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Supply Disruption Alert – Diamorphine Hydrochloride powder for reconstitution and injection 5mg and 10mg ampoules

Department of Health and Social Care (DHSC) has issued a medicine supply disruption alert for Diamorphine Hydrochloride Powder for Reconstitution and Injection 5mg and 10mg ampoules. There are two suppliers of diamorphine hydrochloride 5mg and 10mg in the UK, Wockhardt and Accord. Accord are out of stock of both strengths with a resupply date of...

16 hours ago

Supply Disruption Alert: Phenytoin (Epanutin®) 30mg/5ml Oral Suspension (Pfizer)

Department of Health and Social Care (DHSC) has issued a medicine supply disruption alert for Phenytoin (Epanutin®) 30mg/5ml Oral Suspension (Pfizer). Pfizer have limited supplies of Phenytoin (Epanutin®) 30mg/5ml Oral Suspension and anticipate going out of stock w/c 2nd March 2020. The anticipated re-supply date is late June 2020. The Canadian brand of Phenytoin 30mg/5ml...

2 days ago

MHRA Class 4 Drug Alert – Memantine 10mg tablets (Crescent Pharma Ltd)

Drug alert number: EL (20)A/11 Date issued: 25 February 2020 The Medicines and Health products Regulatory Agency (MHRA) has issued a class 4 pharmacy level caution in use for: Memantine 10mg Film-Coated Tablets (Crescent Pharma Ltd) PL 20416/0260 Crescent Pharma Ltd has informed MHRA of a discrepancy on the product packaging for the batches below....

2 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