November 2015 CPN

CPN

Community Pharmacy News – November 2015

Pharmacies ace flu service With last year’s total surpassed a month after launch, community pharmacy is off to a flying start

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Pharmacies beat last year’s flu jabs record in first month The national flu vaccination service gets off to a flying start with record numbers of NHS flu jabs being recorded in community pharmacies.

Community pharmacy teams have aced the national flu vaccination service this year, electronically recording almost a quarter of a million vaccinations in just the first month.

Last year the total number of vaccines administered in community pharmacies under locally commissioned NHS services was 232,388, so the figure so far is a fantastic result.

pharmaceutical list in England.

NHS England has also provided heat maps showing the percentage of pharmacies signed up by local NHS England teams and Clinical Commissioning Groups (CCGs).

As CPN went to press, an update towards the end of October showed pharmacy teams across the country had recorded 349,283 vaccinations on the PharmOutcomes and Sonar electronic recording systems. The actual number of vaccinations delivered will be even higher as some pharmacies are not using the electronic systems.

Contractors signed up to provide the service

All the latest pharmacy flu vaccination service statistics can be viewed at: psnc.org.uk/flustats

Pharmacy flu jabs administered

2015/16 : 349,283 2014/15 : 232,388

7,784 66%

NHS England has also provided information on the number of pharmacies across the country providing the service. As CPN went to press 7,784 pharmacies had completed the form on the NHS BSA website to inform NHS England that they were starting to provide the service. This represents 66.4% of all community pharmacies on the

PSNC Chief Executive Sue Sharpe said: “As these figures show, the national flu vaccination service has had a spectacular first month and this really is a testament to all the hard work put in by contractors, pharmacy teams, LPCs and others.

The service has not been without challenges, but once again we have shown that even on short notice and with a variety of obstacles, community pharmacy can deliver.”

Flu hero: Nat Mitchell Meet Nat Mitchell, pharmacist at Allison & Sons Pharmacy, Cockermouth. With over 1,000 vaccinations already given this flu season, he is the top community pharmacy flu jabber in England (as of 28th October) and wants to use his success to inspire other pharmacists and their teams.

Following the announcement of the Flu Vaccination Advanced Service, Nat and his team quickly got to work preparing to provide it to their patients. “This is our fourth year of doing it as we’ve been involved in our local service for the last three years,” says Nat. This experience was useful as he knew it was well within his capabilities to provide the new national service and recognised the need to promote it in the local media and on the pharmacy’s Facebook page.

Nat knows his success is largely down to the efforts of the whole team who supported the service when they “booked out October for flu” and “bent over backwards to be available for patients”, but also says it gets easier to recruit people each year because, “you get better at it and people get to know about the service so then it becomes a regular thing for them.”

2 Community Pharmacy News – November 2015

Despite his frustrations over the delays in the necessary paperwork, Nat is pleased the flu vaccination service is now nationally commissioned as it “creates goodwill” amongst the public and highlights the accessibility and convenience of community pharmacy. “GPs make patients jump through hoops like needing to come in for clinics, but we do it as a drop-in service – even pensioners have other things to do!” says Nat. He believes that the service is a great way to showcase pharmacists’ talents and gives people a reason to visit their local pharmacy. Nat encourages others to follow in his footsteps but warns, “If you’re going to do it, then go ‘all in’! Financially it works out well, as long as you put the effort in.”

Nat says: “Giving flu vaccinations might be out of some people’s comfort zone but, even though prescriptions are still important, this is something we need to embrace and you should have more faith in yourself.” So Nat has laid down the gauntlet: are you ready to pick it up?

Think you have beaten Nat’s 1,000 flu jabs record?

If so email melinda.mabbutt@psnc.org.uk to share your story.

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Answered: Your top 5 queries The team at PSNC has received a number of queries on the Flu Vaccination Advanced Service since the service went live.

Below are some of the questions asked in recent weeks:

1

Should pharmacy teams check with the patient’s GP surgery if the patient has already had a flu vaccination?

In most cases the patient will be able to verify if they have received a flu vaccination at their GP practice; however, if the patient is unsure then the GP practice should be contacted to confirm whether they have already been vaccinated or not to prevent the risk of the patient being vaccinated twice. This is especially important for patients who fall into vulnerable groups such as those with dementia who may not remember if they have been vaccinated.

2

When I seek consent from NHS England to vaccinate patients in a care home, do I first need to inform the patients’ GP practices that the pharmacy has been asked to undertake the vaccinations?

Yes. The requirements in Annex C of the service specification include the need to contact each patient’s GP practice prior to seeking consent from the NHS England local team. The request form sent to NHS England requires the pharmacy contractor to declare that they have undertaken this already, so it is imperative that this is undertaken before the declaration is completed.

3

What should I do with completed patient questionnaires?

At the time of going to press NHS England had not yet confirmed the process by which the data on completed patient questionnaires should be collated and reported. Therefore please ensure the completed questionnaires are being kept together in a safe place ready for when NHS England provide guidance on the submission process. Look out for details on the PSNC website.

4

When do I need to notify the patient’s GP? The service specification requires pharmacy contractors to send a notification to the patient’s GP practice on the same day the vaccine is administered or on the following working day. If you are using PharmOutcomes or Sonar for recording flu vaccinations and sending electronic notifications of vaccinations to the patient’s GP practice make sure you select the correct GP practice from the list within the IT system.

5

How do I claim payment for provision of the service?

Contractors must complete the claim form for the service at the end of each month and submit this to the Pricing Authority with their script bundle submission. If you are printing out your claim form from PharmOutcomes or Sonar make sure it is printed out so it is identical to the form on the NHS BSA website. The form is scanned when it is sent to the Pricing Authority so it needs to be the same size (A4) and the same orientation (portrait not landscape).

Resources round up Dedicated webpage PSNC’s webpage on the Flu Vaccination Advanced Service is the hub for all the resources linked to the service. It includes a wealth of information and support tools, including our comprehensive FAQ library. Why not take a look now? psnc.org.uk/flu Webinar PSNC and the NPA held a joint webinar to launch the service and, if you missed it, you can now access an on-demand version at: psnc.org.uk/webinar PSNC Briefings A number of briefings have been produced to help pharmacy teams, including a poster showing the process to follow, responsive lines to use when faced with negativity and template radio scripts for promotion. These can all be found on the Briefings Database (psnc.org.uk/briefings) Promotional materials PSNC has developed a range of patient communication materials which are available from: psnc.org.uk/flupatientcomms

Flu promotional campaigns get underway North of Tyne LPC, Gateshead & South Tyneside LPC, Sunderland LPC, and County Durham & Darlington LPC jointly funded a flu campaign which included local newspaper, radio and bus adverts. North of Tyne LPC CEO Stephen Blackman said: “We went through an advertising agency who made the process much easier. Their designer created some mockups and after a few iterations we agreed the campaign style.”

Dudley LPC paid for a poster to be published in local freely-distributed papers. The LPC also maintains a list of local pharmacies providing the service on their website. Dudley LPC member Stephen Noble said: “I administered to two people today, with both of them saying that it was the newspaper advertisement that encouraged them to visit a pharmacy.”

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Do you know how well your prescription business is performing?

PSNC’s upcoming webinar will guide pharmacy contractors through the Check34 analysis tool. Sign up now.

Do you monitor your pharmacy’s financial performance? Do you know how to track your pharmacy’s dispensing business and national services? And can you compare these to the performance of other pharmacies in your area?

Check34, developed by PSNC, can help you to answer all of these questions and more, and in our next webinar we’ll be showing you how.

The webinar, supported by the National Pharmacy Association (NPA), is being held on Monday 30th November at 7.30pm and will focus on PSNC’s Check34 tool which provides pharmacy contractors with detailed information about their monthly Schedule of Payments (FP34).

Prescription experts from PSNC and the NPA will demonstrate how Check34 can be used to better understand your prescription business, showing you how to get the most out of the data in the system, and you’ll have the chance to ask them any questions you have.

So if you want to benchmark your pharmacy against local and national trends, track your underlying financial performance, monitor your MUR figures, and much more, this webinar is for you. Please visit psnc.org.uk/webinar for more information and details of how to register.

Missed the webinar?

Don’t worry, you will be able to watch a recording of the event on the PSNC website from a few days after the event.

Electronic Prescription Service

Webinar Details When is it?

Monday 30th November at 7.30pm Who should sign up?

This webinar will be of most interest to people who are using or have signed up to use Check34, although others considering using Check34 may also find it helpful. Find out more about Check34 and how you can sign up to use it at: psnc.org.uk/check34 How do I register?

Please visit psnc.org.uk/webinar

PSNC regularly receives questions from pharmacy owners and their teams about the Electronic Prescription Service (EPS). In this roundup we cover the latest news and resources from the past month.

EPS nomination data published

EPS case studies now available

As part of PSNC’s ongoing work to address the direction of prescriptions, PSNC and the Health and Social Care Information Centre (HSCIC) have begun publishing Electronic Prescription Service (EPS) nomination data for all pharmacies.

HSCIC has published new EPS case studies in which pharmacy teams from across England share their views.

This data has previously been available from HSCIC on request, but PSNC asked HSCIC to publish it online on a weekly basis. PSNC has also agreed with HSCIC to regularly publish nomination data with additional analysis, including the number of active nominations for each contractor, the change compared to the previous week’s total, and EPS dispensing data.

Publication of the data will allow pharmacy contractors and LPCs to identify any unusual patterns with the pharmacy’s EPS nominations. Where this may be as a result of direction of prescriptions, this weekly data will allow pharmacy contractors to spot and take prompt action to investigate the cause.

The nomination data is available to view now at: psnc.org.uk/nomreports

4 Community Pharmacy News – November 2015

Packed with ideas and top tips, the case studies may be a useful resource for contractors and pharmacy teams using EPS. For example, a tech-savvy pharmacy manager at Birmingham’s Chemist in Cleethorpes successfully embedded EPS into their training and processes. Every new member of their team is provided with a mentor, who is responsible for training and shadowing them until EPS is fully understood.

All the EPS case studies, along with more top tips and handy hints, are available from: psnc.org.uk/epstips

Looking for more support?

Then make sure your whole pharmacy team is signed up for your local free EPS masterclass at: psnc.org.uk/epstraining

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Opening requirements during the upcoming holiday period Are you aware of pharmacy opening requirements for Christmas Day, Boxing Day and New Year's Day? Here we explain all.

The holidays are approaching so it may be useful to remind yourself of the requirements in the community pharmacy terms of service relating to opening hours.

Christmas Day, 25th December 2015

Boxing Day, 26th December 2015

New Year’s Day, 1st January 2016

Christmas Day is a traditional holiday specifically mentioned in the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations. This means that if your pharmacy ordinarily would open on Friday (the day on which Christmas Day falls this year), the hours that the pharmacy would ordinarily be open will, on this day, be treated as having been open for the purpose of counting the core contractual hours that week.

Therefore the pharmacy can close on that day (unless it has been directed to open by NHS England) without giving notice or making an application.

Boxing Day 2015 is not a bank holiday as it falls on a Saturday. If your pharmacy ordinarily would open on Saturday, then you are required to open for your usual hours of business on 26th December. The substitute day for Boxing Day is Monday 28th December. The hours that you would ordinarily be open on a Monday, will be treated as having been open for the purpose of counting the core contractual hours that week. As such, your pharmacy may close on Monday 28th December 2015 and the hours you would ordinarily have been open would count towards core contractual hours that week.

New Year's Day is a bank holiday.

This means that if your pharmacy ordinarily would open on Friday (the day on which New Year’s Day falls next year) the hours that the pharmacy would ordinarily be open will, on this day, be treated as having been open for the purpose of counting the core contractual hours that week. Therefore the pharmacy can close on that day (unless it has been directed to open by NHS England) without giving notice or making an application.

Early closures prior to bank holidays Sometimes pharmacy contractors may wish to close an hour or so earlier than usual on the day before a bank holiday – for example Christmas Eve. If the hours that the contractor wishes to close early are supplementary hours, then notice of that intention had to 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 be 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 hours, the contractor will not be able to close early.

Practice Payment change Community pharmacy contractors should be aware of changes to the levels of Practice Payment that are being made in the Drug Tariff from November 2015. There will be an increase in the Practice Payment of 1.7p per item, from 54.7p to 56.4p.

The table below outlines the Practice Payments effective from 1st November 2015 in England: Number of items per month

Practice Payments for 1st November 2015 to 31st March 2016

Monthly Practice Payment (as it will appear in your FP34 Schedule of Payment)

Up to 1,099

£250

£50

1,100 – 1,599

£2,407

£481.40

1,600 – 2,499

£3,369

£673.80

2,500+

56.4p per item

56.4p per item

Pharmacy fined for breach of Data Protection Act An internet pharmacy was fined £130,000 last month by the Information Commissioner’s Office (ICO) after selling customer names and addresses through an online marketing list company.

The ICO said that the pharmacy had not informed its customers that it intended to sell their details, and the pharmacy was found to be in breach of the Data Protection Act. Community pharmacy contractors and their teams will be well aware of the need to protect patient confidentiality and data, but contractors may wish to remind themselves of the details of the Data Protection Act and of their Information Governance requirements. More details are available on PSNC’s Information Governance page: psnc.org.uk/ig

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PSNC Leadership Academy PSNC launches new bespoke leadership development programme for LPC members to nurture the talents of the community pharmacy leaders of tomorrow.

Community pharmacy is faced with change and challenges, uncertainty and potential as the NHS evolves. We need strong LPC leadership now and in the future.

PSNC launched the PSNC Leadership Academy at this year’s LPC Conference in Birmingham. The programme is designed to develop future LPC leaders who may also be potential national leaders as members of PSNC.

What is involved?

At the heart of the programme are two one-day development meetings, with pre-meeting work, tasks and targets inbetween the two meetings and continued development work after the second meeting. Participants can expect a good deal of opportunity to discuss debate, reect, exchange ideas and practice, plan and experiment.

The ďŹ rst wave of the programme is a group of 12 LPC members or oďŹƒcers selected for their leadership potential. The programme is aimed at the leaders of tomorrow; those who currently are not in established leadership positions, who want to make a dierence within community pharmacy and who seek to play an increasingly active part in steering it into the future.

Integral to the programme is the opportunity to take part in one-to-one coaching sessions with the programme leader giving candidates the opportunity to discuss in conďŹ dence their progress as developing leaders and to beneďŹ t from the coaching of a leadership expert.

As a direct result of taking part in the Academy, developing leaders will join and will build a national PSNC network of movers and shakers in community pharmacy, establishing a forum for mutual support, sharing good practice and mentoring long after the programme has been completed.

Applying to join the PSNC Leadership Academy

PSNC will also keep in touch with successful applicants to track leadership development and publicise some of their achievements and success stories.

Full details of the PSNC Leadership Academy and how to apply have been sent to LPCs. Any questions about the PSNC Leadership Academy should be directed to mike.king@psnc.org.uk

Candidates apply to become part of the programme. We are looking for applicants who are LPC members or oďŹƒcers who can demonstrate leadership potential and have: • shown initiative with a drive and interest to lead; • a strategic outlook; • the ability to rise to challenges and lead change; and • an open mind with the character and experience in community pharmacy to move into a leadership role.

Candidates will also need to be available for both development meeting days on 3rd March and 19th April 2016. The days will run from 10am to 4.30pm and both will be held in London.

News from the LPCs Pharmacy back on web TV David Bearman and Mark Stone of Devon LPC have made another appearance on web TV channel Hiblio, this time to talk about the pharmacy u vaccination service. Hiblio was created by the South Devon Healthcare NHS Foundation Trust to bring local health and wellbeing information to a wider audience. Watch the programme on-demand at: bit.ly/1LFTK9r Putting pharmacy in the spotlight Hertfordshire LPC hosted an event to encourage the public to think pharmacy ďŹ rst. Over 50 local healthcare stakeholders attended for an afternoon of presentations, exhibitions and networking. Attendees also watched a video created by the LPC showcasing positive patient experiences of community pharmacy.

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PSNC regularly receives questions from LPCs and pharmacy contractors about what is going on in the wider health and care landscape beyond community pharmacy. In this round-up we cover the latest news from the past month.

Stay Well This Winter campaign launched Public Health England (PHE) and NHS England have launched a major campaign to help people Stay Well this Winter (nhs.uk/staywell). The campaign will encourage people who are at risk of infection and complications from flu to get vaccinated, give advice on how to avoid common illness, and remind the public to get help from their pharmacist when they first begin to feel unwell.

More than 25% of GP appointments potentially avoidable NHS Alliance and the Primary Care Foundation have published Making Time in General Practice (dld.bz/dXGQ4), which argues that 27% of GP appointments could be avoided if there was more coordinated working between GP and hospitals, wider use of other primary care staff, better use of technology to streamline administrative burdens, and wider system changes.

The report stated that 5.5% of GP appointments could have been managed by community pharmacy or the patient could have been given support to deal with the problem through self-care.

Over a quarter of GP appointments are potentially avoidable

HSCIC produces smoking infographic poster The Health and Social Care Information Centre (HSCIC) have published their latest statistics on smoking in the form of a downloadable infographics poster.

The poster is available on the HSCIC website (dld.bz/dXGQH).

Increase in life threatening conditions over next decade Analysis by the Royal College of General Practitioners (RCGP) shows that one million more people will be living with more than one serious long-term, life threatening condition by 2025, which will cost general practice in the NHS up to £1.2bn.

GP services will be 7-days a week by 2020 Details of a new, voluntary contract for GPs to deliver 7-day care for all patients by 2020 have been announced by Prime Minister David Cameron. The new contract, to be launched in April 2017, will see GP practices integrated with community nurses and other health professionals, to provide more seamless, personcentred care for patients.

Prime Minister pledges 7-day GP services by 2020

The cost to the NHS of long-term conditions will reach £1.2bn by 2025

Further support for PSNC services plan PSNC’s Pharmacy 5 Point Forward Plan, which sets out five key services it believes the NHS should commission from community pharmacies, is continuing to gain support.

In a fringe event at the Conservative Party Conference last month PSNC shared the plan with chair Ben Gummer, who is the minister with responsibility for patient safety and hospitals. Mr Gummer said the plan included some good ideas, and the event included a useful discussion with other healthcare professionals, commissioners and local councillors. Participants in particular identified the need for Local Authorities to make better use of community pharmacy.

Additionally, at last month's Pharmacy Show, pharmacy minister Alistair Burt set out his support for some of the services mentioned in the plan. In particular he backed community pharmacy support for people with long-term conditions such as asthma to help them to manage their treatment, and he highlighted a successful urgent supply of medicines service.

However, although they backed an extended clinical role for community pharmacy, the minister and other speakers also warned

that there would be challenges ahead.

NHS England’s deputy chief pharmaceutical officer Bruce Warner warned that pharmacy would, like all other parts of the health service, come under increased financial scrutiny in the future and need to find efficiencies. And community pharmacy was advised to ensure that it is playing its part and getting involved in the many projects around the country that are working to transform local care.

Find out more about PSNC's Pharmacy 5 Point Forward Plan and the evidence for the services within it at: psnc.org.uk/5pointplan

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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.

Antibiotic awareness toolkit

Public Health England (PHE) has published a toolkit to support the Antibiotic Guardian campaign and local initiatives.

The first World Antibiotic Awareness Week (WAAW) took place from 16th to 22nd November and European Antibiotic Awareness Day (EAAD), an annual public health initiative aimed at encouraging responsible use of antibiotics, was held on 18th November.

Download the toolkit and find out more about how you and your team can get involved at: dld.bz/dYhaa

Carers and the flu jab

Carers are included in the group of patients eligible for an NHS flu vaccination under the national flu service but it can be difficult to identify who is a carer.

The term ‘carer’ is sometimes confused with a care worker or care assistant; however, the difference is that a carer is unpaid whereas a care worker or care assistant is paid for looking after someone.

PSNC has worked with Carers Trust to produce resources to assist pharmacy teams in identifying carers who may be eligible for a flu vaccination.

These can be found at: dld.bz/dY76w

GPhC premises renewal

Contractors are reminded that General Pharmaceutica l Council (GPhC) premises rene wals are due on a rolling 12 month basis with two rene wal cycles per month.

All pharmacy premises are now processed via the GPhC’s web based system.

To avoid being unable to pro vide NHS services and incurring additional costs follo wing nonrenewal, contractors may wish to diarise their renewal date.

Find out more about the pre mises renewal process at: dld.bz/dYhat

Acute kidney injury camp aign The

Centre for Pharmacy Postgraduate Education (CPPE) and the Think Kidn eys programme from the Ren al Registry have sent out acu te kidney injury campaign packs to all reg istered pharmacy professionals in England.

More information, including details of the six challenges that form part of CPPE’s learning campaign, can be found at: dld.bz/dYhaX CPPE also has a dedicat ed webpage for the campaign (cppe.ac.uk/a ki), which will be updated regularly.

Epilepsy MUR Consultation Brief

PSNC and the Epilepsy Society have produced a Consultation Brief to assist Medicines pharmacists when carrying out with nts patie for s) (MUR iews Use Rev ptic epilepsy who are taking anti-epile the drugs (AEDs). Read and download /dYx95 dld.bz : from f Consultation Brie

The average pharmacy in England carried out 24 MURs and six NMS consultations in July. How many did you do? Find out at check34.com Understand your NHS business better with Check34 Not yet got an account? Email check34admin@psnc.org.uk for more information.

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Drug Tariff listing changes

NHSBSA’s Hints & Tips

Changes to the Drug Tariff impact on reimbursement so it's important to take note when amendments are made to product listings. Below are some changes which took effect recently.

Part VIIIB change to Chloral hydrate listing

dispensing and supply

Did you know the listing for Benzoyl peroxide 5% / Clindamycin 1% gel has changed?

Chloral hydrate 500mg/5ml oral solution has been added to Part VIIIB of the November Drug Tariff and the listing for the Chloral mixture has been removed in line with the BP nomenclature change.

The pack sizes 25g and 50g of Benzoyl peroxide 5% / Clindamycin 1% gel have been removed from the Drug Tariff and replaced with 30g and 60g.

Please note that any prescription for Chloral hydrate 500mg/5ml mixture will be reimbursed at the Part VIIIB listed price for the oral solution as of the November prescription bundle.

For generically written prescriptions, you will be paid based on the Drug Tariff listed price, but, for prescriptions written by brand, ensure you dispense the pack size written on the prescription and endorse it.

NHS Prescription Services (part of NHSBSA) produces a quarterly newsletter called Hints & Tips for dispensing contractors. The latest edition (Issue 21) contains some really useful information such as: • information on claiming out of pocket expenses (OOP/XP); • an outline of the flu vaccination service; • information on free EPS masterclass training; and • referred back (returned) items in EPS Release 2 explained with examples.

All published editions of the Hints & Tips newsletter can be found on the Prescription Services website: www.nhsbsa.nhs.uk/3191.aspx

Can it be dispensed on an FP10?

Pharmacy teams may wish to check PSNC’s ‘Dispensing on an FP10 database’ (available at: psnc.org.uk/FP10database) for more information on whether an item can be dispensed on an FP10, and we have listed some products below that we have recently received queries about.

Product

Is the item listed in the Drug Tariff?

Does it have a ‘CE’ mark?

Is it in the blacklist?

Can it be dispensed on an FP10?

Accu-Chek® Aviva Blood Glucose Meter System

No

Yes

n/a

No

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

Advantage Plus testing strips

No

Yes

n/a

No

This item is a medical device and is no longer listed in Part IX of the Drug Tariff.

Helicobacter Test INFAI

No

No

No

Yes

This item is not listed in Part XVIIIA (the ‘blacklist’) of the Drug Tariff and it is not a medical device.

Jelonet dressing 5cm x 5cm

No

Yes

n/a

No

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

Note: only the sizes that are listed in IXA of the Drug Tariff are allowed.

All details correct at time of printing.

No part of this publication may be reproduced without the written permission of PSNC. Produced for PSNC by Communications International Group. ©. PSNC. Colour repro and printing by Truprint Media, Margate.

The publishers accept no responsibility for any statement made in signed contributions or in those reproduced from any other source.

Distributed for PSNC by:

Additional information

Communications International Group Linen Hall, 162-168 Regent Street, London W1B 5TB Tel: 020 7434 1530 Fax: 020 7437 0915

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Drug Tariff Watch During dispensing, it is important to note which products are listed in the Drug Tariff as well as which category products are entering into and the pack sizes being included in these entries. This is because reimbursement will be based on this classification and its endorsement requirements. Incorrect endorsement can lead to incorrect or delay in payment.

Below is a quick summary of some the changes due to take place from 1st December 2015.

Part VIIIA additions Key: SC Special Container SLS Selected List Scheme • Atomoxetine 4mg/1ml oral solution sugar free (300ml (3x SC 100ml)) Category C - Strattera • Avanafil 100mg tablets SLS (4) and (8) Category C - Spedra • Avanafil 200mg tablets SLS (4) and (8) Category C - Spedra • Avanafil 50mg tablets SLS (4) and (8) Category C - Spedra • Carbocisteine 750mg/10ml oral solution 10ml sachets sugar free (15) Category C Intrapharm Laboratories Ltd • Ciclosporin 0.1% eye drops 0.3ml unit dose (30) Category C - Ikervis • Naloxegol 12.5mg tablets (30) and 25mg tablets (30) Category C - Moventig • Tiotropium bromide 2.5micrograms/dose

/ Olodaterol 2.5micrograms/dose solution for inhalation cartridge with device CFC free SC (60–dose) Category C - Spiolto Respimat Part VIIIA amendments • Budesonide 1mg/2ml nebuliser liquid unit dose vials (20) is changing to Category A • Budesonide 500micrograms/2ml nebuliser liquid unit dose vials (20) is changing to Category A • Disulfiram 200mg tablets (50) is changing to Category A • Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials (20) is changing to Category A • Salbutamol 5mg/2.5ml nebuliser liquid unit dose vials (20) is changing to Category A

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, but it will need to be endorsed fully (i.e. brand or supplier name from whom the product was purchased and the pack size from which the item was dispensed) and price paid in future.

• Acetic acid 33% liquid (500ml) — Category C— JM Loveridge Ltd • Ammonia solution aromatic (500ml) — Category C— JM Loveridge Ltd • Chloral hydrate crystals (100g) — Category C— JM Loveridge Ltd • Co-danthramer 25mg/200mg capsules (60) —Category C— A A H Pharmaceuticals Ltd • Oxybutynin 2.5mg/5ml oral solution (150ml) —Category C— Ditropan elixir

Part IX Deletions It is important to take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed and therefore payment will not be made for dispensing the item.

Product name and description Hospicrepe 229 UltraSmooth Hydrophilic Catheter (Peak Medical Ltd) – Male UltraSmooth Hydrophilic Catheter (Peak Medical Ltd) – Female UltraSmooth Hydrophilic Catheter (Peak Medical Ltd) – Paediatric Sorbsan Silver Plus SA (with adhesive border) Vacutex Cavi-Care Cilguard Overlap Cilguard Standard Cilguard Border XLR8 Y Connector X XLR8 Dressing Kit with port XLR8 Canister Unilet Eco (Owen Mumford Ltd) Replacement Filter elements for series 366 drainable bags (Hollister Ltd) LBF No Sting Barrier Film Spray (CliniMed Ltd) Secura Cleanser (Smith & Nephew Healthcare Ltd)

Sizes affected 5cm, 7.5cm, 10cm, and 15cm 8-18Ch gauge 8-18Ch gauge 6-10Ch gauge 11.5cm x 14cm 15cm x 20cm and 20cm x 20cm 20g 10cm x 10cm, 15cm x 15cm, 20cm x 10cm, and 20cm x 20cm 10cm x 10cm, 15cm x 15cm, 20cm x 10cm, 20cm x 20cm, 20cm x 50cm, and 10cm x 60cm 10cm x 10cm, 15cm x 15cm, 20cm x 10cm, 20cm x 20cm, and 20cm x 50cm n/a Small, Medium, and Large 200ml, 400ml, and 600ml 0.375mm/28 gauge, 200 pack only n/a 30ml and 50ml 236ml

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, Times House, 5 Bravingtons Walk, London N1 9AW 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: 0844 381 4180 or 0203 122 0810

Product code n/a US4008-US4018 US1808-US1818 US3006-US3010 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 7766 3826-3827 59446825

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