FIFEFIFE PHARMACYPHARMACY
ISSUENEWSISSUE 4040 MARCH 2012 Page 3: National No Smoking Day Page 5: Who’s Who - Specialist Pharmacists IN THIS ISSUE: Page 4: Wasted Medicines campaign Page 7 : JIC boxes feedback
NOTE FROM THE EDITORS Welcome to 2012’s first edition of the Fife Pharmacy News. In this issue, we feature National No Smoking Day which takes place in March as well as the latest Contract information and current news and events. Look out for more on our “Who’s Who in Pharmacy” feature, where we focus on members of the team to find out more about them and their roles within Pharmacy Services. You can also find out the results of our recent compliance aids survey, and feedback on Just in Case boxes from those who have used them.
Remember, its your newsletter so please be sure to feed back your comments as well as any issues or features you would like to see in future editions. We hope you all enjoy reading this issue!
Natalie Bate, Communications Officer Fiona Forsyth, Communications Officer
Lloyds Pharmacy, Burntisland Hit by Flooding After High Winds
After the destructive high winds, Lloyds pharmacy at Burntisland was hit by flooding, after the chimney in the flat above was torn off during the early hours of Tuesday 3 January. The flat above had its mains water supply running for over 24 hours before staff at the pharmacy found out on the Wednesday after returning to work after the festive holidays, to find most of the dispensary under water!
They lost all of their made up scripts for collection, and over 80% of their stock. The pharmacy was closed for 2 days for a clear up, but was up and running again by the Friday.
The caved in roof
Pharmacist Larissa Badger said: “it was just awful seeing the pharmacy in such a state. However, all the pharmacy staff have worked hard in getting the pharmacy back and running again, and I can’t thank people enough for helping get the pharmacy back to Dispensary ceiling Dispensary floor normal!” High Risk Medicines You can find this section in the Home Page of PCR, Pharmacy Care Record after identifying a patient, where you will find a new tab called High Risk Medicines. An updated user guide (PCR) Version 5.0 Released is available through the PCR Help option. Within the Pharmacy Care Record (PCR) there is a new section - High Risk Medicines (HRM) Care Risk There are also a couple of new reports, details of Assessment - to allow you to record information about a which are in the guide. For more information or help patient's use of a particular medicine type. At present a on this, please click on link below: HRM Care Risk Assessment can be completed for Methotrexate or Lithium - other medicine types may be http://www.communitypharmacy.scot.nhs.uk/ added in the future. core_services/ PCR_Supplementary_User_Guide_for_Version_5.pdf
Contractor Endorsements (26 January 2012)
To ensure accurate payment, it is important that contractors use the correct endorsements, as detailed in our Endorsing Guidance e.g. the correct endorsement for an item that has not been dispensed is IND electronically and ND on paper; the correct endorsement for an item that has not been collected is INC electronically and NC on paper.
Contractors who wish to code their prescriptions for their own use must use the bottom left corner of the prescription, ensuring that they do not write over the prescribers details.
Local Pharmacy’s bid for Number One Slot
Iain Rooney, manager of Pittenweem Pharmacy, Fife, came close in a bid to top the UK singles chart in December to raise money for the East Neuk Wheelchair Appeal and the Royal National Lifeboat Institution.
The comedy, charity song and video, "Pittenweem Pharmacy Christmas 2011" has had over 6,000 views on YouTube since it was uploaded on 2 December 2011. The song has also made it onto the iTunes store’s list of After positive feedback from locals, the idea was top ten comedy songs. extended to raise money for charity. Iain feels that the video helps the pharmacy and its staff to connect with the public. He said: "It’s about building rapport . . . and Iain made the song and video to thank it’s great PR for pharmacy." customers and to showcase the "weird and wonderful things" for sale in his pharmacy, including snow shovels, grow-your-own Venus It is hoped that the charity song will raise a “ four-figure flytraps and, according to the song’s lyrics, sum" for the charities involved. "special hats for ugly folks".
PAGE 02 FIFE PHARMACY NEWS ISSUE 40 PHARMACEUTICAL SERVICES AMENDMENT TO DRUG TARIFF DISCOUNT CLAWBACK RATE PT 7 GENERIC DRUGS
The discount clawback rate in respect of reimbursement The Scottish Government has accordingly agreed with for items listed at Pt 7 in the Scottish Drug Tariff has Community Pharmacy Scotland that the clawback rate been raised and introduced for dispensing from to apply in respect of Pt 7 reimbursement should be 1 December 2011. raised from zero to 3.35% for dispensing from 1 December 2011. The profit retained by community pharmacy contractors from the purchase of items dispensed by them on behalf This rate will be reviewed again in February 2012 in on NHS Scotland during 2011-12 is controlled by the light of the evidence available at that time and any net adjustment due at year end will be factored into terms of the Efficient Purchasing and Prescribing 2012/13 arrangements. Programme (EPPP). Current projections are that an
element of this retained profit would be eligible to be The Drug Tariff has been amended such that the returned to NHS Boards under these arrangements. clawback rate for reimbursements for Pt 7 items will be 3.35% with effect for dispensing from 1 December 2011 onwards.
Kingdom Weight Challenge is back!
The FREE 10 week weight management programme
No Smoking Day takes place on 14 March 2012 This 10 week weight management programme when more than a million smokers across the UK are encourages steady weight loss with the support expected to make a quit attempt. and guidance of health and fitness experts from NHS Fife and Fife Sports and Leisure Trust. The campaign theme this year encourages smokers who would really like to stop, but find it hard, to “Take the Last years winners lost over 10% of their body Leap” and give it a go. The theme recognises that giving up weight!! Leaflets have been distributed across is tough, but the positive image and slogan speaks strongly all NHS Fife sites, including community to smokers helping them to aspire to a smoke free future. pharmacies, with initial weigh ins starting on 17 January 2012. The “Take the Leap” theme and image aim to complement the UK's focus on this year’s Olympics, asking smokers to Information on exercising and healthy eating think about their physical health. The campaign also can also be found at: coincides with a leap year and provides an excellent opportunity to help smokers prepare to Take the Leap two www.kingdomweightchallenge.scot.nhs.uk/ weeks later on 14 March. No Smoking Day is part of the British Heart Foundation and offers year round resources to help people who want to quit.
Promotional items for use within pharmacies will be sent out, and events are being held in Dunfermline and Glenrothes by the Smoking Cessation teams hoping to help people quit for good, and make 2012 the year they succeed in becoming non-smokers.
Pharmacies should use No Smoking Day as an ideal opportunity to promote the pharmacy “No Butts” stop smoking service and highlight its benefits, including no appointment necessary and consultation rooms available.
PAGE 03 FIFE PHARMACY NEWS ISSUE 40 Wasted Medicines in Fife
NHS Fife is launching a campaign to reduce the amount of wasted medicines in May 2012.
We are highlighting the costs involved when medicines are wasted due to patients over-ordering on repeat prescriptions, or continuing to order medicines which they no longer take.
Wasted medicines cost NHS Fife over £2million per year.
The campaign is aimed at GPs, Pharmacy and Care Home staff as well as members of the general public reminding everyone not to order medicines “just in case” – if you run out of medicines, you simply need to visit your GP or local pharmacy. Pharmacies receive deliveries of medicines every day, so there should be no major delays to receive more medicines if you need them. • Stockpiling medicines at home is also a safety risk.
• It is important to return any unused medicines to your local pharmacy.
• All medicines which are returned to pharmacies must be disposed of, even if they are unopened or unused – they cannot be reused, recycled or sent abroad for legal reasons.
Fiona Eastop, Pharmacist at NHS Fife said “This campaign is urging everyone to think before they order repeat prescriptions and check their cupboards, before ordering any more, even if ordering for a relative, or someone they care for. Also, if there are medicines which people do not like to take, or are
unable to swallow, simply ask to speak to their
pharmacist or GP at any time to discuss your
medicines.” Messages to the public within the campaign include:
Further information on how this campaign will be • If you go into hospital, take all of your promoted in pharmacies across Fife is coming soon….. medicines with you.
Walk at Work Workplace Pedometer Challenge
2012 This year, two teams from Pharmacy Services are taking part in the walking challenge, Which encourages everyone to walk a little further and help increase their steps, towards a healthier lifestyle. The aim is to have everyone walk the recommended 10,000 steps per day.
The challenge is open to all Fife employees, including those from NHS Fife , Fife Council workers and Fife Fire Brigade.
Last year, team “Blister Sisters” from Pharmacy Services were in the top 10 teams across Fife for their total steps!
Good luck to all those participating and happy walking!
PAGE 04 FIFE PHARMACY NEWS ISSUE 40 WHO’S WHO IN PHARMACY SERVICES Specialist Pharmacy Staff
Jim and Pamela work in the Learning Disability service. This covers the small in-patient population based at Lynebank hospital, plus the larger population of people with a learning disability living throughout Fife.
Our aim is to ensure that medication is used appropriately and safely. Working closely with the individual, families / carers, and healthcare professionals, we;
• provide medication advice • participate in and support out-patient clinics • provide education and training Jim Lynch 01383 565298 Pamela Simpson 01383 565298 • produce individualised medication Clinical Pharmacist - Clinical Pharmacy Technician - guidelines Learning Disabilities Learning Disabilities
Alyson Henderson 01334 696374 Senior Clinical Pharmacist
• Works within the psychiatric rehabilitation unit at Stratheden. • Provides clinical pharmacy service to patients with severe enduring mental illnesses. • Often the patient’s illness has been resistant to standard treatment over many years, with case notes studied to allow logical suggestions for future treatments • Ensuring treatments prescribed for patients detained under the Mental Health Act has been properly authorised. • Contributes to procedures, SOPs and Care Pathways relating to psychotropic medication.
Jonathan Bate 01334 652611 Senior Clinical Pharmacist
• Provides specialist clinical pharmacy input to acute adult psychiatry wards at Stratheden and to Community Hospital wards at Glenrothes Hospital. • Completes medication histories for individual patients and responds to medicines information queries to promote safe, effective and cost effective use of medicines. • Provides information on safe and effective use of medicines to patients and carers, to inform choice, minimise risk and improve concordance with treatment. • Develop, implement and review local and Fife wide policies, guidelines and standard operating procedures which minimise medicine related risk and ensure best practice.
Ian Wright 01383 565492 Clinical Pharmacy Manager
• Responsible for clinical work on an acute adult mental health wards. • Represents pharmacy at patient safety meetings and involved in the new Reshaping Care for Older people - hospital at home service. • As Clinical Pharmacy Manager is responsible and has an overview of all the CHP wards. • Chair of the Code of Practice medicines meetings which covers all the medicine related Standard Operating Procedures.
PAGE 05 FIFE PHARMACY NEWS ISSUE 40 CHRONIC MEDICATION SERVICE IMPLEMENTATION SUPPORT PAYMENT- 2011-12 • The Scottish Government has agreed with • Community Pharmacy Contractors who will be Community Pharmacy Scotland that a single one off eligible for this payment are those who are on the payment should be made to community pharmacy Pharmaceutical List at 29 February 2012, who are contracted with their Health Board to provide the contractors, to support ongoing contractor activity Chronic Medication Service as an Additional in the process of rolling out CMS beyond the initial Pharmaceutical Service, and who by 31 March 2012 phase. have already registered at least 50 patients assigned with a priority for a care plan and • This payment is intended to support the provision indicated that the assessment is complete in the of additional professional input and/or another patient’s pharmacy care record.
enabling initiative, at the choice of the contractor • Eligible contractors who have completed CMS concerned. registrations and assessment for at least 50 patients by 29 February 2012 will receive a one off • All eligible contractors will receive a one off payment with February 2012 dispensing paid April payment of £400. 2012.
• Contractors who become eligible by virtue of having • Eligible contractors do not need to make a claim for completed CMS registrations and assessments for this payment, which will be made automatically by at least 50 patients by 31 March 2012 will receive a PSD. one off payment with March 2012 dispensing paid May 2012.
2011-12 Electronic Claim Training Module Dates Eligibility for Electronic Claims Payment
for your • Electronic Claim Payment Module will be hosted on the SHOW Community Pharmacy website and will be available early March. See http://www.communitypharmacy.scot.nhs.uk/ for more details Diary! • All contractors must ensure that all relevant staff complete the training module and are suitably trained for the purposes of processing Series of Fortunate Events electronic claims. Wednesday 30 May 2012 Tuesday 26 June 2012 • The deadline for completion of the training module to receive the Tuesday 18 September 2012 one-off payment has been removed. Education Centre • Submission of a claim form confirming completion of the Victoria Hospital, Kirkcaldy training module to receive the one-off electronic claims payment of £400 is no longer required.
Palliative Care Peer Review • To reduce bureaucracy for both contractors and Practitioner Services 13 March 2012 Division (PSD) it has been agreed that an automatic payment of Victoria Hospital, Kirkcaldy £400 will be paid to contractors who meet the 80% electronic claims rate target.
• All contractors who meet the target rate of 80% in December 2011 will Stoma Education Session receive the £400 payment with their January 2012 dispensing, paid in 20 March 2012 March. Victoria Hospital, Kirkcaldy • Remaining contractors will receive their payment as soon as their electronic claims rate crosses the 80% threshold provided this is National No Smoking Day achieved no later than 30 April 2012. 14 March 2012 Contractors meeting the 80% threshold target in: • January will receive their payment with their February dispensing payment paid in April. • February will receive their payment with their March dispensing payment paid in May. • March will receive their payment with their April dispensing payment paid in June.
PAGE 06 FIFE PHARMACY NEWS ISSUE 40 Just in Case Boxes Feedback The Just In Case boxes pilot indicating how useful the boxes has been running across are for patients. Successful use depends on good anticipatory NHS Fife Pharmacies since care provision and the initial May 2011. Here is some signs are good.” feedback from those who Training was very thorough, and have used them… District Charge Nurse, Sharon future training involving GP Eyre said: partners could help ensure they David Binyon, Primary Care use JIC boxes effectively as a pri- Development Pharmacist said: “District nurses welcome the mary care team.” idea of a "Just In Case" box “My opinion on the JIC boxes is very much. Being able to Norma Imrie, Checking Technician that from the extent of use I deliver comfort and care in a at Rowlands Cupar Pharmacy, part would say they have definitely timely manner lies at the heart of the Palliative Care Network of been embraced by the primary of nursing, and some have Pharmacies said: care teams across Fife and from commented that they feel it has the audit responses we have enhanced the relationships they “I think it’s a really good service, received so far it would appear have with their palliative and is a straightforward process if that they are doing what they patients and families. you follow the flowchart properly. were intended to do in allowing We’ve found that the Doctors tend patients to stay at home to receive The "JIC" steering group has to fill out the Kardexes well, and care if that was their wish. worked hard to respond to the have had no real issues with the feedback given throughout the boxes so far. I think the service Anecdotal feedback has been good course of this pilot project, and works really well.” with many healthcare professionals resolve any issues.
ELECTRONIC CLAIM TRAINING PAYMENT
It has been agreed that contractors meeting the Contractors are however asked to ensure that all staff 80% target rate of electronic claims will receive a complete the training module to ensure a complete one-off automatic payment of £400. understanding of the electronic claims process.
Contractors are no longer required to submit a form The training module will be hosted on the SHOW confirming completion of the training module. Community Pharmacy website and will be available from early March.
CMS Remuneration Payment of £400 for completion of Patient Care Records
The one-off payment of £400 to contractors who are on the pharmaceutical list on 29 February 2012 and who have registered 50 CMS patients with completed PCR risk assessments by the end of March 2012, does not now need to be claimed.
This payment will automatically paid by PSD for all pharmacies which reach this target by 31 March 2012.
If you would like to submit and article or make any suggestions to Fife Pharmacy News please contact Natalie Bate/ Fiona Forsyth on 01383 565375 or email [email protected] or [email protected]
If you require this newsletter in an alternative format, please phone 01383 565375.
PAGE 07 FIFE PHARMACY NEWS ISSUE 40 Compliance Aids Survey Results In November 2011, all 83 pharmacies in Fife were issued with a survey either by Survey monkey online or by email. A total of 33 responses were received (40% response rate). Here is a summary of the results gathered.
Who refers patients for compliance aids? Does providing a compliance aid service impact on other pharmacy services (eg. dispensing, sexual health, substance misuse?)
self referral 14 hospital 12 social work staff 10 8 GP 6 Nurse 4 Other 2 0 yes no sometimes
Do you have existing patients for which you feel How many patients (approx) in your pharmacy do the compliance aid service is unsuitable? you provide compliance aids for?
14 12 10 yes 8 no 6 4
2 0 25 - 50 25-50 50-100 more than 100 Review of results: Do you agree that compliance aids are not always There may be a misconception that aids help appropriate? (particularly older) people manage their medicines, and 14 are easier and safer to use. The service also appears to 12 10 be time consuming for pharmacies, adding to time 8 pressures of providing other pharmacy services. 6 However there are recommendations that suggest 4 simplifying the medicines regimen, rationalisation, 2 support to manage and order repeat prescriptions and 0 strongly agree tend to agree agree tend to disagree medicines reminder charts should all be tried before disagree initiating a compliance aid which can in turn both distance the patient further from healthcare services and remove an element of patient control over their medicines.
Fife pharmacists and staff shortlisted & McIntyre Pharmacy winners at Scottish Pharmacist Awards 2012 This year’s Scottish Pharmacist Awards are held at the Edinburgh International Conference Centre on 25 February. Staff from Fife Pharmacies shortlisted were:
• Marion Miller, Co-op Kincardine for “Pharmacy Assistant of the Year” • The Co-op Pharmacy, Douglas St Dunfermline for “Clinical Excellence Award” • McIntyre Pharmacy, Glenrothes for “Clinical Excellence Award” • Dept of Critical Care, QMH for “Hospital Pharmacy Team of the Year”
Congratulations to staff at McIntyre Pharmacy, Glenrothes on winning their “Clinical Excellence Award!”
PAGE 08 FIFE PHARMACY NEWS ISSUE 40