July 2017 CPN

CPN

Community Pharmacy News – July 2017

Spotlight on pharmacy service development • One million flu vaccinations administered • Help with achieving HLP status • X-ray pilot

New NUMSAS guidance | Opening hours factsheet | Upcoming Drug Tariff changes

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

PSNC Judicial Review Appeal Update PSNC receives permission to appeal in its Judicial Review of the Secretary of State’s decision to cut pharmacy funding.

PSNC has received permission to appeal in its Judicial Review Case against the Secretary of State.

On 20th October 2016, the Secretary of State imposed funding cuts and other changes on community pharmacy. PSNC sought Judicial Review of the decision.

In giving permission for PSNC to appeal, Mr Justice Collins stated: ‘While naturally I am not persuaded that I failed in any of the respects alleged … I recognise the real effect of the cuts on pharmacies and the apparent reliance on the 15% and the nondisclosure.’

The appeal is not likely to be heard for several months.

On 18th May 2017, Mr Justice Collins gave his judgment, finding against PSNC, but criticising the Department of Health’s (DH’s) consultation process, stating that it was unfair, but not so unfair as to be unlawful. DH had failed to disclose its use of a Companies House analysis that it said showed community pharmacies have an operating margin of 15%.

Sue Sharpe, PSNC’s CEO, said: “We hope that we will be able to have constructive discussions with DH and NHS England. Ideally we would like those to mean we did not need to pursue an appeal, but PSNC will do what it feels is right to protect pharmacies and the patients they care for”.

Pharmacy minister is confirmed Parliamentary Under-Secretary of State for Health Steve Brine, the MP for Winchester, has been confirmed as the new minister with responsibility for pharmacy.

Mr Brine is a long-term Conservative activist and has served as Jeremy Hunt’s Parliamentary Private Secretary. He has also previously worked alongside the Minister of State for Disabled People, but his most recent role as an Assistant Whip rendered him unable to participate in debates during the past year.

PSNC Chief Executive Sue Sharpe said: “PSNC will write to welcome the minister to his new role and we look forward to meeting him at the earliest opportunity to discuss how we can work together to deliver the Government’s aim to develop a stronger clinical role for community pharmacy, and address the damage and threats we have faced in the last year.”

Recent PSNC media statements PSNC often issues statements in response to healthcare news published in the national press to ensure community pharmacy’s voice is heard. Here are some of our recent media statements.

Also at the end of June, NHS Providers published a report calling for an early cash injection to help the NHS cope with rising demand in time for winter. PSNC responded:

On 28th June, Dr Chand Nagpaul, as he was named Chair of the British Medical Association (BMA), said that 1 in 4 GP visits are ‘pointless’. PSNC responded:

“We support NHS Providers’ calls for a longer-term, sustainable approach to urgent and emergency care, and for this to include reablement services.

“We were interested to note the Chair of the BMA’s comments on the number of patients who are seen by their GP, but whose symptoms meant they could have been seen by another health professional instead. Community pharmacy teams have the expertise and the capacity to help patients suffering from minor health conditions, and can play a much greater role in relieving pressure on primary care services. What we need is for GPs and the wider NHS to direct patients to their local community pharmacist where appropriate, and we look forward to working with the BMA in order to try and achieve this.”

We would add that any such plan must include full integration of the network of community pharmacies, who can play a key role in helping with the winter pressures faced by the health service.

Pharmacies are ideally placed to help people being released from hospital to ensure that they understand how to take or use any new medicines prescribed for them while in hospital and provide advice so they can look after themselves properly to avoid readmission. Pharmacies can also help people with long-term conditions such as asthma to manage their conditions through winter, avoiding hospital admissions in the first place.”

2 Community Pharmacy News – July 2017

DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

THE HEALTHCARE LANDSCAPE

LPCs

Nearly one million flu vaccinations administered in community pharmacies Official statistics released by the NHS BSA show a significant increase in those having their NHS flu vaccinations in community pharmacy this season compared to 2015/16.

Community pharmacists in England administered 950,765 flu vaccinations to patients under the national NHS Flu Vaccination Service in 2016/17.

The NHS Business Services Authority (NHS BSA) has published the Advanced Service Flu Report 2016/17, detailing the community pharmacy contractors who signed up to provide the service, as well as the NHS England area, vaccines administered, and drug and fee costs.

The number of community pharmacies which provided the national NHS Flu Vaccination Service in 2016/17 was 8,451 (71.2% of all community pharmacies in England).

The average number of vaccinations carried out by each participating pharmacy was 113, although three contractors greatly exceeded this by completing over 1,000 vaccinations each.

Compared to the 2015/16 flu season, the NHS BSA figures show that the total number of flu vaccinations administered this year was higher by 355,298 with 1,256 more contractors having provided the service.

Alastair Buxton, PSNC Director of NHS Services, said: “Community pharmacy has shown once again that even during difficult times there is a real appetite across the sector to do more to offer patients and local communities more clinical services and to contribute to the public health agenda. Flu vaccinations have been a real success, but there is much more that we could do to both improve patient care and ease burden on other healthcare providers. As the NHS struggles to manage demands, we hope that its leaders will be taking note.”

8,451 community pharmacies provided the Flu Vaccination Service 950,765 vaccinations were administered under the NHS pharmacy Flu Vaccination Service

113 was the average number of flu vaccinations per participating pharmacy

The three most proficient pharmacies provided more than 1,000 flu vaccinations each

PSNC ‘Walk in my Shoes’ toolkit published PSNC has published a toolkit for community pharmacy contractors or LPCs to use who are interested in setting up a ‘Walk in my Shoes’ project.

The toolkit, based on the 2015 Lewisham Clinical Commissioning Group (CCG) project, aims to bring together community pharmacy teams and GP practice teams to help each other understand their roles, improve working relationships and ultimately provide better care for their patients.

The toolkit contains information on setting up a ‘Walk in my Shoes’ project and includes template resources to engage with Local Medical Committees (LMCs) and GP practices; a confidentiality agreement; checklists for GP practice staff and pharmacy staff; a reflective log; an action plan; and an outcomes log.

PSNC has also recently published a number of other resources to assist contractors and LPCs build relationships with GP practices and LMCs; these resources, as well as the ‘Walk in my Shoes’ toolkit, can be found at: psnc.org.uk/workingwithGPs

psnc.org.uk 3

SERVICES AND COMMISSIONING

THE HEALTHCARE LANDSCAPE

LPCs

Quality Payments: Supporting contractors to obtain HLP status The PSNC Services Team encourages community pharmacies to begin working towards meeting the Health Living Pharmacy (HLP) quality criterion for the November review point sooner rather than later.

PSNC has produced a considerable number of resources to assist community pharmacy contractors in achieving HLP Level 1 status.

Once Level 1 status has been achieved, the contractor then would meet the HLP quality criterion of the Quality Payments Scheme.

The PSNC Services Team recommends contractors make use of these resources to help them start their HLP journey so they have plenty of time to gain the status by the next review point on 24th November 2017.

All of the HLP resources listed below are available from psnc.org.uk/hlp, along with further information, including a list of HLP training providers and a library of Frequently Asked Questions (FAQs).

Resource

Description

PSNC Briefing 016/17: Quality Payments – How to become a Healthy Living Pharmacy Level 1

This briefing provides an overview of how to achieve HLP level 1.

HLP Level 1 Checklist

Details the 27 criteria which pharmacy teams need to achieve the gain HLP Level 1 status.

HLP Level 1 Flow chart

A flow chart detailing the process to follow to achieve HLP Level 1.

HLP Level 1 Evidence portfolio workbook

A workbook that pharmacy teams can use to guide them through the HLP quality criteria and assist them with recording their evidence to show they reached HLP Level 1.

PSNC Briefing 011/17: Healthy Living Pharmacy – Holding a health promotion event/campaign

This briefing provides guidance for community pharmacy contractors and their teams on holding a health promotion event/campaign.

Checklist for holding a health promotion event/ A suggested checklist to help pharmacy teams when planning a health promotion event/ campaign campaign.

Event/campaign questionnaire

A template questionnaire that pharmacy teams may wish to use to help them evaluate their health promotion event/campaign.

Health promotion ideas for pharmacy teams hub page

Contains links to different topics which pharmacy teams can use as a focus for their HLP Health Promotion Zone or in other health promotion work within or outside the pharmacy. The webpage can also be accessed at: psnc.org.uk/healthpromotion

Assessment of compliance template

Contractors whose pharmacies became HLPs before 1st December 2014 are not required to register with the Royal Society for Public Health (RSPH) as a HLP; however, they will still be required to complete an assessment of compliance once they meet the 27 quality criteria required to become a HLP Level 1.

New Pharmacy Safety website launches A new website focused on community pharmacy patient safety has been launched: pharmacysafety.org The website has been developed by the Community Pharmacy Patient Safety Group, which provides a forum for community pharmacy organisations to openly share and learn from each other when things go wrong, as well as from other sectors and industries. The Group, which was originally hosted by Pharmacy Voice, aims to consider how learning from patient safety incidents can be applied across the pharmacy network and wider NHS, and then create the opportunities and resources to do just that.

The Group has been examining the potential safety risks associated with pharmacy delivery services and has now used the insights gathered to create tools which delivery drivers and pharmacy teams can use to evaluate the safety of their medicines delivery services, improving this vital community pharmacy service.

4 Community Pharmacy News – July 2017

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

DISPENSING AND SUPPLY

Lung health service pilot showcases pharmacy’s potential An x-ray pilot service in Doncaster is considered a success as it highlights benefits for patients, revealing a key role for pharmacy as part of the cancer pathway.

Cancer Research UK has published the evaluation of a cancer x-ray pilot service which community pharmacy teams in Doncaster undertook with the aim of improving the diagnosis of lung cancer and other lung abnormalities.

It was recognised that Doncaster had a much higher than average incidence of lung cancer between 2012 and 2014, with patients often presenting with late stage cancer. Community pharmacies in Doncaster were considered a good place to engage people who do not regularly consult their GP and may not seek GP assistance until their symptoms are severe.

This led Doncaster Clinical Commissioning Group to pilot a service whereby a small number of pharmacies could directly refer patients for chest x-rays if the patients met certain criteria.

Medicines counter assistants in community pharmacies identified individuals presenting at the pharmacy who met the inclusion criteria, for example, if they were a smoker with a persistent cough. These patients were referred to the pharmacist for a consultation to ascertain whether they met the criteria for referral to the local acute trust for a chest x-ray; if not, they were advised to see their GP.

A total of 16 patients presenting to pharmacy were identified, had a consultation and were offered a chest x-ray during the pilot. Six of the patients declined the x-ray and ten attended Doncaster & Bassetlaw Hospitals NHS Foundation Trust for an x-ray. Whilst no patients were diagnosed with lung cancer, one stable lung condition was confirmed.

The evaluation concludes that it is possible that normalising health interactions with pharmacists beyond their current role is an important step for supporting healthcare in primary care.

Services case studies hub launched The PSNC Services Team has launched a services case studies hub on the PSNC website which contains links to articles similar to the lung health service pilot one above that showcase community pharmacy services and Healthy Living Pharmacies (HLPs).

The hub, accessible from psnc.org.uk/casestudies, can be used when looking for service inspiration and opportunities, or to support the commissioning of community pharmacy services.

The page is a ‘work in progress’ and new case studies will continue to be added. If you are aware of a case study that is not yet included, please email zainab@psnc.org.uk to let us know.

NUMSAS guidance and resources The NHS Urgent Medicine Supply Advanced Service (NUMSAS) is still in its early phases and the PSNC Services Team wants to ensure that community pharmacy contractors and their teams know where to find relevant information on preparing for and providing the service. This article is intended to help fulfil that aim.

Toolkit from NHS England NHS England’s NUMSAS toolkit for pharmacy staff includes a step-bystep guide on how to provide the service, information on record keeping requirements and how to claim payment for providing the service.

PSNC Briefing 033/17: Checklist for NUMSAS This PSNC Briefing contains a checklist of tasks to complete before providing NUMSAS.

GP practice briefing document Contractors can use this as a guide to talk to local GP practice teams about NUMSAS.

Template letter for GP practices This can be used in addition to the GP practice briefing document.

PSNC Briefing 034/17: NUMSAS checklist for completing an FP10DT EPS dispensing token and end of month submission process This PSNC Briefing contains a checklist for completing an FP10DT EPS dispensing token after each referral and a checklist for submitting the tokens and claim form at the end of the month.

PSNC Briefing 035/17: NUMSAS – How much will I be paid?

This PSNC Briefing is a quick reference guide to see how much contractors will be paid for each referral they receive depending on the outcome of the referral.

All the above documents, plus a library of FAQs, can be found at: psnc.org.uk/numsas

psnc.org.uk 5

CONTRACT AND IT

DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

Cross-sector community pharmacy IT group launched Cross-sector IT group created to develop and work to implement a shared vision of digital technology use in all of England’s community pharmacies.

A new cross-sector Community Pharmacy IT Group met for the first time last month.

The Community Pharmacy IT Group’s aims

The Group has been formed by PSNC, the National Pharmacy Association (NPA), the Royal Pharmaceutical Society (RPS), the Company Chemists’ Association (CCA) and the Association of Independent Multiple pharmacies (AIMp). Representatives from pharmacy system suppliers and NHS Digital will also participate in the group’s meetings.

• To develop a shared vision for the optimum use of digital technology in community pharmacy in England.

• To provide a forum to discuss new digital technologies which may have a future impact on community pharmacy practice.

• To support the development of user-led recommendations which can be considered by system suppliers.

• To provide a credible, respected forum for sector-wide engagement with NHS Digital and other national bodies on the vision, strategy and operational plans for delivering optimum use of digital technology in community pharmacy.

• To develop an implementation strategy for delivering optimum use of digital technology in community pharmacy and oversee a joint work-programme to deliver it.

• To provide, through its member organisations, recommendations and advice to community pharmacy and other healthcare organisations.

This new development brings together the former Pharmacy Voice IT Group and the PSNC IT Working Group into a single stream of planning and activity. Significantly, the RPS is now also engaged, ensuring that the professional voice is properly factored in to all the IT group’s activities.

Richard Dean (AIMp representative and formerly chair of the Pharmacy Voice IT Group) was elected to chair the new group and David Broome (PSNC regional representative) was elected as vice chair.

Sepsis learning resources CPPE has created a webpage dedicated to sepsis to bring together a number of learning resources aimed at all healthcare staff.

Here at the Centre for “Pharmacy Postgraduate Education (CPPE), we are pulling together learning resources on sepsis as part of a national campaign developed by the Sepsis Trust, NHS England and Health Education England (HEE).

Clare Smith Senior learning development pharmacist, CPPE

Sepsis is a potentially lifethreatening condition that causes the body’s natural response to an infection to attack the internal organs. This can lead to multiple organ failure and sometimes death.

A HEE review found that there is wide variation in the training offered to healthcare staff about this condition.

6 Community Pharmacy News – July 2017

It is recommended that all healthcare staff, not just those in formal training programmes, need to have access to learning materials on this condition.

To back this recommendation, we have brought together a number of resources on the CPPE website to support healthcare staff to be competent in the recognition and treatment of this condition.

On this page you’ll find videos that highlight the common factors that may hinder a diagnosis and how to manage sepsis in children as well as e-learning modules from the UK Sepsis Trust and e-Learning for Healthcare. You can also find links to the current NICE guidelines on sepsis.

This is a great resource hub for you and your pharmacy team to access a wide variety of learning on this subject. Take a look now at: www.cppe.ac.uk/therapeutics/sepsis

”

TH

HE HEALTHCARE LANDSCAPE

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

Contract Factsheet: Pharmacy opening hours in 2018 Are you aware of the pharmacy opening hour requirements in the terms of service? Here we explain all you need to know for the public holidays in 2018.

PSNC’s Regulations and Support Team are often asked questions about the requirements in the terms of service relating to opening hours. We have therefore produced this quick reference guide for 2018.

Day of the week

Covered by the Regulations?

Can the pharmacy close without giving notice?

1st January

Monday

Good Friday

30th March

Friday

Easter Sunday

1st April

Sunday

Easter Monday*

2nd April

Monday

Early May Bank Holiday*

7th May

Monday

Spring Bank Holiday*

28th May

Monday

Summer Bank Holiday*

27th August

Monday

Christmas day*

25th December

Tuesday

Boxing day*

26th December

Wednesday

3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3

Name of holiday

Date in 2018

New Years’ Day*

*These dates are not specifically mentioned by name but because they are official “bank holidays” they will be covered by the Regulations.

Frequently Asked Questions 1. Can I close my pharmacy on these days?

Yes. Community pharmacy contractors can close their pharmacies on days which are specifically mentioned in the Regulations (namely Christmas Day, Good Friday and Easter Sunday) or a day which has been designated as a ‘bank holiday’, unless directed to open by NHS England.

2. What about my core contractual hours?

A pharmacy will be treated as having been open for its usual hours on that day for the purpose of counting the core contractual hours that week. Therefore, the contractor can close their pharmacy on the days indicated without giving notice or making an application to change their core hours.

3. Are there exceptional circumstances when I must open on these days?

Yes, if a contractor has been directed to open their pharmacy by NHS England.

4. Can I close my pharmacy early any other time?

Sometimes contractors may wish to close an hour or so earlier than usual on a particular day for any reason. If the hours that the contractor wishes to close early are supplementary hours, then notice of that intention should be given at least three months in advance. If the hours are core hours, then an application is needed, and the contractor would have to be able to satisfy NHS England that there have been changes to the needs of people in the area, otherwise the application would likely to be refused.

Unless you have notified NHS England of changes to your supplementary hours at least three months before the date, or applied successfully for amendment of core hours, the contractor will not be able to close early.

5. Do I need to notify NHS England of opening intentions on bank holidays / public holidays?

Contractors are encouraged to inform NHS England whether their premises will be open on bank holidays. This information is of critical importance to NHS England in order that it is able to plan pharmacy provision during holiday periods.

If NHS England is not able to determine the opening hours of pharmacies with a high degree of certainty after consulting the LPC, its only option may be to issue directions to one or more pharmacies requiring them to open.

This clearly is not in the best interests of pharmacies if there are other suitable pharmacies that would have been open; so PSNC recommends that all pharmacies notify their intentions and then open as they have notified.

NHS England has published template forms which can be used to provide notification of a pharmacy’s opening intentions.

These forms are available to download from: tinyurl.com/ycuael26 (see Chapter 18) For more information, including a comprehensive list of FAQs, please visit: psnc.org.uk/hours

psnc.org.uk 7

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

Integrating community pharmacy in new models of care Analysis of survey results leads pharmacy organisations to work together to develop best practice resources for LPCs. An integration survey carried out by PSNC, Pharmacy Voice and the Royal Pharmaceutical Society has found that the contribution of the community pharmacy sector has not been fully explored during the development of the 44 Sustainability and Transformation Partnerships (STPs) across the country.

The survey of LPCs, carried out in December 2016, suggested that fruitful relationships between community pharmacy representatives and those leading STPs and New Care Models were far from widespread, with significant differences in levels of engagement by region.

The findings have been used to identify areas where community pharmacy is well embedded in developing care structures, and give information about the challenges encountered where it is not, so that lessons can be learned and examples of best practice can be shared. The survey will also help the national pharmacy bodies to make the case for greater community pharmacy involvement in local strategic planning and service redesign, and demonstrate how this can be achieved.

The data gathered confirms the considerable variation in the sector’s level of involvement, with some LPCs making good use of strong local relationships whilst others have tried to link into these developments with little or no success.

Summaries of the survey have been produced both for LPCs and for use with external stakeholders. The national pharmacy bodies will also continue to work to support LPCs with local engagement. The summaries can be read and downloaded from: ow.ly/qrEF30dqZpH

PSNC Leadership Academy update The 12 successful applicants for the 2017 Leadership Academy have now completed two development days and have had the first of their one-to-one confidential conversations with course leader Rachel Harrison. The second will be held in the next few weeks. During these conversations of up to an hour, delegates can discuss their work and leadership development with Rachel and talk through any problems.

The initial feedback has been excellent and there will be formal feedback from their LPCs on the benefit the programme has given to the work of the LPC once the delegates have had time to use

what they have learnt. The most immediate change those in the Academy report is increased self-confidence and less risk averse.

Both last year’s intake and the current year are keen to continue their leadership development and on 27th September an LPC Leaders Forum, under the PSNC Leadership Academy banner will bring together those who have been through the 2016 and 2017 leadership academy programmes with established and experienced LPC leaders. The day includes setting up and supporting a network of LPC leaders, training needs, sharing good practice and peer support problem solving. Booking opens shortly and already there is keen interest from LPCs for a place on the day.

PSNC will be catching up with some of the participants from the PSNC Leadership Academy in next month’s issue of CPN.

Charity Focus: Cancer Research UK Cancer Research UK, a cancer charity that funds research and develops policy and information in the UK, has a wealth of free resources available to support patients. As well as webpages, leaflets, posters, handy pocket cards, downloadable PDFs and infographics, there are resource packs specifically designed for pharmacies.

The charity also has a number of resources and training courses aimed at healthcare professionals including its bi-annual Cancer Insight magazine, aimed at pharmacy staff. The current issue about sun safety is available from: po.st/pharma5-cancerinsight To help community pharmacy teams find the relevant resources for them, a new page has been added to the PSNC website. You can visit the page at: psnc.org.uk/cruk

8 Community Pharmacy News – month 2017

CONTRACT AND IT

DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

THE HEALTHCARE LANDSCAPE

Pharmacy notice board In this section of Community Pharmacy News we have highlighted some key notices for you and your team to be aware of in the coming weeks and months.

V ideo summarising Next Steps on NHS Five Year Forward View Alastair Buxton, PSNC Director of NHS Services, has recorded a presentation which summarises the key points for community pharmacy in the “Next Steps on the Five Year Forward View” document.

The video presentation explains about the emergence of Sustainability and Transformation Partnerships (STPs) and Accountable Care Systems (ACS), as well as discussing the priority areas that they will be focussing on. It may be useful for LPCs as local discussions on community pharmacy involvement in these new care models continue.

Watch the video here: ow.ly/jDZS30 db11a

Pharmacy Show 2017 The Pharmacy Show is taking place at the NEC in Birmingham on 8th and 9th October.

Once again PSNC representatives will be hosting the Pharmacy Services Innovation Theatre, showcasing a number of presentations on innovative and unique services taking place in community pharmacies across the country.

Register for your free place at: ow.ly/v omI30d 7FOu

Pregablin dispensing update Community pharmacy teams may be aware of the recent patent litigation of Lyrica. The patent is now set to expire and NHS England has released new guidance regarding the prescribing and dispensing of pregabalin, which comes into effect from 17th July 2017.

Pharmacy teams should note that when dispensing pregabalin for the treatment of any condition, they should dispense in accordance with their normal practice.

Read the NHS England guidance in full at: ow.ly/Kj6d30d71Wq

Healthcare news in brief

happening in the wider PSNC produces a monthly round-up of what is cy. pharma nity commu health and care landscape beyond information and These regular briefings contain useful background cy. pharma nity highlight news which may impact on commu clbriefi ngs You can find the monthly updates at: psnc.o rg.uk/h

psnc.org.uk 9

DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

THE HEALTHCARE LANDSCAPE

Ask PSNC The PSNC Dispensing and Supply Team provide pharmacy teams with guidance on a range of topics. Recent questions have included: Q. When resubmitting returned prescriptions, how do I record them on my FP34C Submission Document and where in my bundle should they be placed?

A. The number of returned forms and items being resubmitted should be declared with the current month’s figures, in the relevant boxes in Part 1 of the FP34C Submission Document. When resubmitting in the next month’s prescription bundle, these returned forms should be sorted at the top of the ‘exempt’ or ‘charge paid’ group as appropriate.

Please remember only the number of items returned for clarification (and so where payment has been delayed) should be declared on the submission document. This is because payment will already have been received for any other items on the returned forms.

Q. Can I claim out of pocket (OOP) expenses for unlicensed specials and imports?

A. The ‘OOP’ endorsement (or ‘XP’ for electronic prescriptions) cannot be used on prescriptions for unlicensed specials and imports. Community pharmacy contractors are however entitled to claim a fixed fee (£20 per item) for each unlicensed special or import dispensed to cover the costs of postage, handling and delivery etc. which may be incurred when obtaining the product. This fee is paid when the prescription has been endorsed with ‘SP’ (or ‘ED’ for extemporaneously dispensing the item).

Prescription forms for unlicensed specials and imports should be separated from the rest of the bundle and placed in the red separator for submission. Further information on endorsing unlicensed specials and imports can be found on our webpage: psnc.org.uk/specials

Q. Do I need to display a notice about the NHS prescription charge in my pharmacy?

A. Yes, as part of their Terms of Service community pharmacies should have a notice in the prescription collection area about the NHS prescription charge. For further information, please see the clinical governance approved particulars for premises (available from: psnc.org.uk/cg).

Copies of PSNC’s Prescription Charge Card can be downloaded from: psnc.org.uk/chargecard

Look out for more frequently asked questions next month…

If you would like more information on any of the topics covered, the PSNC Dispensing and Supply Team will be happy to help (0203 1220 810 or e-mail info@psnc.org.uk).

Can it be dispensed on an FP10?

When pharmacy teams receive NHS prescriptions, they must check whether the items prescribed are allowed on the NHS before dispensing otherwise the pharmacy contractor may not be paid for them. Below is a list of some products that we have recently received queries about.

Product

Is the item listed in the Drug Tariff?

Is it Does it Can it be in the have a ‘CE’ dispensed blacklist?* mark? on an FP10?

Additional information

Avene XeraCalm A.D LipidReplenishing cream

No

No

No

Yes

This item is not a medical device (CE marked) and does not appear in Part XVIIIA (the ‘blacklist’) of the Drug Tariff.

Canespro fungal nail treatment set

Yes

n/a

Yes

Yes

This item is a medical device (CE marked), but is listed in Part IX of the Drug Tariff.

Helicobacter Test INFAI breath test kit

No

No

No

Yes

This item is not a medical device (CE marked) and does not appear in Part XVIIIA (the ‘blacklist’) of the Drug Tariff.

Lemon Glycerin swabsticks

No

n/a

Yes

No

This item is a medical device (CE marked) and is not listed in Part IX of the Drug Tariff.

*n/a is because medical devices are not listed in the blacklist.

10 Community Pharmacy News – July 2017

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

Drug Tariff Watch The Preface lists additions, deletions and alterations to the Drug Tariff. Below is a quick summary of the changes due to take place from 1st August 2017.

Part VIIIA additions Category A: • Dexamethasone 4mg tablets (50) Category C: • Alfentanil 5mg/1ml solution for injection ampoules (10) – Rapifen Intensive Care • Beclometasone 100micrograms/dose inhaler CFC free SC (200d) – Clenil Modulite • Beclometasone 200micrograms/dose inhaler CFC free SC (200d) – Clenil Modulite • Beclometasone 250micrograms/dose inhaler CFC free SC (200d) – Clenil Modulite • Beclometasone 50micrograms/dose inhaler CFC free SC (200d) – Clenil Modulite • Beclometasone 200micrograms/dose dry powder inhaler SC (200d) – Easyhaler Beclometasone • Benzocaine 5mg / Tyrothricin 1mg lozenges (24) – Tyrozets • Bromfenac 900micrograms/ml eye drops SC (5ml) – Yellox • Cetrimide 0.5% cream SC (15g) – Cetrimide Antiseptic First Aid • Cetrimide 0.5% cream SC (30g) – Numark Antiseptic • Cetrimide 0.5% cream SC (50g) – Cetavlex • Clotrimazole 1% spray SC (40ml) – Canesten Dermatological • Dulaglutide 0.75mg/0.5ml solution for injection pre-filled

CONTRACT AND IT

KEY: SC Special container R Item requiring reconstitution * This pack only (others already available)

disposable devices (4) – Trulicity • Dulaglutide 1.5mg/0.5ml solution for injection pre-filled disposable devices (4) – Trulicity • Flupentixol 200mg/1ml solution for injection ampoules (5) • Flupentixol 20mg/1ml solution for injection ampoules (10) • Flupentixol 40mg/2ml solution for injection ampoules (10) • Flupentixol 50mg/0.5ml solution for injection ampoules (10) – Psytixol • Fosfomycin 3g granules sachets SC (1) – Monuril • Ibuprofen 300mg modified-release capsules (24) – Nurofen Back Pain SR Part VIIIA amendments • Amiodarone 200mg tablets (28) Category M has changed to Category A • Co-codamol 15mg/500mg tablets (100) Category A has changed to Category M • Co-codamol 8mg/500mg capsules (32) Category M has changed to Category C – Paracodal • Ropinirole 5mg tablets (84) Category M has changed to Category A • Thiamine 100mg tablets (100) Category A has changed to Category M • Zonisamide 100mg capsules (56) Category A has changed to Category M

Part IX deletions Take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed.

Product

Size, type and product code

Cutimed Siltec Heel dressing

16cm x 24cm

AproDerm Emollient Cream

450g pump

Clinifresh Deodorant

50ml (300717)

Esteem Drainable Pouches with Integral Filter

Small – opaque, starter hole 20mm (S5041)

Esteem One-Piece Convex Drainable Pouch with InvisiClose Outlet, Flexible Hydrocolloid Collar, Filter and 2-sided Flocking (opaque, pre-cut)

45mm (S5158) 50mm (S5159)

Esteem One-Piece Convex Drainable Pouch with InvisiClose Outlet, Flexible Hydrocolloid Collar, Filter and 1-sided Flocking (transparent, pre-cut)

38mm (S5167) 45mm (S5168) 50mm (S5169)

ConvaTec Ltd Drainable Pouch with Filer (opaque)

Small – Opaque 57mm flange (S7409) Standard – Opaque 32mm flange (S7400)

Combihesive Natura Drainable Pouches with InvisiClose Outlet, Integral Filter and 1-sided Flocking (opaque, pre-cut)

Standard, 32mm (S7447F)

Blephaclean wipes Blephaclean wipes underwent a licensing status change on 20th March 2017 from a cosmetic product to an appliance with a ‘CE’ mark, making them disallowed on NHS prescriptions.

However, Blephaclean wipes have now been added to Part IXA of the July Drug Tariff, so they are once again reimbursable on NHS prescriptions.

psnc.org.uk 11

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

PSNC resources library In this section of Community Pharmacy News we have provided details of some of the resources that PSNC has produced this month.

PSNC Briefings PSNC Briefings 033/17, 034/17 and 035/17: A selection of NUMSAS resources New resources for community pharmacy contractors who are planning to, or who have already started, to offer the NHS Urgent Medicine Supply Advanced Service (NUMSAS). These briefings comprise of a checklist on what to do before providing NUMSAS, details of how the end of month submission process works and a payment guide.

Download from: ow.ly/lzT930cyk35

PSNC Briefing 036/17: Regulation 26A Consolidations This briefing provides information on the Consolidation Amendment Regulations. As well as detailing the three main consolidation options and the procedural steps for an application, it also outlines the statutory protection from subsequent applications seeking to replace the closing pharmacy.

Download from: ow.ly/7Ek730cVYdI

PSNC Briefing 039/17: The community pharmacy – a guide for general practitioners and practice staff This briefing provides information about how community pharmacies operate, covering areas which are likely to be of interest to general practitioners (GPs) and their teams.

Download from: ow.ly/Ngoi30cW00D

PSNC Briefing 040/17: NHS community pharmacy Advanced Services – information for general practitioners and practice staff This briefing is intended to be shared with GP practice teams to provide information about Advanced Services provided by community pharmacists in England.

Download from: ow.ly/maJs30cVZiC See all our PSNC Briefings in our database at: psnc.org.uk/briefings

Other resources Next Steps on the NHS Five Year Forward View – implications for community pharmacy Listen as Alastair Buxton, PSNC Director of NHS Services, talks you through the key points for community pharmacy in the Next Steps on the Five Year Forward View document, including the emergence of Sustainability and Transformation Partnerships (STPs) and Accountable Care Systems (ACS).

Watch now: ow.ly/GJ0730cVMt8

Service case studies hub A new services case studies hub has been launched on the PSNC website which contains links to articles and news stories published by PSNC and other organisations that showcase community pharmacy services and Healthy Living Pharmacies. This hub can be used when looking for service inspiration and opportunities, or to support the commissioning of community pharmacy services.

Visit now: psnc.org.uk/casestudies Look out for additional resources as you explore our website: psnc.org.uk

PSNC website For up to date information and news on community pharmacy issues, visit the PSNC website at psnc.org.uk PSNC Community Pharmacy News is published by: The Pharmaceutical Services Negotiating Committee, 14 Hosier Lane, London, EC1A 9LQ Community Pharmacy News is edited by: Melinda Mabbutt who can be contacted at the above address or by email at: mmabbutt@psnc.org.uk PSNC Office: 0203 122 0810

© PSNC