Community Pharmacy PDF

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This is a summary lecture note on Community Pharmacy. Explains and Gives details about the operation of community pharmacies in the UK and their roles/responsibilities to maintain their standards according to the GPhC criteria....

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PHARMACY PRACTICE - COMMUNITY PHARMACY Community Pharmacy Is consequently a socially inclusive healthcare service providing a convenient and less formal environment for those who cannot easily access or do not choose to access other kinds of health service. Most pharmacies now have a private consultation area specifically for confidential or sensitive discussions.

Community Pharmacy in the UK Over 11,700 pharmacies in England situated in high-street locations, in supermarkets, in residential neighbourhoods and General Practice (GP) surgeries. * Independents (1-5 pharmacies) to 38% * Multiples (6+ pharmacies) to 62%

What percentage of people have access to a community pharmacy within a 20 minute walk? Answer: 89%

What percentage of areas are of highest deprivation within a 20 minute walk of a community pharmacy? Answer: Over 99%

How do community pharmacies operate? Like GPs, Community Pharmacies are part of the NHS family. Traditional role of the community pharmacist as the healthcare professional who dispenses prescriptions written by doctors has changed. In recent years community pharmacists have been developing clinical services in addition to the traditional dispensing role to allow better integration and team working with the rest of the NHS.

What are the required details Community Pharmacies must meet in the UK? Must meet: 1) GPhC Standards for Registered Pharmacies (June 2018) 2) The NHS Community Pharmacy Contractual Framework (CPCF)

Community Pharmacy Contractual Framework (CPCF) 1) Essential Services (offered by all pharmacies). 2) Advanced Services (optional). 3) Locally commissioned Services (dependent upon the commissioner)

Essential Services Includes; 1) Dispensing Medicines 2) Electronic/Repeat dispensing 3) Unwanted medicines 4) Public health 5) Signposting 6) Self care 7) Clinical governance 8) Dispensing Appliances 9) Discharge Medicines Service (New-Jan 2021) 10) Healthy Living Pharmacy (New- Jan 2021)

Healthy Living Pharmacy * Developed by Portsmouth NHS Primary Care Trust in 2009. *The Healthy Living Pharmacy (HLP) framework is aimed at achieving consistent provision of a broad range of health promotion interventions through community pharmacies to meet local needs, improving the health and wellbeing of the local population and helping to reduce health inequalities. *For the February 2019 Quality Payments Scheme, 9,535 pharmacies in England declared that they were an HLP Level 1. *From 1st January 2021 all community pharmacy contractors must be compliant with HLP Level 1. (Essential Service)

Advanced Services Includes; 1) Appliance Use Review (AUR) 2) Community Pharmacist Consultation Service (CPCS) (New Oct 2019) 3) Flu Vaccination Service 4) Hepatitis C Testing Service (New Sept 2020) 5) Medicines Use Review (MUR) (Decommission end of the 2020/21 financial year) 6) New Medicines Service (NMS) 7) Stoma Appliance Customisation (SAC)

Locally Commissioned Services Some Examples of Services commissioned by; 1) Anticoagulant Monitoring Service 2) Care Home Service 3) Disease Specific Medicines Management Service 4) Gluten Free Food Supply Service 5) Independent Prescribing Service 6) Health checks 7) Home Delivery Service

Quality Payment 1) Forms part of the Community Pharmacy Contractual Framework (CPCF) 2) Introduced from 1st Dec 2016, to recognise and reward quality within the Community Pharmacy Contractual Framework. 3) A Voluntary scheme available to all community pharmacy contractors in England.

Role of a Community Pharmacist 1) They lead by example and upholding standards: The standards for pharmacy professionals describe how safe and effective care is delivered through ‘person-centred’ professionalism. a) GPhC Standards for Registered Pharmacies (June 2018). b) The NHS Community Pharmacy Contractual Framework (CPCF) AND: c) GPhC Standards for Pharmacy Professionals (May 2017)

Roles available to work in a Community Pharmacy: 1) Store Manager 2) Registered Pharmacy Technician 3) Accuracy Checking Pharmacy Technicians (ACPT) 4) Dispenser or Pharmacy Advisor 5) Healthcare Advisor 6) Sales Assistant/ Customer Advisors

Store Manager 1) Can be a pharmacist or non-pharmacist 2) Overall accountable and responsible for both pharmacy and retail business. 3) Usually reports to the owner or an Area Manager (can be non-pharmacist). 4) Experienced in managing and leading a team. 5) Works in partnership to support pharmacists to deliver safe and effective care to patients. 6) Can support the healthcare counter or dispensary if in training or have completed necessary GPhC approved training.

Registered Pharmacy Technician 1) Registered pharmacy professional and governed by the same GPhC standards as pharmacist. 2) Yearly declaration for fitness to practice and Revalidation (same as pharmacists). 3) Have completed NVQ3 (24-30 months) funded by their employer (training providers: NPA, Buttercups; cost: £3500). 4) Responsible for supporting pharmacists with day to day running of pharmacy to ensure patients receive safe and effective care as well, act as a tutor for those on NVQ2 course. 5) Can do additional tasks allocated by pharmacists such as receiving Controlled Drugs (CDs). Must be trained and assessed competent to do so.

Accuracy Checking Pharmacy Technicians (ACPT) 1) Same as registered pharmacy technicians but have completed an extra training course (3 months-1 year) to be able to Accuracy Check prescriptions. 2) Training provider: internal and external (Eg: Boots ACPT programme, NPA, Buttercups ACPT programme, £150-200) 3) Support pharmacists with Accuracy Checking of prescriptions. 4) Highly respected as 'senior member' of the team.

Dispenser or Pharmacy Advisor 1) Have completed NVQ2 training (1 year). 2) Support pharmacists and registered pharmacy technicians with day to day running of pharmacies to ensure patients receive safe and effective care. 3) Can work across healthcare counter and dispensary

Healthcare Advisor 1) Have completed 'Healthcare Advisor Programme' or 'Medicines Counter Assistant'. (6 months to 1 year). 2) Support pharmacists with healthcare counter sales of medicines (Over the counter) and only a few selected trained tasks in the dispensary. For example: taking in prescriptions or handing out prescriptions. They must be trained and assessed competent by the pharmacist to do so and compliant to the Standard Operating Procedure (SOP).

Sales Assistant/ Customer Advisors 1) Exist mainly in larger community pharmacies. 2) Allowed to work on 'front tills' but not at the healthcare counter/OTC counter as they have not been enrolled or completed the appropriate training. 3) Mainly support Store Manager/ Assistant manager with the safe and effective running of the retail side of the business.

Some roles of the GPhC are: 1) To protect the public and give them assurance that they will receive safe and effective care when using pharmacy services. 2) Monitor compliance and quality standards for pharmacy premises and pharmacy professionals. 3) Visits pharmacies generally unannounced where possible outcomes such as; excellent practice, good practice, standards met, standards not all met are given. Inspection reports are now in public domain and If the public is put at risk, can temporarily close the pharmacy with a remedial action plan in place.

Some roles of the NHS Local Authority - Community Pharmacy Assurance Framework (CPAF): 1) Monitor compliance and quality for CPCF. 2) Visit the community pharmacy where outcomes are given. Such Outcomes are: Stage 1 - informal resolution Stage 2 - local dispute resolution Stage 3 - Remedial and breach notices. Stage 4 - Removal from the pharmaceutical list....