May 2017 CPN

CPN

Community Pharmacy News – May 2017

LIVE

TV

“I pledge to back community pharmacies”

S

NEW LIVE

The community pharmacy pledge

Election campaign provides opportunity to ensure politicians share our vision for the future of pharmacy Your NHSmail queries | Pharmacy services innovation | Charge exemptions factsheet

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

Working together to promote community pharmacy The General Election is an important chance for community pharmacy to get its voice heard and make sure future MPs understand the value that pharmacy teams provide.

Prime Minister Theresa May has announced that there will be a General Election on 8th June 2017. Although the election is likely to be dominated by important and emotive topics beyond healthcare, community pharmacy can also use it to ensure that as many Parliamentary Candidates as possible are made aware of the value that community pharmacy teams provide to the NHS, patients and wider society, as well as the potential they have for creating significant savings and providing additional care if commissioners better utilised their skills.

Following the announcement, PSNC has been in contact with the other national pharmacy organisations and our communications teams are working to coordinate efforts.

Getting involved The national pharmacy bodies have agreed to coordinate communications throughout the General Election campaign and the pharmacymanifesto.com website has been launched to reflect this.

Throughout the General Election campaign period we hope to engage positively with Parliamentary Candidates across all parties, to tell them about the value of community pharmacy and how we can best be used to help patients, the NHS and wider society.

We will be asking candidates to sign up to this simple pledge: I pledge to back community pharmacies We will also be using this shared policy statement:

“

Often the first port of call for advice and treatment, local pharmacists and their teams are a key part of your neighbourhood health service. Community pharmacies provide a range of NHS services, ensure people can get face-to-face care without an appointment, and take pressure off GPs and hospitals.

With consistent support from government, community pharmacists can do much more to: • Take pressure off GPs and hospitals • Make access to NHS care more convenient • Help people with long-term conditions • Promote public health services • Get better value from medicines • Save the NHS money That is why we are asking candidates in the coming General Election to show their support for pharmacy. #pharmacy17

The pharmacymanifesto.com website hosts a range of communications resources to help pharmacists engage in the political process, including election leaflets, guidance on arranging candidate visits and key messages to get across to the election candidates and their parties.

To ensure that you have all the latest updates on the campaign, sign up to our email newsletters at: psnc.org.uk/email

Judicial Review update Judicial Reviews of the imposed community pharmacy funding cuts were brought by PSNC and the National Pharmacy Association. Both cases were heard together by Mr Justice Collins in the High Court between 21st and 23rd March 2017.

The cases involve a substantial amount of information and Mr Justice Collins will consider this carefully. As Community Pharmacy News (CPN) magazine was published no judgment had been announced, but please check the PSNC website for updates. It is not helpful to speculate on what the outcome may be at this stage.

2 Community Pharmacy News – May 2017

”

Social media will form an important part of the joint campaign. If you are engaging with Parliamentary Candidates at a local level, please tweet using the hashtag #pharmacy17 and tell us how you get on using the ‘contact us’ form on the pharmacymanifesto.com website.

DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

THE HEALTHCARE LANDSCAPE

LPCs

Don’t forget to make your Quality Payments declaration Contractors are reminded that they must submit their declaration by 11.59pm on 12th May in order to claim a Quality Payment.

Community pharmacy contractors are reminded that they have just a few days left to complete the Quality Payments online declaration on the NHS Business Services Authority (NHS BSA) website before it closes on Friday 12th May 2017 at 11.59pm. Late claims will not be accepted due to NHS BSA’s payment deadlines.

Many contractors will have already added most, if not all, of the necessary information, but they are reminded that they must remember to re-enter the portal and submit the declaration before the deadline otherwise they will not be entitled to a Quality Payment.

Please note, once a contractor has submitted their online declaration it cannot then be altered. It is, therefore, imperative that contractors check their declaration thoroughly before submitting their declaration on the website.

After submission the contractor will receive an email from NHS BSA confirming that the declaration has been successfully submitted and confirming the details that have been declared. This email should be retained by the pharmacy as proof that the declaration was submitted and the date of submission. The email will show how contractors have responded to each of the gateway and quality criteria.

FAQs Q. Do I need to submit evidence to the NHS BSA to show that I have met the gateway and quality criteria when I submit my declaration?

No. Evidence does not need to be submitted during the declaration process. However, contractors’ declarations of compliance with the gateway and quality criteria may be subject to spot checks by NHS England or NHS BSA as part of their usual monitoring process for the Community Pharmacy Contractual Framework (the ‘contract’).

Q. Is it compulsory to complete the Quality Payments Scheme evaluation questions when completing the declaration on the NHS BSA website?

No, but NHS England is encouraging all contractors to complete the evaluation questions to support future developments in payments for quality.

PSNC Briefing 026/17: Quality Payments – Completing the NHS BSA Quality Payments declaration provides further information for contractors on how to make their declaration and details the questions which contractors will be asked when completing the Quality Payments online declaration on the NHS BSA website. You can find the briefing at: ow.ly/alQk30bqzzH

Q. If I submit the declaration in error, part way through completing it, can I resubmit it?

No. It is not possible to resubmit the declaration, even if it was submitted in error.

Access the online declaration portal now: www.nhsbsa.nhs.uk/QualityPaymentscheme

More FAQs on the Quality Payments Scheme can be viewed at: psnc.org.uk/qualityfaqs

SCR workshop launched by CPPE The Centre for Pharmacy Postgraduate Education (CPPE) has announced that a new workshop, Summary Care Records (SCRs) – making the most of them, has been launched to support pharmacy professionals with using SCR. The workshop will enable learners to develop the knowledge, skills and confidence to use SCR in practice.

Learners will work through case studies on how SCR can be used to improve clinical outcomes and role playing activities to practice applying effective consultation skills to obtain informed patient consent to access SCR.

Community pharmacy contractors are reminded that under the Quality Payments Scheme, demonstrating a total increase in access to SCR between two comparable time periods is a quality criterion, therefore this workshop may support contractors with achieving this quality criterion at the November review point.

Please note, attending this CPPE workshop is not part of the requirements for going live with SCR – the workshop is about making more effective use of it. For contractors who wish to go live with SCR, please view our checklist which guides you through the process: psnc.org.uk/SCRgolive

To book a place on the workshop, please visit: www.cppe.ac.uk/programmes/l/ summary-w-01/

psnc.org.uk 3

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DISPENSING AND SUPPLY

SERVICES AND COMMISSIONING

Answered: Your NHSmail FAQs In the last few weeks, the PSNC Services Team has received several queries on NHSmail; below are some of the most frequently asked questions.

Q

How do I activate my personal NHSmail account?

Once you have received your username (sent to the email address which you registered with) and the temporary password sent to your mobile phone number, you can activate your account by: navigating to nhs.net; clicking the login button; entering your NHSmail username; then typing the password sent to your mobile phone.

Q

How do I activate my pharmacy’s shared mailbox?

You do not need to activate a shared mailbox and you will not receive a password for a shared mailbox, because all authorised users of the shared mailbox access the mailbox using their personal NHSmail account.

Q

I need more individual NHSmail accounts to link to the shared NHSmail mailbox; how do I get more than three?

Your local NHS England team will be able to authorise more than three accounts to access the shared mailbox, but they will only do this where this is requested with a valid reason for needing them.

Q

I have received details of my personal NHSmail account but not the pharmacy’s shared NHSmail account. What do I do?

If you have received details of your personal NHSmail account and not your shared NHSmail account, you should email pharmacyadmin@nhs.net, explaining the issue and providing your first name, surname and the pharmacy’s ODS code (F code).

Q

If I email pharmacyadmin@nhs.net how quickly will I get a response?

The Pharmacy admin team will endeavour to respond to your enquiry as soon as possible. The Pharmacy service desk is available between 9am – 5pm Monday – Friday excluding bank holidays and can be contacted at pharmacyadmin@nhs.net. Outside of these hours, simple tasks like password resets can be performed by the NHSmail National Service Desk (0333 200 1133).

Q

Once I have my shared NHSmail account, how do I register to provide NUMSAS?

Once you have your pharmacy’s shared NHSmail account, you can proceed to registering to provide NUMSAS at: www.nhsbsa.nhs. uk/UMS. You must register using your pharmacy’s shared NHSmail account (including the NHSPharmacy prefix at the beginning of your email address) NOT your personal NHSmail account.

More information on NHSmail can be found at: psnc.org.uk/nhsmail

Social media webinar now available on-demand Community pharmacy teams can now access an online recording of PSNC’s recent webinar on making the most of social media at: psnc.org.uk/ socialmediawebinar.

More than 170 people registered for the 60-minute webinar on 26th April when social media experts Ben Stockman and David Angell offered guidance for community pharmacy teams on what social

4 Community Pharmacy News – May 2017

media to use and how to get the most from it. PSNC’s Head of Communications and Public Affairs Zoe Smeaton and LPC Chief Officer Nick Hunter were also on hand to give their top tips on making social media fit in with your day-to-day work.

The webinar is suitable for those considering using social media for the first time, as well as those who want to know how to use their accounts more effectively.

Feedback on the webinar

95% found it useful

85% would recommend it to others

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HE HEALTHCARE LANDSCAPE

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

Services exchange In this section of Community Pharmacy News we highlight the latest innovation, outcomes and resources for community pharmacy services.

Research shows pharmacists can support patients with complex needs A research article on the Community Pharmacy Future Pharmacy Care Plan (PCP) service has found that a large number of patients with complex needs associated with long-term conditions are willing to engage with community pharmacists to identify goals that may result in improvements in quality of life.

The PCP is believed to be the first UK community pharmacist service to provide comprehensive care over a long period of time. Targeted at patients aged over 50 years who had been prescribed multiple medicines including at least one for cardiovascular disease or diabetes, the service was designed to deliver interventions that focussed on enhancing the effectiveness of patients’ use of their medicines and enhancing lifestyle to improve their quality of life.

The evaluation highlights that there is a significant proportion of the population who may benefit from an intervention of this nature and that community pharmacists can identify and recruit them.

Engaging with patients with learning disabilities Community Pharmacy West Yorkshire has published an interim evaluation of the Making Time service, which is aimed at improving health and lifestyle outcomes for people living with a learning disability. Although the service is in its infancy, the interim evaluation highlights that it is clear from patients’ stories and testimonials that service users have gained personal benefit from the community pharmacy service.

The evaluation showed that the health goals patients set for themselves varied significantly from basic, such as attending the next meeting in the pharmacy, to complex, such as learning more about their Parkinson’s medicines. Discussions were therefore tailored towards the individual with useful suggestions.

More information on these and other services can be found on the PSNC Services Database: psnc.org.uk/database

Carers Week returns for 2017 Carers Week runs from 12th to 18th June 2017. This annual campaign aims to raise awareness of caring, highlight the challenges carers face and recognise the contribution they make.

The Carers Week team is asking community pharmacies to support Carers Week by using their Carers Checklist, making a support pledge and planning their own activities. Downloadable resources are available at: www.carersweek.org Further support from PSNC can be found at: psnc.org.uk/carerfriendly

PCP service 50 community pharmacies in Northern England took part.

87% of patients recruited into the service were overweight or obese.

81% of those taking part had high cardiovascular risk.

544 patients set at least one goal during the first consultation, with 120 setting multiple goals.

Making Time service The age of patients registered ranged from 35 to 85, with most being between 45 and 54 years old.

73.1% of patients were using a monitored dosage system (MDS) for their medicines.

Just over half did not know what some or all of their medicines were used for.

Only a quarter of patients reported that they undertook regular physical activity.

Health promotion ideas As outlined in the Healthy Living Pharmacy (HLP) Level 1 quality criteria, HLPs and pharmacies aspiring to be an HLP are expected to undertake community outreach initiatives or in-pharmacy promotional campaigns. The HLP quality criteria also states that an HLP’s Health Promotion Zone resources should be updated at least every two months to ensure information provided is relevant, up-to-date and appropriate.

PSNC has therefore launched a health promotion ideas for pharmacy teams hub page (psnc.org.uk/healthpromotion) to support community pharmacy teams in carrying out health promotion events/

campaigns. The hub has now had more public health topics added; topics currently included are as follows: • alcohol; • cancer; • healthy eating and obesity; • men’s health; • mental health and wellbeing; • oral health; • physical activity; • self-care; • sexual health; • smoking; and • substance misuse.

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Type 2 diabetes focal point The Centre for Pharmacy Postgraduate Education (CPPE) is running workshops on supporting people with type 2 diabetes to manage their condition.

“ We are delighted to announce

This evening workshop lasts an hour and 45 minutes and gives you the opportunity to work through case studies with colleagues, discuss how you would respond to clinical scenarios and watch a consultation on one of these scenarios.

More than one in 20 people in the UK have diabetes, and 90% of people with diabetes have type 2 diabetes. Every week, over 100 amputations are carried out on people with diabetes because of complications connected with their condition, and up to 80% of these are preventable. Diabetes is the leading cause of blindness in people of working age in the UK.

Our focal points bring you up to date with expertly written material and you have the opportunity to learn with colleagues in a relaxed, friendly, supportive environment. Book your place at a local workshop at: www.cppe.ac.uk

the addition of another focal point workshop to the CPPE portfolio – Type 2 diabetes.

Dianne Bell programme developer and senior pharmacist, learning development, CPPE

The NHS spent £8.8 billion on type 2 diabetes in 2010/2011, and around 80% of that was spent on managing complications in this condition. Evidence shows that these complications can be reduced with better glycaemic control and this leads to improved outcomes for the patient.

We began running type 2 diabetes focal point workshops across the country in April, and they are continuing until October. Attendance will help you to update your knowledge of the management of type 2 diabetes. You will explore how to apply your knowledge in your sector of practice, including in the community, and how to better manage this condition, reduce complications and improve outcomes for people with type 2 diabetes.

”

Other CPPE courses Medicines optimisation This new e-learning programme from CPPE focusses on medicines optimisation to improve outcomes for patients. Learners will discover the importance of patient-centred care and shared decision making, whilst making use of national guidance and tools to support medicines optimisation.

Find out more at: ow.ly/CIgd30bmIVR

What’s new in BNF 73?

This interactive programme from CPPE will enable learners to become familiar with the latest changes in the British National Formulary (BNF). The programme focusses on ten scenarios where the management of a patient is affected by the BNF changes, and how to recommend appropriate courses of action based on the new BNF. Find out more at: ow.ly/y6YT30aZ2Iq

Healthcare news in brief Here’s a round-up of what is going on in the wider health and care landscape beyond community pharmacy.

For more information on any of these stories, please see the monthly updates at: psnc.org.uk/hclbriefings Survey of public health content of STPs A survey of Sustainability and Transformation Partnerships (STPs) leads has concluded the level of involvement and support from clinicians, patients, carers, and the public were all disappointingly low and, unless improved, will prevent success for the programmes.

Prescription Cost Analysis The Prescription Cost Analysis revealed 1.1 billion prescription items were dispensed in the community in 2016. This is an increase of 1.89% from the previous year, whilst the net ingredient cost of these prescriptions decreased by 0.67%.

The Primary Care Home model An early analysis of three rapid test sites of the Primary Care Home vanguard has identified significant benefits. The National Association of Primary Care worked with the Beacon Medical Group (Plymouth), Thanet Health Community Interest Company (Thanet) and Larwood & Bawtry practices (South Yorkshire) to analyse the impact these sites have had in using the PCH model to meet local needs.

Testing times for many living with diabetes, says Diabetes UK Diabetes UK has published a report highlighting the problems many people with diabetes experience with obtaining test strips on prescription. The 2016 survey shows that 27% of people had been refused a prescription for blood glucose test strips, or had the number of test strips prescribed reduced or restricted. The report also discusses the possible impact this has on primary care.

6 Community Pharmacy News – May 2017

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

DISPENSING AND SUPPLY

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.

Supporting girls and women treated with valproate

A patient safety alert has been issued relating to girls and women who are being treated with valproate.

All NHS providers are requested to identify girls and women who are being treated with valproate and ensure MHRA resources are used to support them to make informed choices.

A guidance document has also been developed on using the valproate toolkit for those prescribing and dispensing valproate, which includes specific action points for pharmacists.

Find out more and access these resources at: ow.ly/txBE30b957F

Evidence of harm from fentanyl-contaminated heroin

Problems obtaining a medicine or appliance?

A class 1 alert, to be actioned immediately, has been published on the Central Alerting System (CAS) website, advising of the availability of, and harms from, heroin that has been mixed with fentanyl or carfentanyl, both unusually potent synthetic opioids.

Pharmacy teams who experience problems in obtaining medicines or appliances are reminded to feed this back to our Dispensing and Supply Team.

There is significant evidence from a small number of post-mortem results of recent drug user deaths and from police seizures that some heroin may contain fentanyl or carfentanyl added by dealers. These are highly potent synthetic opioids and very small amounts can cause severe or even fatal toxicity.

PSNC reports the feedback rece ived to the Department of Health to supp ort their monitoring of the situation. It is also used in discussions with manufacturer s, for example, highlighting problems with contingency arrangements.

To view the alert and the advised actions, please visit: ow.ly/sne J30blDUt

Please report using our online feed back forms: psnc .org. uk/f eedb ack

NPA bursary applications now open

Pharmacists can now apply for the National Pharmacy Association’s (NPA) £10,000 Health Education Foundation bursary.

The annual bursary aims to support registered pharmacists who have an interest in developing their skills to undertake research relating to community pharmacy. The bursary has previously provided funding for a range of projects, including evaluating the role of community pharmacy in preventing hospital admissions and measuring the impact of a community pharmacy health screening programme on a local cardio health scheme.

Find out more at: ow.ly/WVly30 bqgcH

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Ask PSNC The PSNC Dispensing and Supply Team can provide pharmacy teams with support and advice on a range of topics related to the Drug Tariff and reimbursement. Questions asked in recent months have included: A. Aveeno Bath and Shower oil can be dispensed against prescriptions calling for Aveeno Bath oil. However, it is good practice to inform the prescriber that Aveeno Bath oil has now been discontinued and prescriptions should now read ‘Aveeno Bath and Shower oil’.

Q. Aveeno Bath oil has been discontinued.

What can be dispensed instead?

Q. I have run out of EPS tokens.

Where can I order more from?

A. Pharmacies should contact Primary Care Support England (PCSE) when ordering Electronic Prescription Service (EPS) tokens. To order tokens over the phone, please call 0333 014 2884.

You can also order tokens online at: pcse.england.nhs.uk/supplies

Q. I haven’t received the new prescription charge card. How can I get one sent to me?

A. As of 1st April 2017, the NHS prescription charge has changed to £8.60. PSNC sent out new prescription charge cards with March’s Community Pharmacy News (CPN) magazine for display in community pharmacies across the country.

However, if your pharmacy has not received the new charge card, please visit psnc.org.uk/chargecard to request one.

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 community pharmacy teams receive NHS prescriptions, they must check whether the items prescribed are allowed on the NHS before dispensing otherwise the 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

Blephaclean wipes

No

n/a

Yes

No

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

MGDRx EyeBag

Yes

n/a

Yes

Yes

This item is a medical device (CE marked) and appears in Part IX of the Drug Tariff.

Minoxidil 5% foam

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.

Derma Shield skin protector mousse

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.

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

Please note: If the prescription is an FP10CN or FP10PN (community nurse prescriber), an FP10D (dental prescriber) or an FP10MDA (instalment dispensing), please visit psnc.org.uk/prescriptionforms for more information.

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 8 Community Pharmacy News – May 2017

© PSNC

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

Dispensing Factsheet: Exemptions from the prescription charge Our Dispensing and Supply Team guides you through the categories of exemption from the prescription charge and the proof required for each.

Following the introduction of the new prescription charge of £8.60 from April 2017, below is a useful reminder of the charge exemption categories and who is eligible for them.

Ineligible reasons for exemption The following reasons are not eligible for exemption from prescription charges in England: • Those receiving incapacity benefit or contribution-based Jobseeker’s allowance.

• Asylum seekers – they are supported by the National Asylum Support Service (NASS) who will automatically send an NHS Low Income Scheme HC2 certificate entitling them to help with health costs including free prescriptions. Alternatively, patients can apply for support using the HC1 application form.

Eligible reasons for exemption

Exemption category

Who is exempt?

Proof required

How to obtain proof

Age exempt

Children under 16 years and men and women 60 years and over.

Prescriptions with computer generated dates of birth (DOB) do not require proof of age. For prescriptions where the DOB is handwritten, patients are required to complete the exemption declaration and provide proof of age, e.g. passport, driving licence or any other official papers showing date of birth.

N/A

Full-time students aged 16, 17 or 18

Must be aged 16, 17 or 18 and in full-time education from an establishment such as a school, college or university. Apprenticeships are not eligible. (However, patients may qualify for a HC2 certificate under the NHS low income scheme.)

Proof of date of birth (see above) and proof of education, e.g. student card or letter from school/college.

Proof can be obtained from the patient’s school, college, university or local education authority (LEA).

Maternity Exemption

Pregnant women and those who have given birth in the last 12 months. Those who have had a miscarriage, termination or stillborn birth are also entitled.

Possession of a valid Maternity Exemption Certificate. Pharmacy teams should also be aware that some areas of the country are currently trialling digital versions of this certificate; find out more at: ow.ly/qnzJ30bsutE

Patient must complete a FW8 form available from GPs, midwives or health visitors. These professionals then sign the form and send off to the Pricing Authority who then issue the certificate.

Medical Exemption

Patients with medical conditions listed in Part XVI of the Drug Tariff.

Must be in possession of a valid Medical Exemption Certificate.

Patients with qualifying conditions alone are not entitled to exemption without a certificate.

Patients must complete an FP92A form available from GPs. The GP will then send the form to the Pricing Authority who will issue a certificate.

Pre-payment Certificate (PPC)

Anyone can purchase a PPC.

Possession of a valid PPC. Patients can backdate PPCs up to one month from application date. The cost of PPCs is currently £29.10 for 3 months or £104.00 for 12 months.

Patients must complete an FP95 form, which pharmacies can obtain from Primary Care Support England (PCSE) either over the phone (0333 014 2884) or online (pcse.england.nhs.uk/supplies).

Alternatively, patients can complete the form at: www.nhsbsa.nhs.uk/ppc psnc.org.uk 9

DISPENSING AND SUPPLY

Exemption category

Who is exempt?

SERVICES AND COMMISSIONING

Proof required

THE HEALTHCARE LANDSCAPE

How to obtain proof

HC2 Charges Certificate

Anyone on low income can apply for this certificate.

Possession of a valid HC2 Charges Certificate.

Patients must complete the HC1 form, available from a Jobcentre Plus Office or by calling 0300 330 1343. Forms may also be available from hospitals, dentists, opticians or GP surgeries.

Pharmacies can obtain HC1 forms by calling 3M supplies on 0300 123 0849 Option 1.

NHS Tax Credit Exemption

Patients receiving tax credits who have been sent an ‘NHS Tax Credit Exemption Certificate’ by the Pricing Authority.

Possession of an NHS Tax Credit Exemption Certificate.

Certificates are automatically sent to eligible patients. Patients who are unsure if they are eligible can contact HM Revenue and Customs support on 0345 300 3900.

Income Support (IS)

Patients or their partners in receipt of IS.

Possession of an exemption certificate.

Additionally, an entitlement letter from the Jobcentre Plus Office would be appropriate evidence of exemption.

Patients should speak to their Jobcentre Plus Office.

Income-based Jobseeker’s Allowance (JSA)

Patients in receipt of incomebased JSA. Patients receiving contribution-based JSA are not entitled to free prescriptions.

A letter from the patient’s local Jobcentre Plus Office would be appropriate evidence. Entitlement must be valid for the date the exemption declaration was made.

Patients should speak to their Jobcentre Plus Office.

Universal Credit (UC)

Patients in receipt of Universal Credit.

A valid UC award letter bearing the name of the recipient. Patients should tick the box for ‘income-based JSA’.

Please see our article on Universal Credit (psnc.org.uk/our-news/ universal-credit-update) or further information can be found at: tinyurl. com/costsuni

Pension Credit Guarantee Credit (PCGC)

Patients or their partners in receipt of PCGC.

A letter from the patient’s local Jobcentre Plus Office would be appropriate evidence. Entitlement must be valid for the date the exemption declaration was made.

Patients should speak to their Jobcentre Plus Office.

War Pension Exemption

Patients holding a War Pension Exemption Certificate and the prescription is for the accepted disablement.

Possession of a War Pension Exemption Certificate.

Patients should write to The Veterans Agency, Norcross, Blackpool FY5 3WP or telephone 0800 169 2277.

Employment and Support Allowance (ESA)

Only patients receiving the income related strand of ESA will be entitled to free prescriptions.

The patient should be able to provide evidence in the form of a DWP award notice.

Patients should speak to their Jobcentre Plus Office.

Prisoners on Release

Prisoners on release and those released from secure accommodation (i.e. courts, training areas or children’s home) who present an FP10 or FP10(MDA).

The letters ‘HMP’ and the prison/secure accommodation address and contact number must be printed in the box provided for practice address on the form, with the prescribing code and cost centre code for the organisation.

N/A

Discover PSNC’s Briefings Database for guidance and information on key topics 10 Community Pharmacy News – May 2017

You can read, download and print out all PSNC Briefings from: psnc.org.uk/briefings

LPCs

PSNC’s WORK

FUNDING AND STATISTICS

CONTRACT AND IT

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 June 2017. You may also wish to see our Dispensing Factsheet: The Drug Tariff Preface at psnc.org.uk/dtresources KEY: SC Special container R Item requiring reconstitution * This pack only (others already available) Part VIIIA additions Category A: • Acetylcysteine 200mg oral powder sachets sugar free (30) • Folic acid 5mg/5ml oral solution sugar free (150ml) • Metformin 1g/5ml oral solution sugar free (150ml) • Metformin 850mg/5ml oral solution sugar free (150ml) Category C: • Amobarbital sodium 60mg capsules (100) – Sodium Amytal • Aspirin 150mg suppositories (10) – Martindale Pharmaceuticals Ltd • Aspirin 300mg suppositories (10) – Martindale Pharmaceuticals Ltd • Dexamfetamine 10mg tablets (30) – Amfexa • Diclofenac 0.074% mouthwash sugar free (200ml) – Morningside Healthcare Ltd • Diphenhydramine 25mg tablets (20) – Nytol • Emulsifying ointment 50% / Liquid paraffin 50% ointment (100g) – Emulfin ointment • Guaifenesin 66.67mg/5ml oral solution sugar free (150ml) – Covonia Chesty Cough Sugar Free syrup 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

Humistom Stoma Button/ Stud and HPC Filter (Nasal Restoration System)

HPC Filter Normal to low resistance (HSF1) Humistom Stoma Button/Stud Size 10 (HS1-L10) Standard Length 20mm Size 12 (HS1-L12) Size 14 (HS1-L14) Short Length 14mm Size 10 (HS1-S10) Size 12 (HS1-S12) Size 14 (HS1-S14)

OstoMart OstoMist Odour Neutraliser Vanilla Bean Drops

25ml (VBN25)

• Nortriptyline 50mg tablets (30) – Focus Pharmaceuticals Ltd • Paracetamol 500mg / Ibuprofen 150mg tablets (16) – Combogesic • Paracetamol 500mg / Ibuprofen 150mg tablets (32) – Combogesic • Rupatadine 10mg tablets (30) – Aspire Pharma Ltd • Saxagliptin 5mg / Dapagliflozin 10mg tablets (28) – Qtern • Sevelamer 2.4g oral powder sachets sugar free (60) – Renvela Part VIIIA amendments • Potassium chloride (potassium 12mmol) effervescent tablets (100 = 5x20 SC) Category C – Sando-K is changing to Potassium chloride 600mg / Potassium bicarbonate 400mg (total potassium 12mmol) effervescent tablets (100 = 5x20 SC) Category C – Sando-K Part VIIIA deletions If a medicinal product has been removed from Part VIIIA and has no other pack sizes listed, it can continue to be dispensed as long as it does not appear in Part XVIIIA (the ‘Blacklist’).

However, it will need to be endorsed fully (i.e. brand or supplier name and pack size used).

• Benzoyl peroxide 10% gel (40g) – PanOxyl 10 Aquagel • Calcium carbonate powder (500g) – J M Loveridge Ltd • Methyl salicylate liquid (500ml) – J M Loveridge Ltd • Pentazocine 60mg/2ml solution for injection ampoules (10) – Zentiva

Drug Tariff News: Dipyridamole 200mg MR /Aspirin 25mg capsules Community pharmacy teams should be aware that the special container status of Dipyridamole 200mg MR /Aspirin 25mg capsules has been updated, effective from May 2017.

Each of the two sub-packs of 50 capsules are now recognised as special containers when previously the full pack size of 100 was considered a special container.

Under special container rules, where the quantity ordered falls exactly between two containers, the dispenser should round down the quantity dispensed to the nearest complete container. Therefore, from this month, if 75 capsules of Dipyridamole 200mg MR /Aspirin 25mg capsules were prescribed, contractors would only be reimbursed for dispensing one sub-pack of 50 capsules.

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 Briefing 020/17: PSNC’s Guidance to contractors on whistleblowing (updated) One of the ongoing clinical governance requirements provisions in the terms of service is for community pharmacies to have arrangements for whistleblowing which include a written policy. PSNC’s Regulations and Support Team has updated its previous guidance to contractors on whistleblowing.

Download from: ow.ly/mQG630bfNbx PSNC Briefing 022/17: Next steps on the NHS Five Year Forward View The Next steps on the NHS Five Year Forward View document published by NHS England sets out a series of ‘practical and realistic steps’ to deliver a more joined-up and responsive NHS in England. This PSNC Briefing summarises the elements of the document that are of most relevance to community pharmacy teams and Local Pharmaceutical Committees.

Download from: ow.ly/uCxa30bfMl9 PSNC Briefing 023/17: Summary Care Record (SCR) implementation checklist When community pharmacy contractors are going live with Summary Care Record (SCR), they can use this checklist to help guide them through the process. The checklist reflects changes made to the process which came into effect in April 2017.

Download from: ow.ly/zj4W30bfM1x PSNC Briefing 026/17: Quality Payments – Completing the NHS BSA Quality Payments declaration The NHS Business Services Authority (NHS BSA) declaration page for community pharmacy contractors to be able to make their declaration for the Quality Payments Scheme is live until Friday 12th May 2017 at 11.59pm.

This PSNC Briefing provides information on making the declaration and the questions which will be asked.

Download from: ow.ly/STWr30aYSc6 See all our PSNC Briefings in our database at: psnc.org.uk/briefings

Other resources Making the most of social media There is now a recorded version of PSNC’s webinar on making the most of social media. During the webinar, social media experts Ben Stockman and David Angell offered guidance for community pharmacy teams on what social media to use and how to get the most from it. PSNC’s Head of Communications and Public Affairs Zoe Smeaton and LPC Chief Officer Nick Hunter were also on hand to give their top tips on making social media fit in with your day-today work.

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

Email news alerts Quality Payments: NHS BSA online declaration now open (10th April 2017) Here we highlighted that community pharmacy contractors are now able to access the Quality Payments online declaration portal and answered related FAQs.

Read now: ow.ly/h9k330aYUr2 Quality Payments: April review point (28th April 2017) This alert provided a summary of the requirements that needed to be met on the day of the review to be able to declare that you meet the criteria.

Read now: ow.ly/hjgV30bfLnr Not receiving our emails? Sign up now at: psnc.org.uk/enews