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community pharmacy newsletter

March 2010 : issue 12

Vaccine storage requirements A Rapid Response Report on the vaccine cold storage was recently issued by the NPSA (NPSA/2010/RRR008). The report requires immediate action by all NHS organisations, including independent contractors who hold vaccines requiring cold storage.

NHS organisations should:

1. Ensure that all departments and providers (including independent

contractors) holding vaccine stocks are aware of relevant policy on safe storage. Local policies should include having a designated person and deputy/ies responsible for receipt and storage of vaccines.

2. Have procedures in place to assure themselves that all relevant

departments and providers adhere to relevant policy for vaccine cold chain storage. This includes reviewing refrigerator temperature readings in a manner that will identify if vaccines have been stored outside of manufacturers’ recommended temperature ranges before they are administered to patients.

3. Have procedures in place for remedial action where vaccines are stored

outside manufacturers’ recommended temperature ranges, and ensure departments and providers are aware of these. Actions may include initial reference to the UKMi fridge database applications/fridge) with subsequent advice sought from NHS medicines information services or the vaccine manufacturer.

WE ARE MOVING NHS Kirklees is moving to a new purpose built premises at Bradley Park. All staff should be moved in by the time you receive this newsletter. The new address will be:

NHS Kirklees Broad Lea House Bradley Business Park Dyson Wood Way Bradley Huddersfield HD2 1GZ

Telephone 01484 464000

Community Pharmacies are asked to ensure compliance with this report. The PCT Cold Chain Policy, which is recommended as best practice guidance, is available at:

The Registration Authority Policy_FINAL_August_01.pdf

The registration authority offices have now moved from Calderdale Royal Infirmary to:

Prescribing of unlicensed medicines by Pharmacist and Nurse Independent Prescribers As of 21st December 2009 legislation changed to allow pharmacist independent prescribers and nurse independent prescribers to prescribe unlicensed medicines, in all clinical areas, for use by an individual patient. A supplementary prescriber can already prescribe unlicensed medicines but only as part of the clinical management plan for an individual patient. However, there have been no changes in legislation to enable prescribing of controlled drugs by pharmacist independent prescribers or an increased range of controlled drugs to be prescribed by nurse independent prescribers.

Oakhouse Woodvale Road Brighouse West Yorkshire HD6 4AB

01484 355729 or 355229

They are available for the issue of new cards and updating of lost pass codes, out of date cards and locked codes. Any pharmacists who do not have a SMART card need to apply to Chris Toothill in Medicines Management initially. They will then be given guidance on how to proceed. E-mail

You could help someone back on track On Trak is a new alcohol treatment and recovery service in Kirklees. They provide a range of services for people experiencing and affected by alcohol misuse. The service can be accessed through self-referral or through professionals. There are two central sites in Huddersfield and Dewsbury and also access via shared care GP practices and some other locations.

Contact details for further information including opening hours: 2 St. Peter’s Street Huddersfield HD1 1RA 01484 437907

15 Union Street Dewsbury WF13 1BG 01924 486170

Treatment : Recovery : Alcohol : Kirklees

Community Pharmacy patient questionnaires Some pharmacies may still be completing their 2009/10 patient survey; however we have produced an analysis of the aggregated results for the whole of Kirklees for the 2008/09 survey.

The strongest performing areas (in descending order) were: 1. Polite and take time to talk to customers 2. Service from the pharmacist 3. Overall rating of staff 4. Time of service. The excellent levels of personal service received from the majority of our pharmacies are clear to see. Staff should be proud of this achievement.

The areas for improvement (in descending order – greatest area for improvement first) 1. Giving healthy lifestyle advice 2. Stopping smoking advice 3. Quality and comfort of waiting area. Obviously your particular pharmacy may be different but the largest challenge seems to be in taking a pro-active stance regarding public health matters. We hope the introduction of a public health lead in each pharmacy will help allow for this area to be targeted more effectively.

Missed methadone pick-ups Please remember to always adhere to the three day rule. That is if a client does not pick up for three days the golden rule is not to supply and refer back to the prescriber. Please also contact the prescriber and inform them as soon as is practical. If this is Lifeline Kirklees please make sure that the information is relayed back to the key worker, manager or clinical lead.

Goodbye to Alison Alison Hemsworth (the pharmacy contracts manager) is leaving NHS Kirklees at the end of March. She is taking up the post of pharmacy and optometry contracts manager at NHS Leeds.We would like to thank Alison for her contribution to pharmacy services within Kirklees during her time with the Primary Care Trust.

Be MUR accurate Be careful filling in the MUR claim figure box in your end of month submission document that accompanies your prescriptions. Recently a contractor put a 0 to represent zero in the box but it was poorly written and looked like a 6. This resulted in a payment being processed for £168 that has to be reclaimed. To avoid there being any question of any fraudulent claims, even if done in error, please make sure all figures are written clearly. A NHS BSA (formerly PPA) official has informed us that leaving the MUR claim box blank will be treated as a nil return.

Lifeline Systems and FP10(MDA) issues From 4th March 2009, Doctors will only sign prescriptions if very particular and detailed information about the client is attached to each prescription. In order that we can get this information and keep it up to date, it has now become even more important that clients attend their appointments. If Clients do not attend appointments and the Doctors do not have the required information, they will not sign prescriptions. Lifeline Kirklees would be very grateful, therefore, if you could remind all our clients to whom you dispense medication how vital it is that they attend their next appointment at Lifeline.

Drug and Alcohol Action Team

Pharmacy Updates for Supervised Consumption and Needle Exchange by Maxine Worden, DAAT Project Manager. Tel: 01924 351430 Future Events and Information for the pharmacies providing supervised consumption and needle exchange are:Shared Care Event: The next Shared Care Event will be held on Wednesday 28 April 2010 at the Textile Centre of Excellence. Buffet will be provided at 6.30, with the event commencing at 7pm. Tony Cooke, Assistant Director of Commissioning for NHS Kirklees will begin the event by discussing drug related needs in Kirklees. We will also be looking into blood borne viruses. Additional services provided by Lifeline are:Wound Care – The project have set up a non judgemental drop in wound care clinic for injecting drug users. The provision compliments harm reduction measures delivered through the specialist and community needle exchanges. A fully refurbished clinic room is being used and run by a fully qualified district nurse, along with a tissue viability nurse specialist. The clinic currently runs on a Thursday afternoon from 1pm till 5pm. It is a drop in service and so open to new clients.

BBV Clinic - Oral mouth testing is provided by Lifeline. Oral swabs are taken by key workers and Engagement and Harm Minimisation workers on a drop in basis available on a daily basis. Result clinics are held on Wednesday and Friday in Lifeline Dewsbury and Monday and Tuesday pm in Lifeline Huddersfield. Contraception and Sexual Health – CaSH will be establishing a contraception and Sexual Health outreach service for Lifeline clients. The outreach service will be based within appropriate areas of the Lifeline Kirklees Huddersfield and Dewsbury buildings and will provide:- Contraception and Sexual Health Advice - Condom distribution - Oral contraception - Emergency Hormonal Contraception - Depo Provera Injections - Chlyamydia Screening - Cytology (smears) - Swabs - Coil fitting.

Newsletter contributions If you have any items you would like to be considered for inclusion in the newsletter or have any comments with regard to what you would like to see included, please contact me: Chris Toothill, Clinical Governance Pharmacist Telephone: 01484 344357. Email:

This newsletter can be download from the intranet: The information contained in this newsletter is issued on the understanding it is the best available from the resources at our disposal at the time of going to print.