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MHRA Drug Safety Update February 2019

Date issued 18th February 2019 A new Medicines and Healthcare products Regulatory Agency (MHRA) Drug Safety Update (Vol 12 Issue 7¬† February 2019:1) has been published and includes articles on: Carbimazole: Increased risk of congenital malformations; strengthened advice on contraception. Carbimazole: risk of acute pancreatitis. SGLT2 inhibitiors: reports of Fournier’s gangrene (necrotising fasciitis of the...

16 hours ago

Class 4 MHRA Drug Alert – Atropine Sulfate 3mg/10ml Solution for injection in pre-filled syringe (Laboratoire Aguettant)

Drug Alert No: EL (19) A/05 Date Issued: 18th February 2019 The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a class 4 drug alert for certain batches of Atropine Sulfate 3mg/10ml Solution for Injection in pre-filled syringe (Laboratoire Aguettant) Atropine Sulfate 3mg/10ml Solution for injection in pre-filled syringe. (Laboratoire Aguettant) PL 14434/0016 Batch Number...

18 hours ago

PSNC agrees strategic plan for 2019/20 at latest meeting

The PSNC Committee held the first of its new-style quarterly meetings this month, and agreed its plan for 2019/20. The Committee held important discussions on the NHS Long Term Plan, Brexit contingency planning, price concessions, service updates, and of course the commitment to Primary Care Networks (PCNs) made in the GP funding deal. The Committee...

18 hours ago

Supervised Consumption

Under the terms of this service the pharmacist supervises the consumption of prescribed medicines, ensuring that the dose has been administered and consumed as required by the prescription, to the patient.

Within West Yorkshire this service is commissioned for the supervision of drugs used within substance misuse services.

FP10MDA endorsement guidance can be accessed here:



General Information

New Psychoactive Substances - Briefing for Professionals

Please see below briefing discussing Spice.  Spice is a nickname for a herbal mixture containing one or more of a group of drugs called synthetic cannabinoids.  The briefing includes details on what Spice is, the effects of Spice, dealing with Spice overdose and the potential medicines interactions.

Spice Information Sheet 

A supervised consumption service is commissioned in every area within West Yorkshire.

If you are interested in providing this service in your pharmacy please click here for information on what you need to do.


Jump to Bradford service details 

Jump to Calderdale service details

Jump to Kirklees service details

Jump to Leeds service details

Jump to Wakefield service details

Jump to using PharmOutcomes to record supervisions


Bradford Supervised Consumption

Supervision Service Specification 2018

Pharmacy Terms & Conditions

Client 2 Way Agreement - Appendix 1

Client 3 Way Agreement - Appendix 2

Supervision Revised Fee Structure 2011

Template GDPR Contract Variation

Template GDPR Due Diligence (Current Contracts)


From the 1st September 2013, substance misuse prescribers in the Bradford area will move from prescribing buprenorphine to Suboxone.  Further details are outlined in the two documents below.

Suboxone Notification Letter

Suboxone Prescribing Advice

Suboxone Prescribing Guidance

 The documents below will help you in using PharmOutcomes to record your supervisions.

PharmOutcomes Letter

PharmOutcomes - Guide

1. Getting Started - Home Page & Log In

2. Getting Started - Message Inbox

11. Administration - Creating New Users


Claims are processed via PharmOutcomes.


Prescription Queries

Following the change of provider to Change, Grow, Live (CGL) contact information for prescription queries has been amended.  The Pharmacy Flowchart details when to contact the prescriber/service.


Monday to Friday, 9am to 5pm:

07548651845.  This number connects direct to the prescribing department.

Queries after 5pm or at the weekend

Please use the SPOC number: 01274 296 023 

If you need to ring to speak to a recovery worker regarding any safeguarding or any other updates for the service users please use 01274 296 023

For further information contact: Bradford.Info@cgl.org.uk 


Clinical Site 

Delivery of all CGL clinical services are now from Unity Building in Manningham Lane, This address will be printed on all Bradford New Directions prescriptions going forward. 

CGL Bradford New Directions, Unity, 30 Manningham Lane, Bradford, BD1 3DN. 


Service Commissioner still continues to be:

City of Bradford Metropolitan District Council

Service Lead: John Bolloten - john.bolloten@bradford.gov.uk


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Calderdale Supervised Consumption

Service Specification - Please contact the commissioner if you require a copy of the service specification.


Patient Contract


Claims are processed via PharmOutcomes.

Service Commissioner:

Calderdale Recovery Steps, a partnership managed by DISC

Service Lead: Fiona Thaxter - f.thaxter@nhs.net


PHS have been contracted to provide the clinical waste management.  If you have any queries please contact the PHS Accounts Manager, Joan Miles on 07887 588 897.


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Kirklees Supervised Consumption

Supervision Service Level Agreement 2018 

Supervision Service Renewal Letter 2018

Supervision Subcontract Variation Form 2018

Supervision Service Level Agreement 2019

Supervision Service Renewal Letter 2019


Service Commissioner:

change, grow, live (CGL)


Point of contact for pharmacies:

Andrew Craig - GP & Pharmacy Lead

Telephone 01484 353333 or 07776 597518

Email:-  Andrew.craig@cgl.org.uk


Espranor Training Event - 14th March 2019
All pharmacies in Kirklees that offer the supervision service are invited to attend a training event on Thursday 14th March, at CHART Kirklees, 2 St Peter's Street, Huddersfield HD1 1RA at 6.30pm.
This will be a great opportunity to meet the commissioners of the service and find out more information on Espranor. For further details please see the information bulletin below:
If you are interested in attending this event or would like some more information, please email Andrew Craig at Andrew.Craig@cgl.org.uk



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Leeds Supervised Consumption

The current contracts for the Pharmacy Supervised Consumption Service in Leeds expire on 30th June 2018. Leeds City Council are therefore inviting pharmacies to enter into a new contract to deliver this service from 1st July 2018. The contract documentation, including Terms & Conditions for the Service and a refreshed Service Specification can be found below.  All pharmacies located in Leeds who are able to meet the requirements as laid out in the documents are eligible to enter into a contract to deliver the service. It is imperative that pharmacists read the contract documentation and are able to commit to delivering the service as laid out in the specification before signing the contract. 

For ease, the element of the contract which needs completing has been saved separately (Section A – The Particulars).  Please complete the sections which are asking for the details of your pharmacy (blue text), sign the last page and return to Leeds City Council (details below). Please make sure you provide the full name, address and contact details of the pharmacy as requested. 

IMPORTANT: Pharmacists that are part of a company or chain should check centrally what the preferred arrangements are for entering into a contract as the owner / parent organisation may wish to have one contract covering multiple outlets.   Contract documentation must only be signed by a person who has the appropriate authority to do so on behalf of the pharmacy organisation they represent. If you are responding on behalf of a number of pharmacies, please also complete and return the Pharmacy Details Form listing the full details and the contact person for each pharmacy. 


The completed and signed documents can be returned by the following means:

  • Scanned and emailed to: SubstanceMisuse@leeds.gov.uk
  • Faxed to: 0113 3367057
  • Mailed to: Adults & Health Commissioning (Supervised Consumption), Leeds City Council, 5th Floor East Merrion House, 110 Merrion Centre, Leeds, LS2 8BB  

Please return the signed document as soon as possible and no later than 8th June 2018.  If you are currently delivering the service and no longer wish to do so, please let Leeds City Council know as a matter of urgency so that they can make alternative arrangements for existing service users. 

If you have any queries about this service, please direct your queries to SubstanceMisuse@leeds.gov.uk.

Leeds City Council will acknowledge receipt of signed documents. If you do not hear from them within 5 working days for emailed or faxed documents, and 10 working days for posted documents, please contact them on the email address above to check they have received it.


Leeds Supervision Letter - To Leeds Pharmacies Already Providing the Service

Leeds Supervision Letter - To all Leeds Pharmacies


Leeds Supervised Consumption Contract

Leeds Supervised Consumption Section A - The Particulars

Leeds Supervised Consumption Pharmacy Details Form


From the 1st April 2017 Community Pharmacy West Yorkshire will be providing Service Administration for the Leeds City Council Community Pharmacy Supervised Consumption Scheme.  From this date claims are to be submitted through PharmOutcomes.

Please see letter and guide below for information on transferring from the current system to using PharmOutcomes to record and claim for supervisions.

Supervision Service Payment Update Letter

Leeds Supervision Transfer Guide 

Supervision Service Specification

Leeds City Council Contract Variation Notice Letter



Forward Leeds

Alcohol and Drug Services in Leeds are changing from 1st July 2015.  DISC, Barca Leeds, St Anne’s Community Services, St Martin’s Healthcare Service and Leeds and York Partnership Foundation Trust will work jointly under the banner of Foward Leeds to deliver a more accessible, integrated service to support adults and young people across the city.

Click here to go to the Forward Leeds website.


The Service will operate from 4 main centres in the city:

  • Irford House, Seacroft Crescent, LS14 6PA (Behind Tesco’s)
  • Armley Park Court, 9 Stanningley Road, LS12 2AE (Opposite Tesco Express)
  • 74 Kirkgate, LS2 7DJ (around the corner from the Corn Exchange)
  • The Young Person’s Centre @ The Market Place, 8-18 New Market Street, LS1 6DG
  • Foward Leeds will also work from various health premises across the city.

Centre Opening Hours are: Monday - Friday 9am - 5pm

Telephone Number 0113 887 2477

Forward Leeds Poster 

Forward Leeds Single Point of Contact Poster


Service Commissioner:

Leeds City Council

Service Lead: phil.slavin@leeds.gov.uk - 0113 3786058


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Wakefield Supervised Consumption

Starting from the 1st June 2015, Community Pharmacy West Yorkshire will be providing Service Administration for the Turning Point Supervised Consumption service.  

Service Specification Agreement 2018

Claims will be processed via PharmOutcomes.

Service Commissioner:

Turning Point

Contact: Joanne Bannister, Joanne.Bannister@turning-point.co.uk 01924 334300


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Using PharmOutcomes to Record Supervisions

Both Calderdale and Bradford supervisions are recorded and claimed on PharmOutcomes.

Step 1

Register the client in the Supervised Consumption- Registration Service.

This only needs to be completed once for each client.  Subsequent supplies are made under the Supervised Consumption- Supervision Service which will look up the client details from this registration stage.


Step 2

At the end of each dispensing episode, i.e. last day of dispensing/completion of dispensing from a FP10 MDA, the days that the medication was supervised should be recorded on PharmOutcomes. As the recording is triggered at the completion of a script this will allow pharmacies to record the necessary data and then to safely file the script ready for submission to the PPD.


Next to each date you need to record the action taken.  It is important that the action taken is recorded as below:


PharmOutcomes entry



Medication supervised as per prescription


Take home dose

Not supervised as dose supplied on a previous day


Did not attend

Script indicated supervision but client did not attend pharmacy

Refused supply

Script indicated supervision, client attended pharmacy but was refused supply

New prescription issued

New script was issued to replace existing script


Prescription complete

Script was for less than 14 days.  Mark all days not covered by the script with this option.


Choosing the supervised option against a date will generate a claim.  Ensure that supervised is recorded next to a date only when the script indicated a supervision AND the client came to collect the medication AND the dose was supervised.


Supervisions should be recorded in a timely fashion onto PharmOutcomes (i.e. on the last day of dispensing).