Pharmaceutical Care Services Contract

Dorothy FindlayPharmacistNHS Lanarkshire – Primary Care

April 2012

New Pharmaceutical Care Services Contract

•Minor Ailment Service (e-MAS) July 06

•Public Health Service (PHS)July 07

•Additional PH ServicesAug/Dec 08

•Acute Medication Service (e-AMS) ongoing

•Chronic Medication Service (e-CMS) May 10

Minor Ailments Service

Service is for patients who

Are registered with a GP in Scotland

Did not previously pay for prescriptions

Do not live in a nursing home or residential care home

Minor Ailments Service

Patients registers with pharmacy Patient presents at pharmacy Pharmacist offers

•NHS Prescription & advice•Advice only•Referral to other practitioner

Patient counselled

MAS Statistics

• NHS Lanarkshire 100,315 Registrations /month

• 17,835 Rxs per month• Some will be new NHS activity• Some will be activity redirected from GP

surgery

e-Minor Ailments Service• Main indications by BNF Chapter

• Allergies• Cold Sores• Coughs• Analgesics• Dermatology

– Average cost £2.06– Total cost £478,548

(0.39%)

Some Changes to MAS

• NRT – not prescribable VIA THIS SERVICE since 01/07/07

• “Chronic” Minor Ailment prescribing»e.g. Hay Fever»Allowed ( professional

discretion)

Public Health Service

• Health improvement– 4 x 6/52 campaigns each year– Agreed between CPS and SGHD

»Bowel Screening»Seasonal Flu»NHS24 Be Ready for Winter»Stroke Awareness

New PH Services

• Smoking cessation Aug 08

• Emergency contraception Dec 08

• Chlamydia Dec 08

• Training provided for all pharmacists

Smoking Cessation

• Minimum dataset completion• CO meters• Smoking cessation facilitators –

additional training – close liaison• Successes very valuable

Sexual Health Services

• Emergency contraception & Chlamydia testing and treatment Dec 08

• EHC- 76,635 items Scotland• (Apr 10- Mar 11)

• Chlamydia testing kits supplied from pharmacies & patient posts back to labs. Labs contact patient with result

Acute Medication Service

• GP produces bar-coded Rx (hard copy)• E-message also sent to e-store• Patients presents Rx in pharmacy • Pharmacy scans bar code which

downloads e-message• Rx dispensed• Pharmacist confirms dispensing – e-

message sent to PSD• No change in clinical practice• More efficient ( in time)• More data & quicker data about

Rx/dispensing processes

Chronic Medication ServiceLong Term Conditions

GP authorisation Patient registers with pharmacy Patient will have an electronic

pharmacy based PMR & care plan Structured discussion with patient re

compliance, how best to take meds, ADRs etc

e-communication with GP practice Serial prescribing/dispensing 3 way partnership

Guess how much?

Total Cost ~ £1,400

£5

£36

£41

£59

£31