Common use of Service Specification Clause in Contracts

Service Specification. The part of the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteria. The pharmacy will nominate TWO key members of staff who will be the regular point of contact for an authorised person and the patient. The CCG will agree the patient eligibility criteria for this service and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirements;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangements, including, where appropriate, the need for the permission of the client to share the information. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery and audit. Records will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework for the recording of relevant service information for the purposes of audit and the claiming of payment. Where data is missing or unclear then claims for payment will be returned to the pharmacy for clarification and re- submission. Claims for payment will be submitted monthly by the pharmacy on PharmOutcomes. The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistance. The CCG will be responsible for the promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the public.

Service Specification. The part of This service is available for only patients registered with a General Practice within the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteriaClinical Commissioning Group (CCG). The pharmacy will nominate TWO key members of staff who will be pharmacist will:  Interview the regular point of contact for an authorised person and patient (or, in a pandemic only, the patient. The CCG will agree ’s representative) to identify the patient eligibility criteria for this service medicines needed and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the nature of the emergency;  Examine the patient medication record to establish whether the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding last course of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) medicine was obtained from that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirementspharmacy against a prescription;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in should take reasonable measures to ascertain the provision appropriateness of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide making a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangementsa supply, including, where appropriate the use of Summary Care Record, contacting the last supplying pharmacy or the prescriber; and  Where appropriate, advise the need for patient or his representative on the permission importance of ordering prescriptions in a timely manner.  The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the client to share the informationHuman Medicines Regulations 2012. This service The pharmacy will maintain appropriate records to ensure effective ongoing service delivery a record:  of the emergency supply, setting out the name and auditaddress of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012;  of the consultation and any medicine that is supplied in the patient medication record;  of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. Records This record will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework used for the recording of relevant service information for the purposes of audit and the claiming of payment. Where Patient consent will need to be given for this data is missing or unclear then claims for payment sharing  One copy of this record in will be returned sent to the pharmacy patient’s general practitioner for clarification information (this will normally be done by PharmOutcomes automatically) Patient consent will need to be given for this data sharing.  A prescription charge should be collected unless the patient is exempt in accordance with the NHS Charges for Drugs and re- submissionAppliances Regulations. Claims for payment Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be submitted monthly deducted from the sum payable to the pharmacy.  If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy on PharmOutcomesto check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner.  The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistancecontractor must have a standard operating procedure in place for this service. The CCG  Locally agreed referral pathways will be responsible for put in place and will be followed where the promotion pharmacy is not able to make an urgently required supply of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the publica prescription only medicine.

Service Specification. The part of the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteria. The pharmacy will nominate TWO key members of staff who will be the regular point of contact for an authorised person and the patient. The CCG will agree the patient eligibility criteria for this service and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirements;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts charts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangements, including, where appropriate, the need for the permission of the client to share the information. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery and audit. Records will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework for the recording of relevant service information for the purposes of audit and the claiming of payment. Where data is missing or unclear then claims for payment will be returned to the pharmacy for clarification and re- submission. Claims for payment will be submitted monthly by the pharmacy on PharmOutcomes. The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistance. The CCG will be responsible for the promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the public.

Service Specification. The part of This service is available for only patients registered with a General Practice within the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteriaClinical Commissioning Group (CCG). The pharmacy will nominate TWO key members of staff who will be pharmacist will:  Interview the regular point of contact for an authorised person and patient (or, in a pandemic only, the patient. The CCG will agree ’s representative) to identify the patient eligibility criteria for this service medicines needed and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the nature of the emergency;  Examine the patient medication record to establish whether the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding last course of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) medicine was obtained from that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirementspharmacy against a prescription;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in should take reasonable measures to ascertain the provision appropriateness of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide making a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangementsa supply, including, where appropriate the use of Summary Care Record, contacting the last supplying pharmacy or the prescriber; and  Where appropriate, advise the need for patient or his representative on the permission importance of ordering prescriptions in a timely manner.  The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the client to share the informationHuman Medicines Regulations 2012. This service The pharmacy will maintain appropriate records to ensure effective ongoing service delivery a record:  of the emergency supply, setting out the name and auditaddress of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012;  of the consultation and any medicine that is supplied in the patient medication record;  of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. Records This record will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework used for the recording of relevant service information for the purposes of audit and the claiming of paymentpayme nt. Patient consent will need to be given for this data sharing  One copy of this record in will be sent to the patient’s general practitioner for information (this will normally be done by PharmOutcomes automatically) Patient consent will need to be given for this data sharing.  A prescription charge should be collected unless the patient is exempt in accordance with the NHS Charges for Drugs and Appliances Regulations. Where data a prescription charge is missing or unclear then claims for payment paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be returned deducted from the sum payable to the pharmacy.  If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy to check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner.  The pharmacy contractor must have a standard operating procedure in place for clarification and re- submissionthis service. Claims for payment  Locally agreed referral pathways will be submitted monthly by put in place and will be followed where the pharmacy on PharmOutcomes. The CCG will provide up is not able to date details make an urgently required supply of other services which pharmacy staff can use to refer service users who require further assistance. The CCG will be responsible for the promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the publica prescription only medicine.

Service Specification. The part of the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteria. The pharmacy will nominate TWO key members of staff who will be the regular point of contact for an authorised person and the patient. The CCG will agree the patient eligibility criteria for this service and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirements;  • Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  • modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  • ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  • able to manage patients repeat prescription  • have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts charts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangements, including, where appropriate, the need for the permission of the client to share the information. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery and audit. Records will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework for the recording of relevant service information for the purposes of audit and the claiming of payment. Where data is missing or unclear then claims for payment will be returned to the pharmacy for clarification and re- submission. Claims for payment will be submitted monthly by the pharmacy on PharmOutcomes. The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistance. The CCG will be responsible for the promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the public.

Service Specification. The part of the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteria. The pharmacy will nominate TWO key members of staff who will be the regular point of contact for an authorised person and the patient. The CCG will agree the patient eligibility criteria for this service and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirements;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Act ion Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangements, including, where appropriate, the need for the permission of the client clien t to share the information. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery and audit. Records will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework for the recording of relevant service information for the purposes of audit and the claiming of payment. Where data is missing or unclear then claims for payment will be returned to the pharmacy for clarification and re- submission. Claims for payment will be submitted monthly by the pharmacy on PharmOutcomes. The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistance. The CCG will be responsible for the promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the public.

Service Specification. The part of This service is available for only patients registered with a General Practice within the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteriaClinical Commissioning Group (CCG). The pharmacy will nominate TWO key members of staff who will be pharmacist will: • Interview the regular point of contact for an authorised person and patient (or, in a pandemic only, the patient. The CCG will agree ’s representative) to identify the patient eligibility criteria for this service medicines needed and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the nature of the emergency; • Examine the patient medication record to establish whether the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding last course of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) medicine was obtained from that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirementspharmacy against a prescription;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. • The pharmacy contractor will ensure that pharmacists and staff involved in should take reasonable measures to ascertain the provision appropriateness of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide making a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangementsa supply, including, where appropriate the use of Summary Care Record, contacting the last supplying pharmacy or the prescriber; and • Where appropriate, advise the need for patient or his representative on the permission importance of ordering prescriptions in a timely manner. • The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the client Human Medicines Regulations 2012. This service specification allows for up to share the information7 days treatment only. Exceptions apply for inhalers and creams / ointments, where a manufacturer’s pack can be supplied. Schedule 1, 2 or 3 controlled drugs (except phenobarbitone or phenobarbitone sodium for epilepsy) cannot be supplied in an emergency. Quantities of other medicines should be in line with this. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery a record: • of the emergency supply, setting out the name and auditaddress of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012; • of the consultation and any medicine that is supplied in the patient medication record; • of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. Records This record will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework used for the recording of relevant service information for the purposes of audit and the claiming of payment. Where Patient consent will need to be given for this data is missing or unclear then claims for payment sharing • One copy of this record in will be returned sent to the pharmacy patient’s general practitioner for clarification information (this will normally be done by PharmOutcomes automatically) Patient consent will need to be given for this data sharing. • A prescription charge should be collected unless the patient is exempt in accordance with the NHS Charges for Drugs and re- submissionAppliances Regulations. Claims for payment Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be submitted monthly deducted from the sum payable to the pharmacy. • If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy on PharmOutcomesto check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner. • The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistancecontractor must have a standard operating procedure in place for this service. The CCG • Locally agreed referral pathways will be responsible for put in place and will be followed where the promotion pharmacy is not able to make an urgently required supply of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the publica prescription only medicine.

Service Specification. The part of This service is available for only patients registered with a General Practice within the pharmacy used for provision of the service provides a sufficient level of privacy and safety and meets other locally agreed criteriaClinical Commissioning Group (CCG). The pharmacy will nominate TWO key members of staff who will be pharmacist will:  Interview the regular point of contact for an authorised person and patient (or, in a pandemic only, the patient. The CCG will agree ’s representative) to identify the patient eligibility criteria for this service medicines needed and the referral mechanisms. During an assessment an authorised person will contact the pharmacy to engage in a professional discussion to establish the nature of the emergency;  Examine the patient medication record to establish whether the patient’s needs prior to completing the Patient File and Open Action Plan. The authorised person will assess what level and kind of support the person requires. Once the required support has been identified it is essential that the patient is shown how to use it and their understanding last course of the support provided is checked. The Open Action Plan will state whether it is the authorised person (house bound patients) or Community Pharmacy (patient able to access the pharmacy) medicine was obtained from that have responsibility for showing the patient how to use their support and checking their understanding of its use. The Pharmacy will be required to satisfy the following requirementspharmacy against a prescription;  Use various techniques to aid the visually impaired (i.e. Large print, appropriate annotation of boxes)  modify packaging of medication e.g. wing caps, non-child resistant containers, popping medication out of blisters into bottles, halving of tablets and simple annotation of boxes.  ability to supply a multi compartment compliance device where it is deemed necessary and ensure empty containers are returned to monitor patient compliance  able to manage patients repeat prescription  have computer software capable of producing patient medication reminder charts and tick reminder charts for individual patients (templates will be provided by the CCG) i.e. to be able to create, amend and print reminder cha rts from a word document. The pharmacy contractor will ensure that pharmacists and staff involved in should take reasonable measures to ascertain the provision appropriateness of the service are aware of and operate within local protocols. The pharmacist will follow an agreed protocol for monitoring and review as set out in the individual Patient File. The CCG will provide making a robust and responsive referral system for complex patient issues that arise with patients already enrolled on the service. The referral criteria and authorised person contact information will be identified for each patient in their Open Action Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, in line with locally determined confidentiality arrangementsa supply, including, where appropriate the use of Summary Care Record, contacting the last supplying pharmacy or the prescriber; and  Where appropriate, advise the need for patient or his representative on the permission importance of ordering prescriptions in a timely manner.  The pharmacist will at his/her discretion, make the supply in accordance with the requirements of the client Human Medicines Regulations 2012. This service specification allows for up to share the information7 days treatment only. Exceptions apply for inhalers and creams / ointments, where a manufacturer’s pack can be supplied. Schedule 1, 2 or 3 controlled drugs (except phenobarbitone or phenobarbitone sodium for epilepsy) cannot be supplied in an emergency. Quantities of other medicines should be in line with this. The pharmacy will maintain appropriate records to ensure effective ongoing service delivery a record:  of the emergency supply, setting out the name and auditaddress of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012;  of the consultation and any medicine that is supplied in the patient medication record;  of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. Records This record will be confidential and should be stored securely and for a length of time in line with local NHS record retention policies. The CCG will provide a framework used for the recording of relevant service information for the purposes of audit and the claiming of payment. Where Patient consent will need to be given for this data is missing or unclear then claims for payment sharing  One copy of this record in will be returned sent to the pharmacy patient’s general practitioner for clarification information (this will normally be done by PharmOutcomes automatically) Patient consent will need to be given for this data sharing.  A prescription charge should be collected unless the patient is exempt in accordance with the NHS Charges for Drugs and re- submissionAppliances Regulations. Claims for payment Where a prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be submitted monthly deducted from the sum payable to the pharmacy.  If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy on PharmOutcomesto check and the patient must make a declaration of entitlement. Where a claim to exemption has been made but is not substantiated, the charge should be recovered from the patient by the commissioner.  The CCG will provide up to date details of other services which pharmacy staff can use to refer service users who require further assistancecontractor must have a standard operating procedure in place for this service. The CCG  Locally agreed referral pathways will be responsible for put in place and will be followed where the promotion pharmacy is not able to make an urgently required supply of the service locally, including the development of publicity materials, which pharmacies can use to promote the service to the publica prescription only medicine.