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Comprehensive Pharmaceutical Care Services Contract Overview

This document outlines the Pharmaceutical Care Services Contract signed by Dorothy Findlay, a pharmacist at NHS Lanarkshire, in October 2011. It covers services including Minor Ailment Service, Public Health Service, Acute Medication Service, and Chronic Medication Service, with details on patient eligibility and processes. Statistical data, service changes, and new services introduced are highlighted. Emphasis is placed on the impact and efficiency of these services for patients and healthcare providers.

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Comprehensive Pharmaceutical Care Services Contract Overview

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  1. Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care October 2011

  2. New Pharmaceutical Care Services Contract • Minor Ailment Service (e-MAS) July 06 • Public Health Service (PHS) July 07 • Additional PH Services Aug/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 cessation Aug 08 • Emergency contraception Dec 08 • Chlamydia Dec 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 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

  14. Guess how much?

  15. Total Cost ~ £1,400

  16. £5 £41 £36

  17. £31 £59

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