The Pharmacy Contract

• What does the CPCF contract entail for pharmacies?

  • A New Prescription 2021 – Future of community Pharmacy in Wales – More funding for clinical services rather thandispensing medicines
  • Pharmacy at heart of the community
  • Improve service availability
  • Upskill community pharmacists
  • Expand “Choose Pharmacy” portfolio
  • IP Service
• CPCF pharmacy agreements?

  • Expanded role for community pharmacists
  • Three key aspects of service provision:
  • Essential Services
  • Enhanced Services (Clinical Community Pharmacy Services (CCPS))
  • Additional Clinical Services
• What are the essential services pharmacies in Wales must provide?

  *all Wales temporary closure form*pharmacy IM&T*waste management *batch repeat dispense *primary care escalation toolkit*CPCFt mandatory to non mandatory *dispensing*public health campaigns
• What does repeat dispensing allow pharmacies to do?

  dispense repeat dispensing prescriptions issued by a GP, using Masterand Batch PAPER prescriptions;ensure that each repeat supply is required; andseek to ascertain that there is no reason why the patient should bereferred back to their GP
• Who are public health campaigns for + types?

  people who:* have diabetes;* be at risk of coronary heart disease (CHD), high BP;* who smoke;* are overweighttypes = prescription linked intervention & campaign based service
• What is entailed in signposting?

  • Provision of information to people visiting thepharmacy, who require further support which thepharmacy can’t provide
  • Pharmacies provided with a list of sources of care& support locally
  • Expected to help people who need assistance
  • Direct the patient to where they can accesssupport/service/care
• What is entailed in support for self care?

  • Help manage minor ailments and commonconditions
  • Provision of advice and/or sale of medicines ifappropriate
  • Referrals from external sources (111, GP etc)
  • Records of advice or interventions to be kept (usePMR)
  • Advise on the appropriate use of the wide range of OTC/P medicines
• What services do welsh pharmacies provide?

  *seasonal flu vaccine*contraception services*emergency medical supplies*common ailments service
• What is the discharge medicines service?

  • Patients recently discharged from hospital will receivegreater support from local pharmacy teams tomanage their medicines.
  • Hospitals refer patients who would benefit from extraguidance around new prescribed medicines to theircommunity pharmacy.
  • Patients are digitally referred to their pharmacy afterdischarge from hospital.
  • 2 Part process in Wales
  • 3 Part process in England
• What are the clinical community services? (CCPS)

  • Provision of 4 services under one service specification
  • Common Ailments Service (CAS)
  • Emergency Contraception. Contraception - Bridging & QuickStart
  • Emergency Medicines Supply (EMS)
  • Sore Throat Test & Treat (STTT)
  • Accreditation via Ty Dysgu – National Clinical Services Accreditation Hub (NCSA)
• What is the criteria for dispensing emergency contraception?

  • Supply of emergency hormonal contraception
  • Patients eligible from age 13+
  • Patients age 13,14, 15 must be deemed Gillick competent and comply with Fraserguidance to supply
  • Supply based on timing of UPSI, weight/BMI, date of last period, usual cycle length
  • Pharmacist assessment if EC is suitable
  • Can supply up to 5 days post UPSI
  • Referral for other EC methods e.g. intrauterine coil
  • Sexual Health advice
  • Signpost if not happy to supply
• What is the criteria for bridging & Quickstart contraception dispensing?

  • Supply of contraception to eligible patients
  • Aged 13-54 who are of childbearing potential
  • Patients under 16 must be deemed gillick/fraser competent
  • Can be supplied alongside EC (Bridging)
  • Or supplied at patient request until a regular supply can be established(QuickStart)
  • Pharmacist must check – BP, BMI, inclusion/exclusion criteria
  • Can supply - 84 x Desogestrel 75mcg tablets
• What is the criteria for the emergency medicines supply?

  • Supply of regular medication where it is not possible to obtain supply through theusual route e.g. via GP prescription
  • Pharmacist must be sure that obtaining a prescription is not practicable
  • Patient must have been prescribed medication in the past
  • Must meet usual emergency supply specifications
• What is entailed in the sore throat test and treat service?

  • Supply of antibiotic treatment for acute bacterial tonsillitis where appropriate
  • In accordance with a PGD
  • Patient presents with symptoms and is assessed by pharmacists
  • FeverPain score
  • Throat Swab
  • Vital signs
  • Example treatment – Phenoxymethylpenicillin 500mg qds for 5 days