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Pharmaceutical Care Services Contract

Pharmaceutical Care Services Contract. Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care October 2011. New Pharmaceutical Care Services Contract. Minor Ailment Service (e-MAS) July 06 Public Health Service (PHS) July 07 Additional PH Services Aug/Dec 08

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Pharmaceutical Care Services Contract

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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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