Common use of Service Specification Clause in Contracts

Service Specification. The pharmacy will at the point of handing out a completed prescription to a patient (or their representative where the patient has consented to the representative acting in this capacity) discuss with the patient the contents of the completed prescription and whether each item as dispensed is required by the patient. Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item. When the pharmacist makes such an intervention they will make a record of the intervention on PharmOutcomes that captures the following information:  The name and address of the patient  The name and practice of the prescriber  The date of the intervention  The name, strength (if required), form and quantity of the item that the intervention has been made on  The reason, as reported by the patient, that item was prescribed but is no longer required.  Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future When the pharmacist makes an intervention as described above, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This will be normally be done automatically by the PharmOutcomes system, but may sometime require the pharmacy to post the notification). When the pharmacist makes an intervention, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients safe use of the prescribed medicines. Where a pharmacy makes an intervention they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient. Where a pharmacy makes an intervention, on an item that is prescribed on a paper prescription form, they shall score through the item so as to make it illegible. Where a pharmacy makes an intervention, on an item that is prescribed through the Electronic Prescription Service, they endorse the item as Not Dispensed (ND) on the Electronic Prescription Service claim. The pharmacy staff will ensure that the service is explained to the patient at the outset. This explanation will include the reasoning for the service. They must re-assure any patient anxious about having an item not dispensed this time and that it does not mean it has been automatically removed from the repeat prescription.

Service Specification. This service is available for only patients registered with a General Practice within the Clinical Commissioning Group (CCG). The pharmacist will:  Interview the patient (or, in a pandemic only, the patient’s representative) to identify the medicines needed and to establish the nature of the emergency;  Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription;  The pharmacy should take reasonable measures to ascertain the appropriateness of making a a supply, including, where appropriate the use of Summary Care Record, contacting the last supplying pharmacy or the prescriber; and  Where appropriate, advise the patient or his representative on the 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 Human Medicines Regulations 2012. This service specification allows for up to 7 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 at the point of handing out maintain a completed prescription to a patient (or their representative where the patient has consented to the representative acting in this capacity) discuss with the patient the contents record:  of the completed prescription and whether each item as dispensed is required by emergency supply, setting out the patient. Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item. When the pharmacist makes such an intervention they will make a record of the intervention on PharmOutcomes that captures the following information:  The name and address of the patient  The name and practice of patient, the prescriber  The prescription only medicine supplied, the date of the intervention  The name, strength (if required), form supply and quantity the nature of the item emergency in accordance with the Human Medicines Regulations 2012;  of the consultation and any medicine that is supplied in the intervention patient medication record;  of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. This record will be used for the recording of relevant service information for the purposes of audit and the claiming of payment. 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 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 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 on but is not substantiated, the charge should be recovered from the patient by the commissioner.  The reason, as reported by the patient, that item was prescribed but is no longer requiredpharmacy contractor must have a standard operating procedure in place for this service.  Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future When the pharmacist makes an intervention as described above, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This Locally agreed referral pathways will be normally put in place and will be done automatically by the PharmOutcomes system, but may sometime require followed where the pharmacy to post the notification). When the pharmacist makes an intervention, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients safe use of the prescribed medicines. Where a pharmacy makes an intervention they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient. Where a pharmacy makes an intervention, on an item that is prescribed on a paper prescription form, they shall score through the item so as not able to make it illegible. Where an urgently required supply of a pharmacy makes an intervention, on an item that is prescribed through the Electronic Prescription Service, they endorse the item as Not Dispensed (ND) on the Electronic Prescription Service claim. The pharmacy staff will ensure that the service is explained to the patient at the outset. This explanation will include the reasoning for the service. They must re-assure any patient anxious about having an item not dispensed this time and that it does not mean it has been automatically removed from the repeat prescriptionprescription only medicine.

Service Specification. The pharmacy will at the point of handing out a completed prescription to a patient (or their representative where the patient has consented to the representative acting in this capacity) discuss with the patient the contents of the completed prescription and whether each item as dispensed is required by the patient. Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item. When the pharmacist makes such an intervention they will make a record of the intervention on PharmOutcomes that captures the following information:  The name and address of the patient  The name and practice of the prescriber  The date of the intervention  The name, strength (if required), form and quantity of the item that the intervention has been made on  The reason, as reported by the patient, that item was prescribed but is no longer required.  Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future When the pharmacist makes an intervention as described above, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This will be normally be done automatically by the PharmOutcomes system, but may sometime require the pharmacy to post the notification). When the pharmacist makes an intervention, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients patients’ safe use of the prescribed medicines. Where a pharmacy makes an intervention they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient. Where a pharmacy makes an intervention, on an item that is prescribed on a paper prescription form, they shall score through the item so as to make it illegible. Where a pharmacy makes an intervention, on an item that is prescribed through the Electronic Prescription Service, they endorse the item as Not Dispensed (ND) on the Electronic Prescription Service claim. The pharmacy staff will ensure that the service is explained to the patient at the outset. This explanation will include the reasoning for the service. They must re-assure any patient anxious about having an item not dispensed this time and that it does not mean it has been automatically removed from the repeat prescription.

Service Specification. The pharmacy will at the point of handing out a completed prescription to a patient (or their representative where the patient has consented to the representative representat ive acting in this capacity) discuss with the patient the contents of the completed prescription and whether each item as dispensed is required by the patient. Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item. When the pharmacist makes such an intervention they will make a record of the intervention on PharmOutcomes that captures the following information:  The name and address of the patient  The name and practice of the prescriber  The date of the intervention  The name, strength (if required), form and quantity of the item that the intervention has been made on  The reason, as reported by the patient, that item was prescribed but is no longer required.  Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future When the pharmacist makes an intervention as described above, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This will be normally be done automatically by the PharmOutcomes system, but may sometime require the pharmacy to post the notification). When the pharmacist makes an intervention, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients patients’ safe use of the prescribed medicines. Where a pharmacy makes an intervention they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient. Where a pharmacy makes an intervention, on an item that is prescribed on a paper prescription form, they shall score through the item so as to make it illegible. Where a pharmacy makes an intervention, on an item that is prescribed through the Electronic Prescription Service, they endorse the item as Not Dispensed (ND) on the Electronic Prescription Service claim. The pharmacy staff will ensure that the service is explained to the patient at the outset. This explanation will include the reasoning for the service. They must re-assure any patient anxious about having an item not dispensed this time and that it does not mean it has been automatically removed from the repeat prescription.

Service Specification. The pharmacy will at the point of handing out a completed prescription to a patient (or their representative where the patient has consented to the representative acting in this capacity) discuss with the patient the contents of the completed prescription and whether each item as dispensed is required by the patient. Where, as a result of the discussion described above, an item that has been ordered on the prescription is identified as not being required by the patient, the pharmacy will, at the discretion of the pharmacist, make an intervention to not dispense the item. When the pharmacist makes such an intervention they will make a record of the intervention on PharmOutcomes that captures the following information:  • The name and address of the patient  • The name and practice of the prescriber  • The date of the intervention  • The name, strength (if required), form and quantity of the item that the intervention has been made on  • The reason, as reported by the patient, that item was prescribed but is no longer required.  • Any action that the pharmacist has taken to prevent that item from being unnecessarily prescribed in the future When the pharmacist makes an intervention as described above, they will notify the patient’s GP that they have made that intervention and the reason why the item was not required. (This will be normally be done automatically by the PharmOutcomes system, but may sometime require the pharmacy to post the notification). When the pharmacist makes an intervention, that in their discretion may be clinically significant to the patients continuing treatment, they will deliver a Medicines Use Review to support the patients safe use of the prescribed medicines. Where a pharmacy makes an intervention they should check the patient history on PharmOutcomes to see if the patient has received a similar intervention in the previous period of treatment for the same item. If there has been a previous intervention the pharmacy should record this in the PharmOutcomes record and if appropriate, deliver a Medicines Use Review to the patient. Where a pharmacy makes an intervention, on an item that is prescribed on a paper prescription form, they shall score through the item so as to make it illegible. Where a pharmacy makes an intervention, on an item that is prescribed through the Electronic Prescription Service, they endorse the item as Not Dispensed (ND) on the Electronic Prescription Service claim. The pharmacy staff will ensure that the service is explained to the patient at the outset. This explanation will include the reasoning for the service. They must re-assure any patient anxious about having an item not dispensed this time and that it does not mean it has been automatically removed from the repeat prescription.