East Sussex Downs and Weald Hastings and Rother
NHS Community Pharmacy Contractual Framework Enhanced Service – Supply of Emergency Hormonal Contraception under Patient Group Direction
1. Service description 1.1. This service is aimed at the supply of Emergency Hormonal Contraception (EHC), the demand for which may be urgent and/or unpredictable.
1.2. The pharmacy contractor will provide Levonelle 1500® free of charge to clients according to the terms and conditions of the East Sussex Downs & Weald and Hastings & Rother PCTs Patient Group Direction for the Supply of Levonelle 1500® through Community Pharmacies.
1.3. The pharmacy contractor will provide information and advice to the client around sexual health issues. They may also refer to specialist centres, support groups or other health and social care professionals where appropriate.
1.4. Where appropriate the pharmacy contractor will either offer or explain the provisions of the service aimed at the supply of condoms, pregnancy testing kits and information on sexually transmitted infections to Young People registered under the local scheme. A supply of condoms will be made available to each client whether they are registered with the local scheme or not
1.5. The contractor will provide a supply of Chlamydia Testing kit for each client. 2. Aims and intended service outcomes 2.1. To improve access and choice for young persons to EHC
2.2. To increase knowledge of emergency contraception and contraception for young persons.
3. Service outline 3.1. The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols and maintain patient confidentiality.
3.2. Pharmacists are required to act according to East Sussex Area Child Protection Procedures when advising clients under the age of 16. 3.3. The contractor should order necessary appropriate supplies of condoms and Chlamydia Testing Kits in a timely manner.
3.4. The Contractor will put on view a display board (provided by the PCT) indicating that the service is available.
3.5. Training Emergency contraception may only be supplied by a pharmacist accredited under the accompanying PGD. Medicine counter staff must be trained to refer each request for EHC
The pharmacist must have completed the training detailed below: • CPPE Emergency Contraception Open Learning Programme (3 Hours) • CPPE Contraception Open Learning Programme (12 Hours) • CPPE Child Protection Open Learning Programme (1.5 Hours) Supply of Emergency Hormonal Contraception under Patient Group Direction Sonar Version 04/2011 1
East Sussex Downs and Weald Hastings and Rother • Attend a workshop on EHC each year organised or designated by the PCT to complete the local competency assessment .
3.6. Remuneration The PCT will remunerate the contractors participating in this service according to the details set out below: Consultation fee: £21.37 per case Supply of EHC (ex VAT) £5.20 Supply of Condoms* £3.00 Fees and reimbursement costs should be submitted monthly in arrears to the PCT for payment. The fee will be reviewed annually in line with inflation (currently 0%).
3.7. Premises The contractor should ensure that a quiet area for confidential consultation is available within the pharmacy. This may be an area within the shop where privacy can be maintained rather than a separate room. Cups and water should be available as the dose is for administration within the pharmacy. 3.8. Availability A participating pharmacy should normally have an accredited pharmacist(s) available at least 80% of Core hours each week week. If an accredited pharmacist is not available the client should be referred to the nearest available service.
On leaving the area, the pharmacy contractor engaging the pharmacist for this service must notify the PCT, key stakeholders and other participating pharmacies and stop the service until another suitably trained pharmacist can be engaged.
Any pharmacist so trained may take part in the service from any of the participating pharmacies within the PCT (or neighbouring areas that require the same training). 3.9. Audit and Record Keeping The pharmacy should maintain appropriate records by using the Sonar Informatics web based service reporting system employed by the PCT to ensure effective ongoing service delivery and audit.
Financial claims will be collated by the Sonar Informatics system and will be available to the pharmacy at the end of each month. All monitoring data will be stored on the Sonar Informatics servers and will be available to be viewed by the relevant contractor at any stage. It will not be possible to amend the form once submitted.
4. PCT Responsibilities
The PCT will: • Review the pharmacies supplying this service and determine whether it still meets the needs of the local population annually.
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East Sussex Downs and Weald Hastings and Rother • Arrange at least one contractor meeting per year to promote service development and update the knowledge of pharmacy staff.
• Provide details of relevant referral points which pharmacy staff can use to signpost service users who require further assistance.
• Disseminate information on the service to other pharmacy contractors and health care professionals in order that they can signpost patients to the service.
• The PCT should provide necessary supplies in an apposite and timely manner.
5. Quality Indicators 5.1. The pharmacy reviews its standard operating procedures and the referral pathways for the service on an annual basis.
5.2. The pharmacy can demonstrate that pharmacists and staff involved in the provision of the service have undertaken CPD relevant to this service.
5.3. The pharmacy participates in an annual PCT organised audit of service provision.
5.4. The pharmacy co-operates with any locally agreed PCT-led assessment of service user experience.
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