Your LPCDon’t get caught out!The example prescription below from the UrgentCare Services (UCS) is invalid, will not beprocessed by NHSBSA and contractorsdispensing similar scripts may not be paid.

The prescription should state “Dorset/SomersetUCS”. Any forms showing “East Clinical Hub”should not be dispensed and UCS contacted.Point of contact is Patricia Hyde,Admin Manager on 01202 851332

Fraudulent prescriptions can earnyou money!Although impossible tofind in the online DrugTariff, NHS Protect haveconfirmed that there isstill a £70 reward if youreport a forged prescrip-tion to them by phone0181 2046300. Althoughnot widely publicised, possibly because it takessuch a long time to fill in the form, it is good toreceive recognition for the job we do in pharmacyprotecting both patients and the NHS coffers.Details of the claim form can be downloadedhere.

from meetings attended by Dorset LPC

Laura Everett completed the programme of informalvisits to all pharmacies to discuss Public Health com-missioned services. Public Health Dorset have agreedto re-circulate the information collected to individualpharmacies in order to allow contractors to commenton and verify the information collected before it is con-sidered for inclusion in the Pharmaceutical NeedsAssessment (PNA).

Dorset LPC are working with Public Health Dorset onthe PNA which has to be published by 1st April 2015.All contractors will have the chance to comment onthe document during formal consultation in 2014before publication.

The CCG has concerns over falls that can lead toemergency admissions to care homes. This is anopportunity to promote MURs to look out for drugs thatmay result in falls in the elderly.

Dementia is an increasing concern nationally. Phar-macists and their teams can become a DementiaFriends and join the network of dementia friendlycommunities. CPPE are running events leading up toDementia Awareness week May 19th - 25th inWimborne (May 8th) and Dorchester (May 14th).

20 people died as a result of drug misuse in Dorset in2012/2013. Advice on safer injecting and signpostingby pharmacies can help decrease this number e.g.directing needle exchange clients to local services andmaking sure that those in treatment, on methadone orbuprenorphine, are aware of how to reduce harm.

Pharmacy contributions to harm reduction by super-vising consumption and needle exchange services isseen as valuable by commissioners.

The Ambulance Service Foundation Trust is workingwith the LPC to develop pharmacy services to improvethe provision of emergency medicines to patientswhen GP surgeries are closed.

Issue 1 April 2014

The newsletter of Dorset Local Pharmaceutical Committee

Dorset LPC represents and supports Dorset Pharmacy Contractors to maximise and promote their professional services for a fair return.

Healthwatch is the new consumer championfor health and social care. Dorset LPC askedLouise Bate, Community Engagement & Out-reach Officer, Healthwatch Dorset, what it is allabout and what it does:

Louise told us,‘We can provide information about health andcare services in Dorset to help you navigate thesystem.

‘We also want you to tell us what's going on inhealth and care services where you live. Wewant to hear the good and the bad. We will tellservices about patients’ experiences of healthand care and hold them to account. We're inde-pendent, transparent and accountable and we'repowerful - we have the strength of the law andthe national influence of Healthwatch Englandbehind us.Currently we are working on a number of projectsincluding:

·   Recruiting Healthwatch Dorset Championvolunteers – if you’d like to help us pro-mote Healthwatch please get in touch

·   Producing a dementia awareness videowith Bournemouth University and the NHS

·   Working with students at local colleges togather young peoples’ feedback on health& care services

·   Creating a health & care forum of volun­tary sector colleagues across Dorset

·   Planning a series of themed listeningevents for 2014 to gather feedback frompeople across Dorset

To find out more please have a look on ourwebsite www.healthwatchdorset.co.uk, facebook&/or twitter or give us a ring on 0300 111 0102.You can also write to us free at: HealthwatchDorset, Freepost BH1902,896 Christchurch Road, Bournemouth BH7 6BR

Could you be a dementia friend?We all know that Dementia is an increasing con-cern nationally. How can we support our localcommunities? Pharmacists and their teams canbecome Dementia Friends and join the networkof dementia friendly communities. The DorsetHealth and Wellbeing Board and Health ScrutinyCommittee meeting both have dementia on theiragenda. In an ageing society, dementia is some-

thing that will inevitably affectyou or you patients in the future- if it hasn’t done so already.CPPE are running two work-shops on dementia in Maywhich include dementia friendstraining. The purpose of the de-

mentia friends training is to help people to livebetter with dementia, either as a carer or patient.Dementia awareness week begins May 19th bookyour CPPE training now and explore the role ofthe pharmacy team in supporting people with de-mentia and their carers. Acquire a better under-standing of the different types of dementia, theholistic approach to management, pharmacologi-cal and non-pharmacological interventions, life-style measures and signposting to appropriatesupport.

CPPE events run from 7.30 to 9.30pm with abuffet from 7pm.Wimborne Community Learning & ResourceCentre, King Street, Wimborne. 8th MayThe Dorford Centre, Dorchester. 14th May

On this page:

What healthwatch is all aboutBecome a dementia friendly pharmacy(and get a badge to prove it!)

SmokeStopBringing in new clients

�Advertise your service – onpractice leaflets, use quotesfrom satisfied clients, infor-mation screens highlighting the availability of theservice.

�Speak to customers purchasing NRT in thepharmacy – train your staff to engage with themto access the free service with a strong messagesaying ‘you are four times more likely to quit withsupport’.

�Within a Pharmacy setting, enrol all of yourstaff to complete the NCSCT level 2 training. UseSmokefree branding campaign (shelf wobblers,floor and window stickers, pharmacy paper bags– advertising the free service).

�Order booklets and leaflets from the smokefree website. Use A boards outside the pharmacyto advertise your stop smoking service and con-sider street outreach through the Stop SmokingServices or pharmacy staff can do outreach.

�Liaise with those GP surgeries that are notoffering the service and suggest leavingpharmacy leaflets.

�Man stalls at community health days, fairs, andlibrary. Get involved in the future No Smokingday / STOPTOBER campaigns! Make it a funexercise for the whole pharmacy team.

�Local businesses – HR: Inform them that youoffer a stop smoking service and invite their staffto your Pharmacy for a quit attempt.

Client Retention

�Session 1 – Most important to establish if aclient is serious. Build that relationship, non-judg-mental, spending time with them is the key tosuccess!

�Ensure that they have no planned holidays andinform them that it is imperative to attend eachsession for a successful quit.

�Ensure full duration of treatment programme(i.e. 12 weeks) is followed. Base treatment onclient needs, a step down approach is recom-mended e.g. Invisi patch 25mg for 8 weeks fol-lowed by Invisi patch 15mg for 2 weeks thenInvisi patch 10mg for 2 weeks.

�Combination therapy from start is recommend-ed by NICE and ASH. i.e.. A high strength patchplus a fast flexible format .

�Contact client prior to their appointment with agentle reminder – (Via email, text message ortelephone) – NRT labelling can help with reten-tion.

�Give the clienta choice of alltherapies. NRT,Champix, Zyban.

�Use props toreinforce thehealth

message: e.g.Tar jar, Lung diseaseposters. These can be purchased fromthe GASP website.

OTC supply of NicotineReplacement Therapy

Labelling�Good practice improves adherence, compli-ance and retention – (You can type on the label:Your next appointment is on: DD/MM/YY)

On this page:

SmokeStop best practice advice

On this page:SmokeStop best practice adviceSubmission of prescriptionsGPhC/IPF webinarNational Patient Safety Alerting systemPrescriptions for Tamiflu and Relenza.

�When labelling, add the NRT supply to thePatients Medication Record (PMR).

�It is useful to establish any interactions withcurrent medication or future medication pre-scribed: e.g. Diabetic medications, Theophyllineetc. This minimises advisorto patient information error,improves patient safetyand ensures that the re-sponsible pharmacist iscomfortable with thesupply.

Give your pharmacy StopSmoking service a moreprofessional image.

Submission of prescriptionsIssue 14 of NHS Prescription Services' quarterlynewsletter for dispensing contractors containssome really useful information and advice

regarding the sub-mission of pre-scriptions forpayment.All editions ofthe Hints & Tipsnewsletter, whichis produced everyquarter can befound

at www.nhsbsa.nhs.uk/3191.aspx

GPhC/IPF webinarAre you ready for the new inspection process?The webinar is now available for thosecontractors who were not able to listen to theseminar on 29th January. Go to the IPF's homehomepage on www.theipf.co.uk and click on thegreen (McNeil) banner at the top. You can then

access the webinar (even if you are not an IPFmember and did not listen to the webinar on theday or register beforehand …).

New National Patient SafetyAlerting system launchedNHS England has launched a new  NationalPatient Safety Alerting System (NPSAS), which itwill use to ensure warnings of potential risks tothe safety of patients can be swiftly developedand disseminated to every corner of the NHS.The system takes a three-stage alertingapproach based on those used in other high-riskindustries, such as aviation. Also, providers ofNHS care will be made more accountable forfulfilling the requirements of an alert through themonthly publishing of data on the NHS Englandwebsite that will name any trust who fails todeclare they have complied with any of the threestages of alert within the set time-frames. Notethat this does not replace the National Reportingand Learning System (NRLS) which contractorsmust use to report errors in accord with thepharmacy contract. For further information aboutthe new three-stage system, visit the NHSEngland website and search for NPSAS.

Prescriptions for Tamiflu and Relenza.

GPs may now prescribe antiviral medicines forthe treatment of influenza on the NHS.Community pharmacists are reminded that FP10prescriptions for oseltamivir (Tamiflu) andzanamivir (Relenza) must be endorsed with theletters “SLS” before they can be dispensed. If thisendorsement is missing, the prescription must bereturned to the prescriber for amendment prior todispensing. Pharmacy staff must not make theSLS endorsement themselves.

On this page:

NHS Health ChecksMore News in Brief

NHS Health Checks:-In our survey of contractors we asked threequestions about the provision of NHS healthchecks. This was to determine how manycontractors were providing the service and thepotential for expansion in order to meet thedemands placed on Public Health Dorset to pro-vide health checks to the entire population ofDorset aged between 40 and 70 years over aperiod of five years. This requires a commitmentfrom providers to process a much larger volumeof clients than before.

Q1. Currently just 25% of contractors were pro-viding NHS health checks, 75% were not.

Q2 - However, 79% of contractors would beinterested in providing the service.

Q3 - 77% of contractors providing the servicecurrently were aware of the changes in theservice specification from 1st November 2013

and the current focus on delivery. The fact that79% of contractors are ready to provide thisservice is excellent news for commissioners andpharmacy.If your pharmacy would like to provide HealthChecks, contact Michelle Homer at Public HealthDorset to get a copy of the service specification,complete the training, sign up to provide theservice and start promoting the service in yourlocality.

from meetings attended by Dorset LPC

Dorset DAAT Treatment Planning & Implementa-tion Group MeetingA reduction in the number of opiate and cocaineusers in treatment has been offset by an increase innumbers of ‘legal highs’. Unfortunately these usersonly contact the agencies when a crisis occurs andtend not to continue in treatment when the crisis haspassed.

Pan Dorset DAAT Harm Reduction Steering GroupmeetingAlcohol misuse is common and up to 50% of pregnantwomen have been found to beconsuming excessive units of alcohol. A CPPEAlcohol brief advice and interventions workshop willrun on July 3rd at Merley House. There is not acommissioned service at present, but the problem ofalcohol misuse is increasing in all ages and this ispotentially an area where pharmacy can help publichealth.

LPC meeting 13th March 2014The prescribing of antibiotics in Dorset is high whencompared to the national average.A “Target toolkit” has been developed by the RCGP,with the aim of becoming a central resource forclinicians (including pharmacists) to promote safe,effective, appropriate and responsible antibioticprescribing.http://www.rcgp.org.uk/targetantibiotics/

CPPE training events near Dorset for 2014

Asthma - focal point event, The Dorford Centre, Dorchester, 30th April, 7.30pmDementia friends & focal point - Wimborne CLaRC, Wimborne, 8th May, 7.30pm,Dementia friends & focal point - Dorford Centre, Dorchester, 14th May, 7.30pmConsultation skills workshop, Wimborne CLaRC, Wimborne, 5th June, 7.30pm,Alcohol interventions & brief advice - Public Health, Merley House, 3rd July, 7.30pmAdvanced inhaler training, The Dorford Centre, Dorchester, 16th July, 7.30pm

Current membership of Dorset Local Pharmaceutical Committee:

Claire Rossiter Chair CCAFiona Arnold Vice Chair CCAChris Higgs Treasurer IndependentAmanda Moores Chief OfficerSteve Costello IndependentBridget Fonteneau AIMPMandy West CCAGarwyn Morris CCAPerveen Bhardwaj CCAJanette Best CCARobin Mitchell Independent

The LPC manager is Jo Browning. Jo is the point of contact for contractors and commissioners and helps uswith our research and development of new pharmacy services in Dorset which will improve access for patientsand offer choice in healthcare provision.Jo works from her home office and can be contacted by email at: jo.browning@dorsetlpc.org.uk or byTel and Fax: 01202 579349 or Mobile: 07751 800320