New Contract Paperwork

Pharmacy First Poster (updated July 2021)

Existing pharmacy first/inhaler therapy service contractors

ACTIONS – TO DO – PLEASE NOTE, FOR MULTIPLES THIS WOULD USUALLY BE DONE CENTRALLY. PLEASE CHECK WITH YOUR AREA/REGIONAL LEAD TO CLARIFY IF YOU NEED TO DO ANYTHING

The document attached entitled “Information for NHS Standard Contract 2021-2022” explains the actions required. In this document you will find Appendix 1 and Appendix 2. Plymouth Inhaler Service Specification NHS contract

Pharmacies are to:

By 15^th May 2021

1. Complete the table(s) in Appendix 1 as per instruction in the document attached named “Information for NHS Standard Contract 2021-2022”. [attached to email sent from MEDICINESOPTIMISATION (NHS DEVON CCG) D-CCG.medicinesoptimisation@nhs.net]
2. Complete Appendix B List of premises you manage/own accredited to participate in the Pharmacy First Service (NB: New Pharmacy premises are welcome to complete) and Inhaler Therapy Services (existing pharmacies only) [attached to email sent from MEDICINESOPTIMISATION (NHS DEVON CCG) D-CCG.medicinesoptimisation@nhs.net]

Please send completed Appendix 1 and Appendix B to the NHS Devon CCG Medicines Optimisation at: D-CCG.medicinesoptimisation@nhs.net

Once received, your information will be included in the contract and finalised by NHS Devon CCG, then sent back to you by email for signature with instructions of how to return it back to us.

28 May 2021

Following a number of queries regarding the new contract process, The CCG have produced an FAQ’s document to answer common questions and provide some further clarity around what it is they are requesting. Please be reminded that the deadline for the submission of Appendix 1 and Appendix B is the end of this month – Monday 31^st May – as these will determine the content of the contract paperwork.

The second part of the process i.e. Appendix 2 and policy submissions and contract agreements will have a cut-off date of 31^st July 2021.

We have also obtained some generic policy documents which you can use if you do not already have these documents in place;

• Policy docs NHS standard – Serious Incidents Policy 25.05.21
• Policy docs NHS standard – Service User Consent Policy 25.05.21
• Policy docs NHS standard – Safeguarding 25.05.21

These documents will need to be personalised to your own pharmacy, indicated by the highlighted sections.

If you have any further specific queries, you can contact the CCG at D-CCG.medicinesoptimisation@nhs.net.

Then:

No later than 31^st July 2021

1. Complete the table in Appendix 2 “Information for NHS Standard Contract 2021-2022” and send the table and accompanying documents to the NHS Devon CCG Medicines Optimisation team at: D-CCG.medicinesoptimisation@nhs.net [attached to email sent from MEDICINESOPTIMISATION (NHS DEVON CCG) D-CCG.medicinesoptimisation@nhs.net]

Important: If NHS Devon CCG do not receive returns by 31st July 2021, then your pharmacy will no longer be able to provide the service.

In our letter of 18^th March 2021, we announced that NHS Devon CCG will commission the Pharmacy First Services (and Inhaler Therapy Services in Plymouth) directly from 1^st May 2021, rather than via our Local Authorities. There will be a minor change on PharmOutcomes, and you should select services on the new NHS Devon templates (Pinnacle will provide links to assist), however the data entry will remain unchanged. In the unlikely event of any IT issues when using PharmOutcomes, please contact Pinnacle in the usual way.

NB: For those services provided to patients on 30^th April or before, data entries made retrospectively should be made on the Local Authority templates which will remain available until 31^st July 2021.

From 1^st May 2021, those pharmacies already offering the services may automatically continue to do so, however the new contract documents will need to be completed by all who wish to continue beyond 31^st July 2021.

If you have any queries, please contact NHS Devon CCG Medicines Optimisation Team at D-CCG.medicinesoptimisation@nhs.net.

NEW APPLICANTS TO PHARMACY FIRST SERVICES

In recent weeks there has been a change to the commissioning arrangements for the Pharmacy First Service (and Inhaler Technique Services in Plymouth). NHS Devon CCG now commissions these services directly, as of the 1st May 2021, rather than via the Local Authorities.

From 1st May 2021, pharmacies already offering the services may automatically continue to do so, however the new contract documents will need to be completed by all who wish to continue beyond 31st July 2021. Now is also an opportunity for new pharmacy premises to apply to commence Pharmacy First services and the CCG welcomes new applicants.

Correspondence has been sent to all pharmacy contract leads for pharmacies currently not participating in the Pharmacy First Services. The email sent contains contracting details – if you are part of a multiple this is usually managed centrally. If you are part of a multiple and would like to take part in the service please contact your area/regional lead to discuss adding your name to the application. Alternatively if you manage this yourself, please read all of the information in the email and action as appropriate. The deadline for initial returns is the 24th of May 2021.

Pharmacies are to:

By 24^th May 2021 

1. Complete the table(s) in Appendix 1 as per instruction in the document attached named “Information for NHS Standard Contract 2021-2022”.
2. Complete Appendix B List of premises you manage/own accredited to participate in the Pharmacy First Service (NB: New Pharmacy premises are welcome to complete) and Inhaler Therapy Services (existing pharmacies only)

Please send completed Appendix 1 and Appendix B to the NHS Devon CCG Medicines Optimisation at: D-CCG.medicinesoptimisation@nhs.net

Once received, your information will be included in the contract and finalised by NHS Devon CCG, then sent back to you by email for signature with instructions of how to return it back to us.

Then:

No later than 31^st July 2021

1. Complete the table in Appendix 2 “Information for NHS Standard Contract 2021-2022” and send the table and accompanying documents to the NHS Devon CCG Medicines Optimisation team at: D-CCG.medicinesoptimisation@nhs.net

Important: If we do not receive returns by 31st July 2021, then your pharmacy will not be able to provide the service.

If you have any queries, please contact NHS Devon CCG Medicines Optimisation Team at D-CCG.medicinesoptimisation@nhs.net.

Pharmacy First – Currently providing the Pharmacy First Service/ Minor Ailment Service only – service spec titled ‘Sch2A 001 Pharmacy First Service Specification NHS contract 08.04.21 Final v7.docx’

Inhaler Therapy Services in Plymouth – pharmacies currently providing the Inhaler Therapy Services in Plymouth only –  Service spec titled ‘Sch2A 002 Inhaler Service Specification NHS contract Final v2.3.docx’

Minor ailments & inhaler therapy service – pharmacies currently providing both the Pharmacy First Service/ Minor Ailment Service and Inhaler Therapy Services in Plymouth – BOTH service specifications, titled as above

Pharmacy First – NOT currently providing the Pharmacy First Service/ Minor Ailment Service only – service spec titled ‘Sch2A 001 Pharmacy First Service Specification NHS contract 08.04.21 Final v7.docx’

Services currently being offered (as of 7 May 2021)

WITHDRAWL OF CHLORAMPHENICOL PGD WITH IMMEDIATE EFFECT (16 MARCH 2021)

Please see the letter from NHS Devon CCG regarding the Chloramphenicol PGD that has been withdrawn from the Pharmacy First Service

There is an updated Pharmacy First poster which is available here.

This service is due to restart during November 2020.  A re-launch event was held on 21st October 2020 and the slides from that event can be viewed here.

• Devon  Minor Ailments via PGD SLA Devon Revised for 1.4.2020
• Torbay Minor Ailments via PGD SLA
• Plymouth Minor Ailments via PGD SLA

MAS 2: Administration/Supply of Nitrofurantoin M/R Capsules for the Treatment of uncomplicated urinary tract infections in women under 65 years of age

• • Nitrofurantoin PGD  (Live from Monday 2nd November 2020)
  • Nitrofurantoin Checklist (Updated October 2020)
  • Minor Ailments service via PGD GP notification form
  • Minor Ailments Service via PGD – GP referral form

MAS 3: Administration/Supply of Fusidic Acid 2% Cream in the management of Impetigo  NEW with effect from 1st April 2021

PGD summary of change

Administration / supply of Fusidic Acid Cream 2% Cream in the management of Impetigo version 3.2 (PGD valid from 1^st April 2021, expiry 31^st March 2022)

• Introduction of a lower age limit i.e., patients over one year presenting in the pharmacy.
• Update caution section – skin reactions are uncommon.
• Advice section – inclusion of SPC risks associated with flammable nature of cream, severe burns etc

• • Fusidic Acid 2% Cream PGD
  • Fusidic Acid Cream Checksheet (Updated February 2021)
  • Minor Ailments service via PGD GP notification form
  • Minor Ailments Service via PGD – GP referral form

MAS 4: Administration/Supply of Timodine Cream in the treatment of nappy rash (Children from 0 to 3 years) NEW with effect from 1st April 2021

Administration / Supply of Timodine cream in the treatment of nappy rash version 3.2 (PGD valid from 1st April 2021, expiry 31st March 2022)

• Slight rewording to state the child must be present at the pharmacy.
• Additional exclusions – ulcerated skin and those children who have been treated with timodine in the previous 3 months.
• Reiteration to apply thinly in the dose and advice section.

Advice section – to seek advice of GP should a skin reaction occur and general advice of flammable nature of the problem, as per SPC

• • Timodine Cream PGD
  • Timodine Checklist (Updated February 2021)
  • Minor Ailments service via PGD GP notification form
  • Minor Ailments Service via PGD – GP referral form