SERVICE AIMS. To provide patients with a robust route for safe disposal of prescribed medicines and sharps. To establish a safe and robust community pharmacy disposal service for patients in NHS Grampian. To ensure pharmacy staff understand and implement safe handling and storage of waste in their premises. To ensure that healthcare professionals and patients in NHS Grampian requiring such a service are aware of and know how to access it. To work within the health & safety requirements and infection control guidance for handling segregating and storing used medicines and sharps bins.
SERVICE AIMS. 3.1 The central aim of the service to provide patients with access to medicines prescribed from the hospital service along with any associated pharmaceutical care support deemed appropriate by the NHS Board from a local community pharmacy contracted to provide NHS services on behalf of the NHS Board.
SERVICE AIMS. 3.1 The pharmacy contractor will supply Hepatitis C medications to patients identified by the Hepatology Specialist Team as suitable for community pharmacy supply. Supply should be made as per directions on Hospital Based Prescription (HBP) and information sent to the pharmacy contractor from the Hepatology Specialist Team.
SERVICE AIMS. Pharmacy contractors to provide MAR chart(s) alongside dispensed medication to patients who have been identified as having prescribed medication administered by local authority commissioned care at home workers. Care at home workers can use the MAR chart to support people to take their medication(s). This may involve helping people to take their medication themselves (self-administration) or giving people their medication (administration).
SERVICE AIMS. 1. To improve the identification of patients with harmful and hazardous drinking patterns presenting to general practice.
SERVICE AIMS. All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This enhanced service specification outlines the more arfarin ed services to be provided. The specification of this service is designed to cover the enhanced aspects of clinical care of the patient, all of which are beyond the scope of essential services. No part of the specification by commission, omission or implication defines or redefines essential or additional services. It is estimated that in the UK there are approximately 500,000 patients currently prescribed oral anticoagulant drugs. Warfarin in the most frequently prescribed oral anticoagulant drug in the UK. These drugs require monitoring and frequent dose adjustment to maintain the desired therapeutic action and minimize adverse bleeding events. Under anticoagulation can result in thrombosis, which can be life threatening. Over anticoagulation can result in hemorrhage, which can also be fatal. The aim of this service is to offer standardized and clinically effective initiation onto arfarin for patients who are suitable for a slow loading/slow start treatment regimen, which complies with the standards set out by the British Committee for Standards in Haematology and the National Patient Safety Agency. As part of offering safe and effective anticoagulation management, the use of drugs such as Dabigatran will increase during the period of this Enhanced Service. Practices are asked to follow guidance from Medicines Management in the use of these drugs as it is made available, as at 27/3/2012 Dabigatran is still managed by Criteria Based Access and the policy is included under section 7.2 clinical procedures and protocols. Practices should expect to see some reduction in patients on Warfarin over the period of the LES as appropriate patients may be switched to Dabigatran.
SERVICE AIMS. 3.1 The aims of this service are: a) To administer a flu vaccination for eligible patients (see 2.4) who have not already received a flu vaccination in this year’s programme. b) To utilise the skills and expertise of highly trained healthcare professionals located in the widely distributed, accessible network of Community Pharmacies providing more opportunities and greater convenience for our patient cohort to obtain free NHS flu vaccinations and positively impact on the level of uptake.
SERVICE AIMS. 3.1 The central aim of the service is to provide patients with immediate access on discharge to medicines prescribed whilst an inpatient in hospital along with any associated pharmaceutical care support deemed appropriate by the NHS Board from a local community pharmacy contracted to provide NHS services on behalf of the NHS Board.
SERVICE AIMS. The service aims to offer an equitable level of clinical and pharmaceutical support to this vulnerable patient group regardless of their geographic location. The service is designed to be effective and auditable. It will provide person centred support to patients in terms of clinical care associated with the patients needs, covering dispensing, supervision and monitoring with intervention where required . It should be delivered by competent, trained pharmacists and their staff. Respect is a key element of the process of providing care to patients with substance misuse issues. The principles of the community pharmacy service are: - The clinical care and holistic wellbeing of substance misuse patients will be at the core of all activities and interventions. Community pharmacists, in their unique position at the heart of communities, will be at the centre of patient recovery through the provision of the full range of necessary support and signposting, from harm reduction to support during the final stages of treatment. Pharmacists will recognise the varying stages of drug dependence and addiction and adapt accordingly to support patients. Community pharmacists will be a key member of each patient’s multi-disciplinary team, recording and communicating positive changes or concerns regarding safety and/or clinical issues and providing valuable opportunistic intervention through agreed referral pathways. All pharmacy staff delivering the service will have undertaken appropriate CPD/training to ensure that they possess appropriate levels of knowledge and competence to legally and safely participate in the delivery of treatment for substance misuse patients. Community pharmacy staff and patients alike will treat each other with mutual dignity and respect. Community Pharmacists will strive to ensure equitable access to pharmacy services for all patients.
SERVICE AIMS. 4.1 Patients with a confirmed diagnosis of Chronic Obstructive Pulmonary Disease (COPD) may occasionally experience deterioration in their condition. Most will be familiar with the onset of the associated symptoms which can lead to hospitalisation if the medication required to alleviate the condition is not readily available. This service seeks to ensure that patients requiring medication to treat an exacerbation of COPD have reasonable access to supplies of appropriate medicines and that suitable advice is available on their use.
