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Supply Notification: Berinert (Human C1 Esterase inhibitor) 500IU powder and solvent for injection (CSL Behring UK)

Department of Health and Social Care (DHSC) has issued a supply disruption notification for Berinert (Human C1 Esterase inhibitor) 500IU powder and solvent for injection as limited stock remains in the supply chain. Further information and management advice can be found in the alert. The DHSC Medicine Supply Team provide a monthly update on potential...

5 hours ago

Colestyramine sachets and Fluticasone nasules added to the list of medicines that cannot be parallel exported from the UK

Further to our news story Temporary parallel export ban issued to ensure continued supply of medicines the Department of Health and Social Care (DHSC) and the Medicines and Healthcare products Regulatory Agency (MHRA) has announced that Colestyramine sachets and Fluticasone nasules are to be added to the list of medicines which must not be parallel exported...

1 day ago

Class 2 Medicines recall: Ranitidine 150mg and 300mg Film-Coated Tablets (Accord Healthcare)

Drug alert number: EL (19)A/40 Date issued: 5 December 2019 Accord Healthcare are recalling all unexpired stock of the products listed below from pharmacies and wholesalers as a precautionary measure due to possible contamination with an impurity Nnitrosodimethylamine (NDMA) which has genotoxic and carcinogenic potential. Product PL Number Ranitidine 150mg Film-Coated Tablets 20075/0063 Ranitidine 300mg...

1 day ago

Self Care

 

Essential Service 6 – Support for Self-Care: Pharmacies will help people, including carers, by providing them with appropriate advice to help them self manage a self-limiting or long-term condition, including advice on the selection and use of any appropriate medicines.

 

Minor Illnesses Resource Hub

PSNC has collated a useful one-stop resource hub to support community pharmacy teams in managing minor illness. This includes identifying any red flag symptoms which may suggest the condition is not minor. See: - https://psnc.org.uk/the-healthcare-landscape/the-pharmacy-integration-fund-phif/minor-illnesses-resource-hub/

 

 

 

OTC Medicines Guidance 

NHS England (NHSE) produced national guidance (March 2018) restricting the prescribing of OTC medicines for certain minor health conditions which are either “self-limiting” or suitable for “self-care”.  Prescribers will direct patients to local community pharmacies to buy their own medicines over the counter if this is appropriate.  This will inevitably increase the footfall through pharmacies and to make sure patients are given a consistent message it would be useful for pharmacy teams to understand NHS guidance on OTC prescribing. See https://psnc.org.uk/our-news/nhs-england-issues-final-otc-guidance-for-ccgs/

 

A quick reference guide for healthcare professionals can be downloaded from: https://www.england.nhs.uk/wp-content/uploads/2018/05/over-the-counter-quick-reference-guide.pdf

 

There are some general exceptions to the NHSE self-care guidance, (refer to guidance for details), including patients presenting with red flag symptoms (see the minor illness resource link above for help with these) and when the product licence doesn’t allow the product to be sold over the counter to certain groups of patients.

 

PresQIPP have produced a useful guide which not only lists the self-care medicines which can be purchased OTC to treat self-limiting and minor illnesses but also includes their OTC sale restrictions. This may be a useful resource to share with GP colleagues to support local implementation of NHSE guidance.  The full guide can be downloaded here or the quick reference guide here.

 

 

 

Dental Fact Sheets  

Health Education England (HEE) have produced a series of dental factsheets for community pharmacy. The factsheets are intended to support and refresh knowledge and be used as a learning aid by all patient-facing staff in pharmacy when dealing with common dental presentations, helping community pharmacy teams to manage urgent dental and oral symptoms and to signpost patients to other services where indicated. 
https://www.lasepharmacy.hee.nhs.uk/primary-care/dental-factsheets/

 

  

 

Care Navigation

Care Navigation is a process by which patients are given a choice of accessing healthcare advice or treatment from another healthcare professional other than a GP.  The aim of Care Navigation is: Patients getting the right care, by the right person, first time.  As part of Care Navigation, patients suffering with minor ailments may be directed to the community pharmacy to support them to best manage their condition through advice or by recommending a product to purchase. 


We would encourage all teams to discuss with their local GP practice how they can work collaboratively together to make Care Navigation a success.  Local conversations improve understanding of which patients can and can’t be care navigated to community pharmacy.  Having this conversation is also a great opportunity for community pharmacy to share with GP practice teams details of other services they provide (eg MUR, NMS).  Contractors should use Walk in my Shoes tookit: https://psnc.org.uk/wp-content/uploads/2017/06/PSNC-Briefing-041.17-Walk-in-my-Shoes-toolkit.pdf to help them engage with GP practice teams.

 

NHS England has produced guidance asking prescribers not to routinely prescribe OTC medicines for a range of minor health concerns.  Prescribers will direct patients to local community pharmacies to buy their own medicines over the counter if this is appropriate.  This will inevitably increase the footfall through pharmacies and to make sure patients are given a consistent message it would be useful for you to understand the NHS guidance on OTC prescribing which can be found at:  https://www.engage.england.nhs.uk/consultation/over-the-counter-items-not-routinely-prescribed/

 

Community Pharmacy West Yorkshire have produced a short video about Care Navigation and a top tips for Care Navigation document.  The video and document can be found below.  We would encourage all contractors to speak with their local GP practice teams to establish when the practice will go live with Care Navigation and how they can make the process as smooth as possible.

 

Video:  https://www.youtube.com/watch?v=YM9GHXJRgxg

Document: Top Tips for Care Navigation

 

 

Last Updated: 29th March 2019