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Contractor notification – retrospective price adjustment

The Department of Health and Social Care (DHSC) have retrospectively determined that the reimbursement prices for the following items will be: Glyceryl trinitrate 400micrograms/dose aerosol sublingual spray (180 dose) – £3.43 (instead of £3.37) between April and June 2019 Telmisartan 80mg/Hydrochlorothiazide 12.5mg tablets (28 pack) – £16.79 (instead of £16.72) for June 2019. Payment for...

3 hours ago

PCN engagement – implementation guidance and resources update (June 2019)

This update has been issued to support LPCs in engaging with Primary Care Networks (PCNs). It builds on PSNC Briefing 015/19: Supporting community pharmacies to engage with Primary Care Networks – potential actions for LPCs. PSNC has identified four phases of community pharmacy engagement with PCNs over the next 12 to 24 months. Focussing on...

3 days ago

PCSE invitation to contractors to test market entry online

Last month (May 2019), we shared with pharmacy contractors, the PCSE Engagement team’s invitation to test the market entry online portal. PCSE have confirmed that it will be hosting an initial introduction to user acceptance testing to Market Entry PCSE online on Tuesday 9th July at the Arlington Business Centre in Leeds, the session will...

4 days 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