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PSNC Video Message from CEO Simon Dukes

PSNC Chief Executive Simon Dukes has recorded a new video message for community pharmacy contractors and their teams. In the video Simon reflects on the extraordinary year just passed and looks to the challenges ahead, noting in particular the stoicism and commitment of community pharmacy teams and calling for an end to the slow responses...

1 day ago

January 2021 Price Concessions 1st Update

The Department of Health and Social Care (DHSC) has today granted the following initial list of price concessions: Drug Pack Size Price Concession Ciprofloxacin 500mg tablets 10 £3.85 Duloxetine 20mg gastro-resistant capsules 28 £8.68 Duloxetine 30mg gastro-resistant capsules 28 £2.39 Duloxetine 60mg gastro-resistant capsules 28 £3.99 Enalapril 10mg tablets 28 £6.10 Enalapril 20mg tablets 28...

1 day ago

Discharge Medicines Service Toolkit published

NHS England and NHS Improvement (NHSE&I) have today (15th January 2021), published the NHS Discharge Medicines Service (DMS) Toolkit for Pharmacy Staff in Community, Primary and Secondary Care. The toolkit aims to assist and support cross sector implementation of the DMS as an Essential service in all NHS community pharmacies in England. It sets out...

1 day ago

Community Pharmacy West Yorkshire Support through COVID-19

West Yorkshire contractors, please be aware COVID-19 updates are sent to your shared NHSmail address. Please note the contents and share with your team!  Sign up to our mailing list here.  

 

PSNC is the key point of information for pharmacy teams for COVID-19 guidance and information.  Please use the PSNC COVID-19 page that collates current information and resources for community pharmacy in one place.  Please ensure that you have signed up to receive news and updates from PSNC, follow this link to sign up: https://psnc.org.uk/latest-news/email-sign-up/.   

 

Community Pharmacy West Yorkshire's dedicated COVID-19 email (covid-19@cpwy.org) is for contractors to flag any concerns, issues or to request advice or assistance on COVID-19 matters! 

 

CPWY Tribute and Thanks to West Yorkshire Community Pharmacy Teams

Community pharmacies in West Yorkshire have been working tirelessly throughout the COVID-19 pandemic to ensure patients and the public can continue to access their medicines. Community Pharmacy West Yorkshire has created this tribute and thank you for all community pharmacy teams. You are all amazing! Thank you.

The tribute can be found here: https://youtu.be/hfGXer4JAX4.

 

This webpage will not duplicate information on the PSNC website but will share local information / cover topics not available on the PSNC website.  Click on the links below for further information on: 

COVID-19 Services Updates - information regarding Advanced and Locally Commissioned Services.

CD Destruction Process During COVID-19 Pandemic

Help Fight COVID-19 by Signposting Patients to Clinical Studies 

Hot Sites for COVID-19 Patients 

Increasing the Use of Electronic Repeat Dispensing (eRD)

MCA / MDS / Dosette

NHS Digital and EPS

Ordering Medicines Poster

Over Ordering Repeat Prescriptions

Safe Use of Consultation Rooms

Security Advice for Pharmacies During COVID-19

Sexual Health Services and COVID-19 Changes

‘Sick Day Rules’ for Frail Patients Who are Unwell with COVID-19 or Other Illnesses

Signposting Information

Stay Safe in Your Pharmacy Campaign - August 2020

Supervision Protocols and Updates for West Yorkshire

Testing for Community Pharmacy Staff

Translated Posters for Community Pharmacies

Vaccination

Wellbeing

 

The COVID-19 situation is rapidly changing and evolving.  Community Pharmacy West Yorkshire know that you are seeing high numbers of patients and an increasing demand for advice, OTC medicines and prescriptions. 

Thank you for stepping up to help patients and supporting the increased demands due to COVID-19.

Keeping up-to-date with the latest information and guidance will be essential during this rapidly changing situation.  Other key resources can be accessed on the Government website here.  Please ensure you're checking your NHSmail shared mailbox on a regular basis for updates from NHSE&I. 

 

COVID-19 Services Updates

In response to the COVID-19 pandemic it is likely that we will see a number of changes to services as we work with commissioners to try to adapt to the rapidly changing situation. We will endeavour to keep you up to date with any important service updates during this period. 

We are acutely aware of the pressures currently being felt by our pharmacy teams during this time and thus we have contacted all commissioners of our local services to advise that service provision may be impacted as pharmacy teams rightly focus on medicines supply – please see here. It is still important however that pharmacies do communicate any service provision difficulties to commissioners as soon as possible and that patients are signposted accordingly so that they can access them when they are needed. If you are experiencing any difficulties please let us know by emailing us at covid-19@cpwy.org

Please see below our COVID-19 Services Updates, which include information on changes and updates to both Advanced and Locally Commissioned Services.  Make sure you're signed up to our mailing list here to receive regular updates. 

COVID-19 Services Update - 14th August 2020

COVID-19 Services Update - 20th July 2020

COVID-19 Services Update - 22nd June 2020

COVID-19 Services Update - 13th May 2020

COVID-19 Services Update - 7th April 2020 

 

CD Destruction Process During COVID-19 Pandemic

Information on the process of destruction of Controlled Drugs (CDs) during the COVID-19 pandemic can be found on our website here: http://www.cpwy.org/pharmacy-contracts-services/essential-services/controlled-drugs.shtml#COVID19.

 

Help Fight COVID-19 by Signposting Patients to Clinical Studies 

Community pharmacists and their teams are being encouraged to support the nation’s fight against COVID-19 by signposting patients with suspected or confirmed COVID-19 infection to the PRINCIPLE trial. Community pharmacy teams are in a privileged position to have frequent contact with those in our communities and can use this to help raise awareness of the PRINCIPLE trial.  We need to ensure that those from BAME communities and those from deprived areas are represented within clinical trials and given the diverse population in West Yorkshire, we are in a good position to help improve representation of these groups within the clinical trials. 

How you can help:

  • Signpost eligible patients to the trial website https://www.principletrial.org or calling 0800 138 0800.  NB this can include pharmacy staff and families.
  • Order and display a poster to highlight the potential for people to participate. 

PRINICPLE Patient Recruitment Poster

 

If you are willing to support the trial in this way, PRINCIPLE would be happy to recognise your pharmacy as a “PRINCIPLE Trial Supporting Pharmacy” on their website. You will also receive a certificate from the trial team acknowledging your support.  The PRINCIPLE trial platform is a UK-wide priority trial to find treatments for COVID-19 and the only one based in primary care. It is designed to test a range of treatments in the community. Currently it is evaluating usual care alone versus usual care plus azithromycin; or usual care plus doxycycline. 

The trial is being run by the University of Oxford and is funded by UK Research and Innovation and the Department for Health and Social Care through the National Institute for Health Research.  Eligible patients are people with symptoms of COVID-like-illness who are: 

  • Aged 50 and over and have a comorbidity; or
  • Who are aged 65 and over, with or without comorbidity.

 They can be signposted to https://www.principletrial.org to register for the trial. Further information on how pharmacy teams can support the research can be found here.

 

Hot Sites for COVID-19 Patients

As part of the NHS strategic response to the ongoing COVID-19 pandemic, CCGs and general practices have been asked to put in place local arrangements to enable infected patients to be provided with a face-to-face consultation, while also ensuring appropriate separation of these patients from others, particularly the extremely vulnerable group.  ‘Hot Sites’ are being set up at general practices, out-of-hours hubs or other locations across West Yorkshire.

More informaton on Hot Sites and details of where the surgery Hot Sites are located can be found in the briefing below.

Hot Sites Briefing - 18th August 2020

 

Accessing GP Services During COVID-19 - CCG Information

 

Increasing the Use of Electronic Repeat Dispensing (eRD)

GP practices are being asked to increase the use of eRD in suitable patients as part of the pandemic response, (see here)and it is therefore expected that community pharmacies will start to see a sudden increase in the numbers of patients on eRD.  In support of this initiative, CCGs have developed a number of resources for pharmacy teams and GP practices for use within their respective areas (see below). All GP practices planning to move to eRD should discuss with their local community pharmacies prior to switching.

Bradford & Craven

Electronic Repeat Dispensing - Bradford & Airedale

Wakefield

eRD FAQs and Top Tips for Community Pharmacy

Step by Step SystmOne eRD Guide Wakefield

 

MCA / MDS / Dosette

As part of business continuity planning, pharmacies should consider a review of MCA provision.  Patients can be assessed to determine the level of risk posed to the individual by removing MCA provision (low / medium / high). An Equality Act assessment may also be required to determine any additional support necessary in relation to their long-term disability.

For patients who are low risk, it would be prudent to start removing MCA provision as soon as possible, by moving to supply in original packs, or original pack dispensing plus a MAR chart where appropriate, thus freeing up capacity to enable the pharmacy team to start assessments with patients who are in the medium risk group.

See PSNC resources to help you review your MCA provision to all patients and Care Homes as part of your business continuity plans: https://psnc.org.uk/the-healthcare-landscape/covid19/business-continuity/

Community Pharmacy West Yorkshire has shared the following statement and guidance with the rest of the system.

 

Re – The Emerging COVID-19 Situation & Provision of Multi-Compartment Compliance Aids (MCAs)

You will no doubt be aware of the essential role community pharmacy is playing in supporting the NHS in its response to the COVID-19 pandemic - undoubtedly one of the biggest challenges ever faced by us all.

Pharmacy teams are under intense pressure at the moment, working on the front line of the health service. They may start to lose team members either through infection, self-isolation or parental / caring responsibilities.  As a result, many of our contractors are having to urgently assess business continuity arrangements which I wanted to inform you, WILL undoubtedly include reviewing patients currently using MCAs (MDS or dosette boxes). Contractors may decide to remove this service for some patients instead moving them to original packs. Please refer to further information here and  here published by PSNC.

 

Supply of medicines for all the community remains the first priority for community pharmacy.

All parts of the health and social care system are working incredibly hard to support people and their families.  During these challenging times we need to understand that professionals will need to depart from usual processes, whilst still following legal requirements.  We are all doing our best in difficult circumstances.  We trust that we will have your full support during this incredibly difficult period. 

COVID-19 Contingency - Safe Administration of Medicines: March 2020 

 

CQC statement on MDS during COVID-19: https://www.cqc.org.uk/guidance-providers/adult-social-care/covid-19-medicines-information-adult-social-care-providers

This guidance promotes original pack first line and a section on guidance for changing from MDS to Original Pack.

   

NHS Digital and EPS - Update

NHS Digital's work to support the ongoing COVID-19 pandemic includes work across several EPS-related projects. In the document below, there is some information and key messages for prescribers that Community Pharmacy West Yorkshire has collated and sent out to CCGs and LMCs. You may wish to share this with your local GP practices.

CPWY Update: NHS Digital and EPS

 

Ordering Medicines Poster

This poster can be used to help support messages for patients in ordering their medicines.  Although aimed at keeping medicines ordering as usual during the pandemic the messages are also key as we move towards EU Exit.
 
The poster was created by CPWY with the WY CCGs.  We have asked that the CCGs also use these messages to promote a consistent message about medicines ordering in West Yorkshire.
 

Ordering Your Prescriptions Poster (PDF)

Ordering Your Prescriptions Poster (Word)

  

Over Ordering Repeat Prescriptions

As some people scramble to stockpile medicines and supplies during the COVID-19 pandemic, this is putting unprecedented pressure on pharmacy teams and the supply chain more generally. These resources are not Leeds specific and can be used across West Yorkshire.
 
 
Leeds CCG has produced some resources to help with the messaging to patients about ordering medicines. Leeds branded posters can be accessed here.
 
 
Non-area specific resources can be accessed below. Graphics for social media are also available here.
 
Medicines Supplies - Poster
 
Medicines Supplies - Web Banner 
 
 
This includes a text messages for practices to send to patients:
 
"Stop over ordering repeat prescriptions and requests for advance medicine supplies – please do not over order your repeat prescriptions and order as you would normally do. Do not ask for an increased supply if you don’t need it, only order one month at a time".
 
PSNC has information on Supply of Medicines in their COVID-19 pages here:  https://psnc.org.uk/the-healthcare-landscape/covid19/supply-of-medicines/.  

 

Safe Use of Consultation Rooms

As restrictions relating to COVID-19 are relaxed, many community pharmacies will be considering how services, which may have been paused at the height of the pandemic, can be reintroduced, and how this can be done safely. 

The Community Pharmacy Patient Safety Group (CPPSG) has developed a resource to support pharmacy teams considering how they can minimise risk when using consultations rooms.  It includes feedback from pharmacy teams and takes into account the processes introduced by other healthcare providers. It should be considered alongside other risk assessments that have been undertaken. Click here for CPPSG resource

 

Security Advice for Pharmacies During COVID-19

The National Business Crime Centre, a UK organisation hosted within the Metropolitan Police Service, has published new security advice for pharmacies during COVID-19. This includes advice on security of the premises, opening and closing times, secure storage, customers and deliveries, and ensuring any incidents are reported to the police. This information is available from the RPS but is accessible to all, including non-members.

 

Calls requesting information about stock levels

During the past weeks the police in the UK are aware of telephone calls to pharmacies from persons claiming to be from the police.  Those persons requested information regarding stocks of medicines, storage, security measures and vulnerability.  The police have now established several of the calls made were in fact genuine and had good intent, but a number of others were in fact false. 

Community Pharmacy West Yorkshire is aware that pharmacies are getting increasing numbers of requests for an update on current end of life drug stocks.  Pharmacies are reminded to be extra vigilant of any caller asking them for stock levels, particularly of CDs or drugs liable to misuse: 

  • Satisfy yourself as to the identity of the caller.  Record the telephone number displayed, if not withheld.
  • Ask the person for their full name, where are they based, do they have a landline as well as a mobile.
  • Get them to define the nature of their call.  What exactly do they want to know. Take control and direct the conversation.
  • Be mindful of the caller asking for quantities of stock held, opening times, number of staff, the location of the CD (Controlled Drug) cabinet or even the layout of the premises or even keyholder details.
  • Are they asking about physical security measures, the alarm, CCTV or deliveries from the wholesaler? This should raise your suspicions, or something is wrong.
  • If you feel pressured and in order to give yourself more time, ask them to ring back at a specific time.  This will give you time to verify if they are genuine. 

West Yorkshire Police has confirmed that they would not contact a pharmacy for any of these details. NHSE&I will usually email pharmacies first before they contact them to ask details of palliative care stocks held.

 

West Yorkshire Police Controlled Drugs Liaison Officer

Contact Details: Nicola Brookes

West Yorkshire Police

Nicola.Brookes@westyorkshire.pnn.police.uk

Telephone: 01924 293131

 

West Yorkshire Police - Letter to Community Pharmacies

 

In response to concerns that have been brought to the attention of the police and Crime Commissioner, including those raised by Community Pharmacy West Yorkshire, the police and Crime Commissioner has issued the following statement that can be found here.

 

Sexual Health Services & COVID-19 Changes

In response to the COVID-19 epidemic many of our local Sexual Health Service providers have made changes to services with many walk in clinics now being temporarily suspended.  Please see the document below for details. This information may be useful when signposting patients to these services. 

Sexual Health Services and COVID-19 Changes

Wakefield Sexual Health Poster

 

‘Sick Day Rules’ for Frail Patients Who are Unwell with COVID-19 or Other Illnesses

Please consider 'Sick Day Rules' in frail patients who are unwell with COVID-19 or other illnesses during the pandemic.  If a patient is unwell with any of the below then consider temporarily stopping some medication (see Crib Sheet below for more information):

  • Fevers, sweats and shaking.
  • Vomiting or diarrhoea (unless only minor).

Restart after 24-48 hours of eating and drinking normally.

Sick Day Rules: Crib Sheet 

 

What is the Problem?

Some medicines should be avoided when patients have an illness that makes them dehydrated. This is because they can either increase the risk of dehydration or because dehydration can lead to potentially serious side effects of the medicine.

 

Signposting Information

Signposting information for pharmacies during the COVID-19 pandemic, can be found on our website here: http://www.cpwy.org/pharmacy-contracts-services/essential-services/signposting.shtml#COVID19.
 
 

Your COVID Recovery – Website to Support People with Ongoing Symptoms on Their Road to Recovery

Evidence shows that a significant proportion of post COVID-19 patients are likely to have significant ongoing health problems, notably breathing difficulties, tiredness and cough, reduced muscle function, reduced ability to undertake physical activity and psychological symptoms such as PTSD and reduced mood status. Your COVID Recovery is a new NHS website designed to help people recover from the long-term effects of COVID-19 and support them to manage their recovery. It includes information from rehabilitation experts about how to manage ongoing symptoms and health needs at home, and signposts to sources of support. https://www.yourcovidrecovery.nhs.uk/

 

Stay Safe in Your Pharmacy Campaign - August 2020

Community Pharmacy West Yorkshire has made available key messages for the public and patients about accessing pharmacy services.  These resources are listed below, and pharmacies are encouraged to use these including on social media.  The resources include posters that can be printed and displayed within the pharmacy to assist with messaging within the pharmacy premises.

Stay Safe in Your Pharmacy Poster

Stay Safe in Your Pharmacy Poster - Safely Opening

Stay Safe in Your Pharmacy Poster - Safely Providing

Stay Safe in Your Pharmacy Poster - Safely Working

Stay Safe in Your Pharmacy Email Footer

 

Supervision Protocols and Updates

Changes to Supervision Service Payments 

At the start of the pandemic, Community Pharmacy West Yorkshire worked with all the commissioners to ensure that contractors received fair remuneration and minimal disruption throughout the pandemic, and ‘legacy’ or ‘average payments’ were agreed for the first six months of the pandemic. However, this is now coming to an end and from the 1st October 2020, payment will revert back to ACTIVITY based payment in all areas of West Yorkshire.

 

Guidance for Contractors to Help Minimise Losses with Supervision Prescriptions 

The following bulletin will provide more information to ensure that you are using PharmOutcomes correctly and also that you are endorsing prescriptions to enable you to claim effectively so that you are minimising any losses.  

 

Commissioners have written to contractors in each of the areas with details of prescription changes, service provision and ongoing service payments effective from 1st October 2020.

Calderdale Supervision Funding Update - 1st October 2020

Kirklees Supervision Funding Update - 8th September 2020 

Leeds Supervision Payment Update Letter 27th August 2020

Wakefield Supervision Payment Update - September 2020

 

Full details of the Supervised Consumption Service in each of the West Yorkshire areas along with commissioner contacts can be found here.

 

COVID-19 Testing for Community Pharmacy Staff

Frontline workers, including community pharmacy staff in England, can access free testing for COVID-19. Testing will allow those currently unable to return to work because they or a member of their family or household have symptoms of coronavirus to know whether they do have the virus.

National Testing Information

See PSNC website for full details, including how to access priority testing: https://psnc.org.uk/the-healthcare-landscape/covid19/wellbeing-and-testing/.

 

Local Testing Information

Pharmacy staff and members of their household can access testing via CCG satellite sites where these are available:  

COVID-19 Testing for Community Pharmacy Staff - Briefing (Updated 27th November 2020)

  

Arrangements for Booking a Test for Members of the Public

Testing is now open to any member of the public with COVID-19 symptoms by visiting nhs.uk/coronavirus or calling 119 to book a test.

  

MHRA Testing Guidance

MHRA has produced guidance on the different types of tests and testing kits for COVID-19, and the specifications for manufacturers. They have also re-written the guidance 'For patients, the public and professional users: a guide to COVID-19 tests and testing kits' to make it clearer how the different types of tests work, and who can use them.

 

Translated Posters for Community Pharmacies 

Public Health Leeds has recently developed a number of translated posters which we are sharing as community pharmacies may find these useful.  The posters, which cover the following 3 messages, are available in 11 community languages: 

  • Anyone can spread coronavirus - do not enter this building if you have these symptoms (note, this poster does not include the new symptom of loss of taste or smell).
  • Keep your distance - a reminder about keeping 2m apart at all times.
  • Things you can do to help stop the virus spreading. 

Bengali COVID-19 Posters

Czech COVID-19 Posters

Farsi COVID-19 Posters

Kurdish-Sorani COVID-19 Posters

Lithuanian COVID-19 Posters

Pashto COVID-19 Posters

Polish COVID-19 Posters

Romanian COVID-19 Posters

Slovak COVID-19 Posters

Tigrinya COVID-19 Posters

Urdu COVID-19 Posters

 

COVID-19 Vaccination 

Vaccine Programme Patient Information 

The WY&H Health and Care Partnership is hosting a page on their website with the most up to date patient information on the COVID-19 vaccination programme. They will be keeping this updated as new information gets released on behalf of all health and care organisations in our area.

 

Information leaflets for patients and healthcare professionals are now available and can be accessed via the COVID-19 vaccination programme page.  These include:

 

Resources for the campaign are available on the Campaign Resource Centre. These include:

  

Wellbeing

Pharmacists and their teams have been spending all of their time through this pandemic serving their patients and their communities. Amidst the pace of the days it is often too easy to forget about your own wellbeing and that of your teams. Please take some time to take care of yourselves and your teams so you can continue to take care of your patients and your communities; we hope the tools below will help you to do so.
 
 
A ‘where to start guide’ for pharmacy staff
 
The wellbeing and accessing support during the COVID-19 pandemic – a ‘where to start guide’ for pharmacy staff recognises that online support is widely available but the range of support can feel overwhelming and includes guidance to help you think about the type of help that you need.
 
 
NHS Resources
 
Access the support via the NHSE&I website
NHSE&I has organised a range of psychological support for all NHS staff, including those working in community pharmacy, during the COVID-19 outbreak. This includes: 
 
 
Pharmacist Support Resources
 
Pharmacist Support is the profession’s independent charity for pharmacists and their families, former pharmacists, trainees and MPharm students. The charity’s free and confidential support includes a suite of wellbeing resources
 
 
 
West Yorkshire and Harrogate Health and Care Partnership (ICS)
 
Information on who to contact in a crisis, plus local info and support.
 
The ICS partnership has made resources available that have been selected by experts as representing best practice and being accessible to all health and care colleagues. They have been brought together to support health and wellbeing with a focus on all areas of life, care, and work. This is a longer-term offer, with the intention to sustain beyond COVID-19. It recognises that we are all individuals and may require different support at different points, during these challenging times. Access the resources here: https://www.wyhpartnership.co.uk/our-priorities/coronavirus-covid-19-information-and-resources/new-workforce-health-and-wellbeing   

 

 

Last Updated: 16th December 2020