 £41

£59 £31

2541 tablets returned from 1 patient