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Serious Shortage Protocols: Draft legislation laid

PSNC News - 18 January 2019 - 6:36pm

Draft legislation on Serious Shortage Protocols (SSPs) has been laid before Parliament and should come into force in early February 2019. This follows consultation between the Department of Health and Social Care (DHSC) and stakeholders, including PSNC and other pharmacy representative bodies.

SPPs are protocols for pharmacies that will be put in place in the event of a serious shortage of a medicine; they may give pharmacies the ability to dispense less medicine, a different strength or pharmaceutical form of the medicine or an alternative medicine to that prescribed; following appropriate discussions with the patient. SSPs are part of the work being carried out by Government and the NHS in case there is a no-deal exit from the EU, summarised by Dr Keith Ridge here.

It is envisaged that where serious shortages occur, each medicine would have its own SSP which will need to be developed carefully to ensure that it can be implemented in practice. PSNC will work closely with DHSC on this. The draft legislation now laid is intended to provide the legal basis for the introduction of these SSPs.

PSNC supports this legislation as part of the measures that will help to manage any serious shortages of medicines, such as those which may occur if the UK exits the EU without a ratified deal (a no-deal Brexit).

Key aspects of SSPs are that they will be:

  • proposed only if in the opinion of the Minister there is a serious shortage;
  • developed with the involvement of clinicians;
  • issued only in exceptional circumstances;
  • more likely to be for alternative quantity, strength or pharmaceutical form;
  • less likely to be for generic or therapeutic substitution; and,
  • while introduced due to the possibility of a no-deal exit from the EU, their introduction is not dependent on it.

SSPs will link to a patient’s prescription although, formally, supply to the patient will be against the SSP.

The draft legislation can be found here and is included in (but separate to) UK legislation implementing the final provisions of the EU Falsified Medicines Directive and Delegated Regulation. The DHSC consultation response can be found here.

PSNC responded to the DHSC consultation on SSPs and we are pleased to see that our comments and observations have been taken on board. The changes should help by giving DHSC a framework to follow to manage serious shortages of medicines, as and when they do occur.

PSNC also welcomes the speed with which DHSC has consulted on the proposed legislation and that the legislation is likely to come into force in early February 2019, but work to address the practical issues associated with any introduction must now begin.

The practical issues are considerable and PSNC has sought to identify them here. We will continue to work closely with DHSC to ensure that the introduction of any SSP is practical for community pharmacy and that any costs incurred are recognised.

The introduction of SSPs also has implications for community pharmacy contractor’s Terms of Service, which PSNC will be discussing with the Department.

 

Categories: National News

No-deal Brexit preparations: NHS England update

PSNC News - 18 January 2019 - 5:50pm

Dr Keith Ridge, NHS England’s Chief Pharmaceutical Officer, has today (January 18th 2019) written to community pharmacies to update them on the continuity of supply of medicines as part of the Government’s contingency preparations for a no-deal exit from the European Union (EU).

Read the letter from Dr Keith Ridge here: https://www.england.nhs.uk/publication/medicine-supply-update-letter-from-dr-keith-ridge-cbe/)

The letter reiterates that it is ‘not helpful or appropriate for anyone to be stockpiling medicines locally’, due to the risk of placing additional pressure on the availability of medicines for patients in other areas of the country, and Dr Ridge writes that ‘any incidences involving the over-ordering of medicines will be investigated and followed up with the relevant Chief or Responsible Pharmacist directly’.

The main body of the letter consists of a summary of the work currently underway across Government and the NHS as part of contingency preparations for a possible no-deal Brexit scenario.

Contractors should particularly note the Operational Readiness Guidance which sets out the actions that contractors should take to prepare for a no-deal exit from the EU and can be found here. PSNC has provided a summary of the key actions for contractors: PSNC Briefing 005/19: Key actions for pharmacy contractors to prepare for a no-deal exit from the EU

Further information included in the letter is:

  • Medicine Supply Assessment: The government has undertaken a comprehensive assessment of medicines supply to identify products that have a manufacturing touch point in the EU or wider European Economic Area (EEA) countries.
  • Six Week Stockpile: DHSC has received very good engagement from industry on developing a six-week stockpile of prescription only medicines and pharmacy medicines to ensure supply for patients is maintained across the NHS. DHSC has also secured contract agreements for additional warehouse space for stockpiled medicines, including ambient, refrigerated and controlled drug storage.
  • Alternative Transport Routes: Government has reviewed transport routes for all medicines and plans are being developed with industry for re-routing where necessary. The government has agreed that medicines and medical products will be prioritised on alternative routes to maximise the ability for supply to continue unimpeded after 29 March 2019. In the event of a ‘no deal’ scenario this additional transport capacity and prioritisation includes prescription only medicines and pharmacy medicines, general sales list medicines and unlicensed medicines, including specials and investigational medicinal products used in clinical trials and vaccines.
  • Vaccines: Public Health England manages significant stockpiles of vaccine for the national immunisation programme and in addition is working closely with vaccine suppliers to ensure replenishment of stockpiles continues in the event of supply disruption in the UK. In addition, DHSC is leading separate contingency plans outlined above, which includes locally procured vaccines
  • Clinical Research including Trials: Participation of and recruitment into clinical research including trials should continue as normal unless specific instructions from an individual sponsor or formal communications are received. Investigational medicinal products (IMPs) have been prioritised on alternative routes to ensure that the flow of all these products continues unimpeded after 29 March 2019.
  • Unlicensed Medicines: DHSC have met all key unlicensed and specials suppliers and asked them to ensure that by March 2019 they have a minimum of six weeks additional supply in the UK in case of a ‘no deal’ scenario. In addition, unlicensed medicines and specials manufactures to ensure sufficient ingredients in the UK to ensure continuity of supply.
  • Operational Guidance: National operational guidance for the NHS has been produced in December 2018 by DHSC, with support from NHS England and NHS Improvement.
  • Serious Shortage Protocol: The government has also put in place legislation to enable Ministers to issue protocols that, where appropriate, enable community pharmacies to dispense against a protocol instead of a prescription without going back to the prescriber first. Any protocol will be developed with input from clinicians and could cover dispensing a different quantity, pharmaceutical form, strength or a generic or therapeutic equivalent.

Categories: National News

Quality Payments: Updated gateway criteria report now available on NHS BSA website

PSNC News - 18 January 2019 - 3:32pm

The NHS Business Services Authority (NHS BSA) has today updated its weekly gateway criteria report, allowing community pharmacy contractors to check whether they have been assessed as meeting four of the five gateway criteria (Advanced Services, NHS website, Community Pharmacy Patient Questionnaire (CPPQ) and NHSmail) of the Quality Payments Scheme.

Contractors are therefore encouraged to check this report to see if the national datasets show they have met the four gateway criteria as detailed above and if not, take corrective action as soon as possible to ensure they meet the criteria by the review point (15th February 2019).

Contractors should also be aware that this report can change on a weekly basis, for example, a contractor could show as meeting the NHSmail gateway criterion if their shared premises NHSmail account has two active linked NHSmail accounts. However, if one of these accounts becomes inactive before the review point, the report could change to show that the contractor no longer meets the NHSmail gateway criterion. Contractors are therefore encouraged to download the report each week from the NHS BSA website to ensure that their pharmacy continues to meet the four gateway criteria.

Any changes made after each Friday will not be shown until the following week’s update. For example, if a pharmacy’s NHS website profile is updated on Monday 21st January 2019, it will not show on the gateway criteria report on the NHS BSA website until the new report is published on Friday 25th January 2019.

Further information on the gateway criteria report and how contractors will be notified if they meet the fifth gateway criterion (Warranted Environment Specification (WES)) can be found in PSNC’s original news story on the gateway criteria report.

Categories: National News

Brexit Update: PSNC contingency planning and contractor actions

PSNC News - 16 January 2019 - 1:30pm

Pharmacy teams will be aware that on 15th January 2019, MPs rejected the Prime Minister’s proposed Brexit deal in a vote in Parliament.

The UK remains on course to leave the EU on 29th March 2019, with a no-deal Brexit scenario still a possibility.

PSNC’s objective remains to safeguard the supply of medicines to pharmacies and their patients, whatever the outcome of the ongoing political debate about Brexit. This work remains critical, and we are continuing to work with the Department of Health and Social Care (DHSC) to make sure that contingency measures are in place.

Actions for Contractors

Contractors are reminded that DHSC issued EU Exit Operational Readiness Guidance late last year. This guidance sets out the actions that contractors should take to prepare for a no-deal exit from the EU and can be found here.

Contractors have been asked to take note of Action Card 1 of the guidance (pages 16-24), which indicates that all providers of NHS services, including NHS trusts and foundation trusts, primary care organisations and independent sector organisations which provide NHS services, ‘must consider and plan for the risks that may arise due to a ‘no-deal’ exit’.

PSNC has provided a summary of the key actions for contractors: PSNC Briefing 005/19: Key actions for pharmacy contractors to prepare for a no-deal exit from the EU

PSNC Brexit Position

Commenting after the vote on 15th January, PSNC Chief Executive, Simon Dukes, said:

“Maintaining the supply of medicines to UK patients and community pharmacies must be a priority whatever the eventual approach to Brexit and we are pleased that dialogue on this has already been happening. PSNC, alongside the other community pharmacy representatives, has been working closely with the Department of Health and Social Care (DHSC) to plan for all potential scenarios, including a no-deal Brexit.

Given the ongoing uncertainty this work is now more critical than ever and PSNC will be deploying all necessary resources to it. While we hope that Parliament will, in time, be able to reach consensus on the approach to Brexit, our focus will remain on contingency planning with DHSC to ensure that patients can continue to access the medicines they need, when they need them, and that the impact on community pharmacies is minimised.

The diversion of Government resource to Brexit planning has already pushed back the beginning of negotiations on community pharmacy funding and the future role of the sector; this is not an exclusive problem to pharmacy but we are concerned that this delay is now likely to continue.”

Further Information and Communications Support

All the latest information and guidance on Brexit matters will be posted on our dedicated page: psnc.org.uk/Brexit

In particular, this week we have published a leaflet to help pharmacies to explain any medicine supply issues to their patients: https://psnc.org.uk/wp-content/uploads/2019/01/Patient-Leaflet.pdf

PSNC and LPCs are continuing to receive a high volume of media queries about Brexit and medicines supply issues. If you have any media queries and need support with these, please contact the Communications Team via: commsteam@psnc.org.uk

 

Categories: National News

Quality Payments: Validation of meeting the WES gateway criterion

PSNC News - 16 January 2019 - 12:48pm

Community pharmacy contractors should today receive an email to their premises-shared NHSmail account* from the NHS Business Services Authority (NHS BSA), which will state whether their pharmacy has been validated as having met the Warranted Environment Specification (WES) gateway criterion of the Quality Payments Scheme.

For a pharmacy to be assessed to see if it meets the WES gateway criterion, contractors will need to have accessed the Summary Care Record (SCR) portal from their pharmacy since the 14th November 2018. If the SCR portal has not been accessed from the pharmacy, NHS Digital will not have been able to capture the pharmacy’s operating system and browser details. Therefore, NHS BSA will not have been able to assess whether the pharmacy has met the WES gateway criterion.

The email will detail one of three possible scenarios:

  1. The SCR portal has been accessed and the pharmacy has been validated as having met the WES gateway criterion;
  2. The SCR portal has been accessed and the pharmacy cannot be validated as the pharmacy does not currently meet the WES gateway criterion (due to the operating system and/or the browser used to access the SCR portal not conforming to the WES requirements); or
  3. The SCR portal has not been accessed so compliance has not been able to be assessed.

Data used to validate whether a contractor has met the gateway criterion covers the period 14th November 2018 – 10th January 2019.

If the pharmacy has been validated as having met the gateway criterion

Provided that access to the SCR portal from the pharmacy continues with WES compliant operating systems and browsers, contractors will continue to be assessed as having met this gateway criterion. However, any access of the SCR portal with a non-compliant operating system or browser will then lead to the pharmacy being considered non-compliant and therefore not meeting the gateway criterion.

Contractors are advised to retain the email confirming that they have been validated, as evidence of compliance with the WES gateway criterion.

If the pharmacy cannot be validated as the pharmacy does not meet the gateway criterion

Contractors who are assessed as non-compliant are expected to work with their system suppliers to update to an operating system and browser that complies with the WES requirements, as outlined on page 21 of the NHS England guidance by the February review point (15th February 2019).

When this has been completed, contractors should access the SCR portal again to allow compliance to be reassessed. Contractors do not need to access an individual patient’s SCR for validation of this criterion; contractors just need to open the ‘Find a patient’ screen for NHS Digital to be able to capture the pharmacy’s operating system and browser details.

Contractors will receive another email, week commencing 28th January 2019, which will advise if they have been validated and have therefore met this gateway criterion in the next assessment period (11th January 2019 – 24th January 2019).

If the pharmacy’s compliance cannot be assessed as the SCR portal has not been accessed

Contractors should access the SCR portal as soon as possible so that the pharmacy’s compliance with the gateway criterion can be assessed and either validated as having met the gateway criterion or contractors can be advised that the pharmacy does not meet the WES requirements, allowing corrective action to be taken by the February review point. Contractors do not need to access an individual patient’s SCR for validation of this criterion; contractors just need to open the ‘Find a patient’ screen for NHS Digital to be able to capture the pharmacy’s operating system and browser details.

Contractors will receive another email, week commencing 28th January 2019, which will advise if they have been validated and have therefore met this gateway criterion in the next assessment period (11th January 2019 – 24th January 2019).

Further information on the WES gateway criterion can be found at psnc.org.uk/qpwes

*The following companies have requested that the WES gateway criterion email is sent to a representative at their head office rather than to individual pharmacy premises-shared NHSmail accounts:

ASDA; Boots; Britannia Pharmacy; WM Brown (kinghurst) Ltd; Daleacre Healthcare Ltd; Day Lewis plc; Dean & Smedley Ltd; Gorgemead t/a Cohens Chemists; Hollowood Chemists Ltd; The Hub Pharmacy Ltd; Jardines (UK) Ltd; Knights Chemists Ltd; Lincolnshire Cooperative Ltd; LloydsPharmacy; HA McParland Limited; JN McGill Ltd; Manichem Ltd; Medicine Clinic Ltd; Medipharmacy Limited; Midcounties Co-operative Pharmacy Group; Morrisions; MW Phillips Chemists; Paydens Ltd; PCT Healthcare; Pharmacy Care Plus Ltd; Raylane Ltd; Rowlands Pharmacy; Safedale Ltd; Shaunaks Ltd; Steven Lo / Lo’s Pharmacy; Superdrug; Tesco; Waremoss Ltd / Kamsons; Warwick Healthcare Ltd; H I Weldrick Ltd; Well; and X-Pharm Ltd.

 

 

Categories: National News

Service case study: New GP2Pharmacy service in South Tyneside

PSNC News - 16 January 2019 - 10:24am

A new, innovative service has been launched in South Tyneside, which involves collaborative working between community pharmacy teams and GP practice teams.

The ‘GP2Pharmacy’ service enables GP reception staff to book fixed time appointments for suitable patients (depending on their symptoms and conditions) at their local pharmacy as opposed to waiting for an appointment at their GP practice. Suitable patients will have a consultation with the pharmacist and provision of advice and/or medicines will be supplied to patients through the locally commissioned Minor Ailment Scheme and Patient Group Directions, as well as offering signposting or referral back to the GP practice as appropriate.

The service also supports other planned patient appointments on a pro-active basis such as regular check-ups (for example, physical monitoring for patients taking oral contraceptives), long term condition management (such as blood pressure), and semi-centralised disease specific clinics to assist with polypharmacy and compliance.

The service will enable GPs to see critical patients more quickly and provide other patients with access to an earlier appointment. The programme is strategically similar to the Digital Minor Illness Referral Service, except the appointment is organised directly from the GP practice and not NHS 111.

Gateshead and South Tyneside LPC worked with the South Tyneside Health Collaboration on the development of the service, which is funded by South Tyneside Clinical Commissioning Group (CCG)’s Primary Care Transformation Project as one of a range of measures to address the pressures on primary care in the NHS locally.

Research by South Tyneside CCG indicated that around 45% of GP appointments could be dealt with elsewhere and the GP2Pharmacy opens up a potential extra 35 locations (community pharmacies) where patients can have an appointment, with a choice for this to be near to their home, workplace or wherever is convenient for them, as opposed to waiting for an appointment at their GP practice.

The pilot scheme runs until September 2019, offering 8,000 appointments at around 30 locations in South Tyneside, including some weekend appointments.

More information about this service can be found on the PSNC Services Database.

Categories: National News

Contractor action – Community Pharmacy Planning for a No Deal Brexit

PSNC News - 15 January 2019 - 2:52pm

Tonight, Members of Parliament will vote on the Withdrawal Agreement deal ahead of the UK’s exit from the European Union (EU). Regardless of the outcome of the vote, PSNC’s objective remains safeguarding the supply of medicines to pharmacies and their patients.

In the event that the Withdrawal Agreement is not agreed tonight, and uncertainty remains, contractors are reminded that the Department of Health and Social Care (DHSC) issued EU Exit Operational Readiness Guidance late last year. This guidance sets out the actions that contractors should take to prepare for a no-deal exit from the EU and can be found here. It was highlighted in a PSNC news story in late December 2018.

At the current time of writing, contractors have been asked to take note of Action Card 1 of the guidance (pages 16-24), which indicates that all providers of NHS services, including NHS trusts and foundation trusts, primary care organisations and independent sector organisations which provide NHS services, ‘must consider and plan for the risks that may arise due to a ‘no-deal’ exit’.

PSNC has provided a summary of the key actions for contractors: PSNC Briefing 005/19: Key actions for pharmacy contractors to prepare for a no-deal exit from the EU

Categories: National News

Key actions for pharmacy contractors to prepare for a no-deal exit from the EU

PSNC News - 15 January 2019 - 2:50pm

The Department of Health and Social Care (DHSC) issued EU Exit Operational Readiness Guidance in late 2018. This guidance sets out the actions that contractors should take to prepare for a no-deal exit from the EU and can be found here. It was highlighted in a PSNC news story in late December 2018.

This PSNC Briefing highlights aspects of the guidance that are of most relevance to community pharmacy contractors.

PSNC Briefing 005/19: Key Actions for Pharmacy Contractors to Prepare for a No Deal Exit from the EU

If you have queries on this PSNC Briefing or you require more information, please contact Gordon Hockey, Director of Operations and Support

View Article…

Categories: National News

Quality Payments: One month left until review date

PSNC News - 15 January 2019 - 8:30am

The February 2019 review point (15th February 2019) for the Quality Payments Scheme is fast approaching and the declaration window for claiming for a quality payment opens in just over a fortnight (4th February 2019).

Many community pharmacy contractors are well on their way to meeting the gateway criteria and some if not all the quality criteria for the Quality Payments Scheme. Contractors are, however, reminded of PSNC Briefing 066/18: Quality Payments – PSNC resources which highlights all the resources available from PSNC to assist contractors with meeting the criteria.

Contractors are reminded that if they wish to claim for Quality Payments using the new NHS Business Services Authority (NHS BSA) Manage Your Service application, they should register as soon as possible, to ensure the registration process is complete before the declaration period begins.

Additionally, contractors are encouraged to download the NHS BSA gateway criteria report on a weekly basis to see if the national datasets show they have met four out of the five gateway criteria and if not, take corrective action as soon as possible to ensure they meet the criteria by the review point.

PSNC has also recently updated and added new Quality Payments FAQs; these can all be found at psnc.org.uk/qpsfaq

Categories: National News

Health champion outreach initiatives highlighted in PHE newsletter

PSNC News - 14 January 2019 - 1:20pm

The seventh issue of Public Health England’s (PHE) Healthy Living Pharmacy (HLP) newsletter has been published and features examples of how HLP health champions across the country have reached out and engaged with their local communities.

The newsletter also highlights work on redeveloping the criteria and standards for HLP Level 2, recent PHE publications, and campaigns and training sessions relating to public health issues that community pharmacy teams may wish to take part in.

Click here to read the newsletter

Categories: National News

Ask PSNC: Quality Payments FAQs

PSNC News - 14 January 2019 - 9:00am

The team at PSNC has received a number of queries on the Quality Payments Scheme. Below are some of the questions asked in recent weeks.

Q. How can I check whether my pharmacy meets the gateway criteria?
The NHS Business Services Authority (NHS BSA) publishes a gateway criteria compliance report which is updated every week to show whether contractors have met four out of the five gateway criteria. Contractors are assessed whether or not they have met the Advanced Services, NHS website, Community Pharmacy Patient Questionnaire and NHSmail gateway criteria.

For cyber security reasons, confirmation of the fifth gateway criterion – compliance of the NHS Digital Warranted Environment Specification – will be sent by NHS BSA to each contractor’s shared NHSmail accounts (some companies have requested that information about the WES gateway criterion is emailed to a representative at their head office rather than to individual pharmacy premises-shared NHSmail accounts).

Q. Does a ‘super user’ personal NHSmail account linked to a pharmacy’s shared NHSmail account contribute to the requirement of having two active linked NHSmail accounts for the gateway criteria?
No. A super user account is not considered as an active, linked personal account and will not contribute to the requirement to have a minimum of two linked accounts. The linked accounts should belong to users who are involved in providing pharmaceutical services on a day-to-day basis at the individual pharmacies their account is linked to.

Q. What duration of time should my pharmacy’s written patient safety report cover?
To meet the February 2019 review point, contractors that previously wrote a report for the June 2018 review point must have updated that written safety report since 29th June 2018 (the last review point) to incorporate learnings since that date. Contractors who have not previously claimed for the patient safety report quality criterion, will need to ensure their report covers the last 12 months.

In addition to the above, contractors must also evidence learning on prevention of NHS Improvement’s list of top five look-alike sound-alike (LASA) errors and put in place actions to prevent these. More information is available on the Quality Payments – Patient safety report page.

Q. For the patient safety report criterion, can we continue to submit incident reports via a third party, for example, the National Pharmacy Association rather than direct to NRLS?
Yes. If the third party reports these errors to the NRLS on your behalf, you are not required to report them directly to the NRLS in addition to the third party.

Q. Are non-GPhC registered staff able to register with Centre for Pharmacy Postgraduate Education (CPPE) to complete the Children’s oral health training?
Yes. CPPE has enabled non-GPhC registered staff members to register on the CPPE as ‘non-registrants’ to complete this training material.

If contractors have members of staff who are unable to register with CPPE, e.g. those not having a work or personal email address to access registration, then they can complete an open assessment for Children’s oral health without registration.

Whilst this will enable the staff member to undertake the assessment and, when successful, print off or save the PDF certificate as evidence of meeting this criterion, however this will need to be done immediately after the assessment as it cannot be saved on the CPPE website. It will not be possible for CPPE to provide any personalised support, feedback or a CPPE record for that member of staff. Contractors are therefore recommended to encourage staff members to register with CPPE to complete the assessment if at all possible.

Categories: National News

Register for our Data Security and Protection (IG) Toolkit Workshop

PSNC News - 11 January 2019 - 3:22pm

Data Security and Protection (IG) Toolkit Workshop: Support in completing your 2018/19 IG return

Webinar Details When is it?
Wednesday 30th January at 7.00pm

Who should sign up?
All contractors are required to give IG assurances to the NHS each year via the online self-assessment. Find out more about Information Governance at: psnc.org.uk/ig

How do I register?
Please sign up here

PSNC will be holding a webinar to help support community pharmacy contractors in completing the Data Security and Protection Toolkit for 2018/19 on Wednesday 30th January at 7.00pm.

Previously known as the Information Governance (IG) Toolkit, PSNC and NHS Digital have been working together on the development of the new Toolkit and we are keen to assist contractors as they work through it.

During the 60-minute webinar representatives from PSNC and NHS Digital will discuss the questions in the Toolkit, talk you through the guidance materials available and answer viewers’ questions on how to make the declaration.

To make the most of this session, we would advise taking a look at PSNC’s guidance documents and registering for the Toolkit in advance of the webinar. Once registered for the webinar, you can also submit questions before the event.

With contractors required to finalise their pharmacy’s Data Security and Protection Toolkit submission by 31st March 2019, this webinar provides the perfect opportunity to make good headway in its completion.

Register for our Data Security and Protection Toolkit Workshop

Categories: National News

Quality Payments: Updated gateway criteria report now available on NHS BSA website

PSNC News - 11 January 2019 - 2:25pm

The NHS Business Services Authority (NHS BSA) has today updated its weekly gateway criteria report, allowing community pharmacy contractors to check whether they have been assessed as meeting four of the five gateway criteria (Advanced Services, NHS website, Community Pharmacy Patient Questionnaire (CPPQ) and NHSmail) of the Quality Payments Scheme.

Contractors are therefore encouraged to check this report to see if the national datasets show they have met the four gateway criteria as detailed above and if not, take corrective action as soon as possible to ensure they meet the criteria by the review point (15th February 2019).

Contractors should also be aware that this report can change on a weekly basis, for example, a contractor could show as meeting the NHSmail gateway criterion if their shared premises NHSmail account has two active linked NHSmail accounts. However, if one of these accounts becomes inactive before the review point, the report could change to show that the contractor no longer meets the NHSmail gateway criterion. Contractors are therefore encouraged to download the report each week from the NHS BSA website to ensure that their pharmacy continues to meet the four gateway criteria.

Any changes made after each Friday will not be shown until the following week’s update. For example, if a pharmacy’s NHS website profile is updated on Monday 14th January 2019, it will not show on the gateway criteria report on the NHS BSA website until the new report is published on Friday 18th January 2019.

Further information on the gateway criteria report and how contractors will be notified if they meet the fifth gateway criterion (Warranted Environment Specification (WES)) can be found in PSNC’s original news story on the gateway criteria report.

Categories: National News

Quality Payments: Have you started your NSAID audit?

PSNC News - 11 January 2019 - 8:30am

Community pharmacy contractors who are planning to meet the non-steroidal anti-inflammatory drug (NSAID) audit quality criterion of the Quality Payments Scheme only have five weeks left to complete and submit their audit data to NHS England; contractors are therefore encouraged to start the audit as soon as possible, in case they are unable to find the minimum number of patients required for the audit during the two week data collection period and need to extend this period to four weeks.

Data must be collected for two weeks with a minimum of ten patients participating in the audit. All patients aged 65 years or over who present a prescription for any oral NSAID or COX2 selective inhibitor (this does not include patients prescribed aspirin) should be included in the audit. In cases where there is difficulty in finding ten patients to participate, the audit should be extended to four weeks after which contractors can submit the data with the number of patients they have if less than ten. Data must be submitted by the February review point (15th February 2019) in order to meet the NSAID audit quality criterion.

More information, including the audit paperwork and information on how to submit your audit data, can be found on the PSNC website.

Frequently asked question

Q. I am unable to identify any suitable patients for the NSAID audit despite extending the data collection period to four weeks. Will I still be able to claim for this quality criterion?
Where a contractor is unable to complete the NSAID audit due to the fact that they have not identified any eligible patients during the audit period the contractor should send an email to the NHS BSA Provider Assurance Team at: nhsbsa.pharmacysupport@nhs.net with the following details:

The subject of the email should state “QPS NSAID AUDIT Nil return for [F code]”

The main body of the email should contain:

  • Pharmacy F code
  • Pharmacy name
  • Pharmacy address
  • Start date of the audit
  • End date of the audit
  • The following text should be included in the body of the email:

“I declare that this pharmacy has undertaken the audit of non-steroidal anti-inflammatory drugs and gastro-protection for patients aged 65 or over during the period stated above but no suitable patients have been identified. I am therefore unable to complete the on-line audit tool.

I acknowledge that NHS BSA may carry out checks on behalf of NHS England to determine if any patients over 65 have received dispensed NSAID items from the pharmacy during the period advised”

  • Name of person making declaration and their role in the pharmacy

Categories: National News

Clinical governance deadlines fast approaching – actions required by 31 March 2019

PSNC News - 10 January 2019 - 5:08pm

The end of the financial year (31 March) is approaching and community pharmacy contractors are reminded of four key deadlines relating to the clinical governance aspects of their terms of service.

The clinical governance requirements of the Community Pharmacy Contractual Framework (CPCF) cover a range of quality related issues and are set out in Schedule 4 of the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013.  Adherence with the clinical governance requirements is thus a part of the terms of service.

PSNC urges contractors to ensure that they have completed, or are working towards completing, the clinical governance requirements highlighted below to meet the end of year deadline.

Summary of actions to be completed by 31 March 2019

Topic Requirements By when? Data Security and Protection (formerly IG) Toolkit

To complete and submit an annual Data Security and Protection Toolkit.*

*Note that PSNC has published new guidance to support submission of the new Toolkit. 31 March 2019 Community Pharmacy Patient Questionnaire (CPPQ) To conduct an annual CPPQ and publish the results. 31 March 2019 Clinical audit

To conduct two audits each year: one on a topic of your choice* and one nationally determined by NHS England.

*Please note, the non-steroidal anti-inflammatory drug (NSAID) audit for the Quality Payments Scheme cannot be used as the pharmacy own audit.

Pharmacy own audit deadline: 31 March 2019

National audit deadline: Midnight on 30 December 2018

A fourth clinical governance requirement, whilst not due by 31 March, should be completed shortly afterwards and as such it is best to begin work towards achieving this alongside the requirements listed above.

Complaints report To prepare an annual report each year and send a copy to the local NHS England team. As soon as practicable after 31 March 2019

To help support contractors in meeting the above requirements, PSNC’s Regulations and Support Team has also produced a quick reference guide identifying the actions to be completed by 31 March 2019, as well as details of ongoing clinical governance requirements.

PSNC Briefing 004/19: Upcoming clinical governance deadlines – actions to be completed by 31 March 2019

Categories: National News

MHRA Drug Safety Update January 2019

PSNC News - 10 January 2019 - 3:20pm

Date issued 9th January 2019

A new Medicines and Healthcare products Regulatory Agency (MHRA) Drug Safety Update (Vol 12 Issue 6 January 2019:1) has been published and includes articles on:

  • Tapentadol (Palexia): risk of seizures and reports of serotonin syndrome when co-administered with other medicines.
  • Ipilimumab (Yervoy): reports of cytomegalovirus (CMV) gastrointestinal infection or reactivation
  • Yellow Card App: download the updated App to receive the latest MHRA safety news and report suspected side effects, including in pregnancy
  • Letters and drug alerts sent to healthcare professionals in December 2018
  • Medical Device Alerts issued in December 2018

To see the latest MHRA Drug Safety Update in full, visit the GOV.uk website.

 

Categories: National News

Upcoming clinical governance deadlines – actions to be completed by 31 March 2019

PSNC News - 10 January 2019 - 2:36pm

PSNC’s Regulations and Support Team is often asked questions about key actions and submission deadlines for the clinical governance aspects of the terms of service. This briefing is a quick reference guide identifying the actions to be completed by 31 March 2019 (Section A). The briefing also includes details of ongoing clinical governance requirements (Section B).

PSNC Briefing 004/19: Upcoming clinical governance deadlines – actions to be completed by 31 March 2019

If you have any queries on this PSNC Briefing or you require more information, please contact William Goh, Regulations Officer.

To browse other PSNC briefings on Contract and IT, click here.

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Categories: National News

Dispensing & Supply monthly update (December 2018)

PSNC News - 10 January 2019 - 2:07pm

This briefing is part of a series issued regularly by PSNC to inform pharmacy contractors and pharmacy teams on monthly Drug Tariff changes, commonly asked questions and articles regarding dispensing and supply.

This briefing can also be found in the Dispensing & Supply section of December’s CPN.

PSNC Briefing 003/19: Dispensing & Supply monthly update (December 2018)

If you have any queries on this PSNC Briefing or you require more information, please contact the Dispensing & Supply Team.

To browse other PSNC briefings on dispensing and supply click here.

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Categories: National News

Flu vaccinations for people with learning disabilities

PSNC News - 10 January 2019 - 10:27am

The PSNC Services Team has received a number of queries in relation to identifying people with learning disabilities and their eligibility for an NHS flu vaccination. People with learning disabilities are eligible to receive a flu vaccination under the Community Pharmacy Flu Vaccination Advanced Service, as learning disabilities are categorised as a neurological condition.

A person with learning disabilities will have:

  • a significantly reduced ability to understand new or complex information and to learn new skills (impaired intelligence);
  • a reduced ability to cope independently (impaired social functioning);
  • which started before adulthood, with a lasting effect on development.

This does not include conditions like dyslexia, which cause a specific difficulty with one type of skill but not a wider intellectual impairment.

There are about a million people with learning disabilities in England. Despite being an eligible group since 2015, there has not been an appreciable rise in the number of people with learning disabilities receiving NHS flu vaccinations.

People with learning disabilities are less likely to get flu if the people around them are also vaccinated; carers and care workers are eligible to receive a free flu vaccination under the NHS Flu Vaccination Service.

Suggested actions to improve uptake

  • Ensure you continue to talk to people in general about getting a flu jab so people with learning disabilities are aware that they can get an NHS flu vaccination from the pharmacy.
  • Let carers of people with a learning disability know that they are also entitled to an NHS flu vaccination to protect the person they are caring for.
  • Ensure the eligibility criteria you have displayed (on your website or in store) for the NHS Flu Vaccination Service or any patient materials include learning disabilities as an eligible group.
  • Consider the information you display in your pharmacy to promote the NHS Flu Vaccination Service to this eligible group of patients – can it be easily read and understood by all your patients?
  • Consider undertaking some learning to enhance your understanding around people with learning disabilities; the Centre for Pharmacy Postgraduate Education (CPPE) has a distance learning course – please see below.
  • If a person has a learning disability, annotate their PMR to indicate their eligibility for an NHS flu vaccine so you can talk to them about being vaccinated again when the service commences again in September.

Related resources

Categories: National News

CPPE publishes winter edition of CSfPP newsletter

PSNC News - 9 January 2019 - 12:23pm

The Centre for Pharmacy Postgraduate Education (CPPE) has published the winter edition of the Consultation Skills for Pharmacy Practice (CSfPP) newsletter.

In the ‘What’s new?’ section of the newsletter it is highlighted that the CSfPP e-assessment has been updated to allow learners who have previously passed to re-attempt the assessment. This will give them the opportunity to re-visit and reflect on their skills and behaviours.

In the coming months, CPPE is looking to expand the consultation skills portfolio with updated resources including videos of group discussions between healthcare professionals and patients on person-centred approaches. Additionally, CPPE is also developing learning resources relating to telephone consultations to ensure a patient-centred approach is maintained when not consulting face-to-face.

Pharmacy professionals are reminded that when completing a Declaration of Competence (DoC) for a specific service, such as completion of the Vaccinations DoC to enable pharmacists to provide the Flu Vaccination Advanced Service, they are declaring that they are actively working towards the CSfPP standards. It is expected that they will have accessed the CSfPP standards and associated learning to meet this requirement and that the e-assessment is completed within 12 months of signing the service’s DoC statement.

The newsletter is published every quarter; to subscribe, visit the CSfPP website.

Categories: National News
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