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Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care April 2012.

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Presentation on theme: "Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care April 2012."— Presentation transcript:

1 Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care April 2012

2 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

3 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

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

5 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

6 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%)

7 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)

8 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

9 New PH Services Smoking cessationAug 08 Emergency contraceptionDec 08 ChlamydiaDec 08 Training provided for all pharmacists

10 Smoking Cessation Minimum dataset completion CO meters Smoking cessation facilitators – additional training – close liaison Successes very valuable

11 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

12 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

13 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

14 Guess how much?

15 Total Cost ~ £1,400

16 £5 £36 £41

17 £59 £31


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