Newsletter For Pharmacists
Working in Barnsley
2. NRT Supply Scheme Update
1. Waste Collections Update
In an attempt to reduce confusion and
A South Yorkshire Waste campaign is due
alleviate any problems with VAT, the
to start on 21 July 2006 and you will be
funding structure for the NRT support
receiving information soon (see
scheme has been reviewed and
After negotiations with Cliniserve, waste
The new payment structure involves a
collections are being reviewed and will be
reduction in the professional fee and the
changed to reflect the current need.
addition of a payment for NRT that will
ACTION: include VAT.
PLEASE COMPLETE THE ATTACHED Though including VAT the supply will
PRO-FORMA AND RETURN PROMPTLY provide more profit than an equivalent
In the short-term the situation is prescription for NRT.
summarised below – please make sure all The new agreement also includes the
staff are aware. specification for the supply of NRT nasal
Prior to the "Returns Campaign", spray.
Cliniserve will collect from all Attached to this newsletter are:
Barnsley pharmacies Frid/14th and
Mon/17th July. The driver will carry a The new claim form (If you have
number of spare 60 and 30litre Microsoft Excel this will save you time by
containers - please request extra if working out the claim for you);
you feel the need. Two copies of the new Service Outline,
The next collection will take place w/c please complete one copy and send back
14 August. Cliniserve will at this in the envelope enclosed.
time also deliver an 11litre Cytobin to Please Note: Claims for NRT support
each site. under the old NRT funding arrangements
Following delivery of the Cytobins, each will no longer be valid from 1 September
Pharmacy needs to contact Cliniserve 2006.
direct should they have any waste of this
type to be collected. 3. Care Homes Services
Tel: 01376 501848. The specification for the recently updated
advice to care homes service states the
This is to enable the appropriate
need for the pharmacist to have
consignment note to be raised in advance
completed certain training. This is either
ie the driver will bring it with him.
the CPPE “Home away from Home” or
Please note: Failure to do this will mean the newer “Supporting Care Homes with
that any Cytotoxics/Cytostatics will not Medication Management” distance
be collected and therefore remain on learning.
Please note that payments for the second
“third”, Aug-Nov 06 will only be made if
a copy of the certificate has been
forwarded to Kay Garside at Hillder
6. CD Regulations
Something to Note: Regulations have been laid before
Eye drops are often prescribed as 'one Parliament which will amend the Misuse
or two drops' to be instilled: this may, of Drugs Regulations from 7th July 2006.
however, lead to waste and potential Some of the provisions will apply at
overdose. Although the size of a drop different times in England and Wales.
from a dropper can vary according to
viscosity, dropper design, and patient The amendments are summarised as
technique, it is normally around 35 to follows (taken directly from source):
50 microlitres; occasionally up to 75 • Private prescriptions issued for human
microlitres. [Editor's comment: use containing controlled drugs specified
assumes that patients get the drop in Schedules 1, 2 or 3 to the 2001
correctly in the eye every time]. An eye Regulations will be required to be written
brimming with fluid, however, holds at on a prescription form issued for the
most about 30 microlitres. Some purposes of private prescribing by a
Ophthalmology experts therefore Primary Care Trust in England, a Local
consider that a dose of one drop will be Health Board in Wales or a Health Board
more than sufficient: a second drop in Scotland, and must specify the
doubles the cost and will either wash prescriber identification number of the
out the first, or increases the risk of person issuing it.
systemic toxicity. When two different
drugs are being used, a gap of at least An exception is, however, created where
five minutes should be allowed between the issuer of the prescription believes on
them. reasonable grounds that a private
prescription is to be supplied by a
pharmacist in a hospital: in that case the
4. Oxygen Update prescription does not need to be written
FP10 route continues: GPs are still able on such a prescription form, although in
to prescribe home oxygen via FP10s and such a case, a community pharmacist
those pharmacies that continue to could not dispense such a prescription.
provide a cylinder service may dispense In addition, veterinary prescriptions are
prescriptions under usual NHS unaffected by this requirement.
arrangements. This route will remain
open until amendments are made to NHS • A prescription issued on or after 7th
regulations next year. July 2006 containing a controlled drug
specified in Schedules 1 to 4 to the 2001
A list of pharmacies still supplying Regulations will have its period of validity
Oxygen will be provided to GPs and reduced from 13 weeks to 28 days. The
pharmacies in order to reduce any prescriber may specify a start date for a
inconvenience to patients. prescription, and if so, the 28 day
In the event that oxygen is unavailable validity will run from that date.
from a pharmacy, patients should be
referred to their GP or the Out of Hours • Pharmacists supplying Schedule 2
GP service “Primecare” who should controlled drugs will be required to
complete an emergency HOOF form to ascertain whether the person collecting
supply oxygen through Air Products. the prescription is the patient, a
representative of the patient or a health
professional, and may ask the patient or
5. On-line Clinical Governance his representative to produce evidence of
Training his or her identity. In the case of health
professionals acting in that capacity the
A new resource has been developed in
pharmacist must obtain the persons
partnership between NHS Clinical
name and address, and unless he is
Governance Support Team and the Royal
acquainted with the health professional,
Pharmaceutical Society of Great Britain.
must obtain evidence of his identity.
This is a free online training programme
Amendments to the register keeping
to enhance understanding of Clinical
requirements will be made, to require
Governance and its requirements for
the recording of whether evidence of
community pharmacists through their
identity was requested.
new contract. Launched on 22 May, it
may be accessed at
• Prescriptions containing minor
typographical errors may be dispensed
by the pharmacist in certain specified 7. Emergency Hormonal
• Prescriptions or copies of private Enclosed with this newsletter is a survey
prescriptions will be required to be sent on the supply of EHC.
to the NHSBSA Prescription Pricing
Division (formerly the PPA), but there is With a view to introducing an EHC
a further legislative amendment required patient group direction through
to fully implement this. pharmacies, we hope all pharmacies will
complete this survey during August
At the same time, A & E are surveying
how many EHC supplies they make and
the number of GP prescriptions
dispensed will be recorded.
With this information it is hoped to prove
that a supply through pharmacies is not
only cost effective but also more
Please bring this to the notice of all
relevant staff, complete the survey and
return in the envelope provided.
Summary of Actions When Completed
Completed & Return survey on waste collection bin
Complete & Return one copy of new NRT service
Complete survey on EHC supply
Pro-actively take part in the South Yorkshire 21 July
Medicines Waste Campaign 2006 onwards
Ask customers returning medicines waste to 21 July
complete a questionnaire onwards
As always, if you would be willing to receive future information and newsletters via e-mail,
please contact me at email@example.com. If you would prefer to receive paper
copies sent to your home address, please let me know.
Matt Auckland, Community Pharmacy Development Facilitator
Hillder House, 49/51 Gawber Road, Barnsley, S75 2PY