Common use of Service Specification Clause in Contracts

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 maintain a record: • of the emergency supply, setting out the name and address 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. 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 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 this service. • Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicine.

Service Specification. This 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 available 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 only 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 registered with 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 charts from a General Practice word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within the Clinical Commissioning Group (CCG)local protocols. The pharmacist will: • Interview 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 (orissues 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 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 supplyline with locally determined confidentiality arrangements, 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 need for the importance of ordering prescriptions in a timely manner. • The pharmacist will at his/her discretion, make the supply in accordance with the requirements permission of the Human Medicines Regulations 2012. This service specification allows for up client 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 thisshare the information. The pharmacy will maintain a record: • of the emergency supply, setting out the name appropriate records to ensure effective ongoing service delivery and address 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 commissioneraudit. This record Records will be used 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. Patient consent will need to be given Where data is missing or unclear then claims for this data sharing • One copy of this record in payment will be sent returned to the patient’s general practitioner pharmacy for information (this clarification and re- submission. Claims for payment 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 submitted monthly by the Secretary pharmacy on PharmOutcomes. The CCG will provide up to date details of State must be provided if the patient requests itother services which pharmacy staff can use to refer service users who require further assistance. Any prescription charges collected from patients The CCG will be deducted from responsible for the sum payable promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service 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 this service. • Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicinepublic.

Service Specification. This 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 available 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 only 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 registered with 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 charts from a General Practice word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within the Clinical Commissioning Group (CCG)local protocols. The pharmacist will: • Interview 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 (orissues 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 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 supplyline with locally determined confidentiality arrangements, 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 need for the importance of ordering prescriptions in a timely manner. • The pharmacist will at his/her discretion, make the supply in accordance with the requirements permission of the Human Medicines Regulations 2012. This service specification allows for up client 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 thisshare the information. The pharmacy will maintain a record: • of the emergency supply, setting out the name appropriate records to ensure effective ongoing service delivery and address 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 commissioneraudit. This record Records will be used 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. Patient consent will need to be given Where data is missing or unclear then claims for this data sharing • One copy of this record in payment will be sent returned to the patient’s general practitioner pharmacy for information (this clarification and re- submission. Claims for payment 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 submitted monthly by the Secretary pharmacy on PharmOutcomes. The CCG will provide up to date details of State must be provided if the patient requests itother services which pharmacy staff can use to refer service users who require further assistance. Any prescription charges collected from patients The CCG will be deducted from responsible for the sum payable promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service 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 this service. • Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicinepublic.

Service Specification. This 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 available 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 only 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 registered with 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 General Practice word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within the Clinical Commissioning Group (CCG)local protocols. The pharmacist will: • Interview 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 (orissues 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 Act ion Plan. Pharmacists will share where appropriate relevant information with other health care professionals and agencies, 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 supplyline with locally determined confidentiality arrangements, 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 need for the importance of ordering prescriptions in a timely manner. • The pharmacist will at his/her discretion, make the supply in accordance with the requirements permission of the Human Medicines Regulations 2012. This service specification allows for up clien t 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 thisshare the information. The pharmacy will maintain a record: • of the emergency supply, setting out the name appropriate records to ensure effective ongoing service delivery and address 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 commissioneraudit. This record Records will be used 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. Patient consent will need to be given Where data is missing or unclear then claims for this data sharing • One copy of this record in payment will be sent returned to the patient’s general practitioner pharmacy for information (this clarification and re- submission. Claims for payment 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 submitted monthly by the Secretary pharmacy on PharmOutcomes. The CCG will provide up to date details of State must be provided if the patient requests itother services which pharmacy staff can use to refer service users who require further assistance. Any prescription charges collected from patients The CCG will be deducted from responsible for the sum payable promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service 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 this service. • Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicinepublic.

Service Specification. This 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 available 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 only 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 registered with 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 General Practice word document. The pharmacy contractor will ensure that pharmacists and staff involved in the provision of the service are aware of and operate within the Clinical Commissioning Group (CCG)local protocols. The pharmacist will: • Interview 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 (orissues 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 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 supplyline with locally determined confidentiality arrangements, 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 need for the importance of ordering prescriptions in a timely manner. • The pharmacist will at his/her discretion, make the supply in accordance with the requirements permission of the Human Medicines Regulations 2012. This service specification allows for up client 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 thisshare the information. The pharmacy will maintain a record: • of the emergency supply, setting out the name appropriate records to ensure effective ongoing service delivery and address 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 commissioneraudit. This record Records will be used 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. Patient consent will need to be given Where data is missing or unclear then claims for this data sharing • One copy of this record in payment will be sent returned to the patient’s general practitioner pharmacy for information (this clarification and re- submission. Claims for payment 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 submitted monthly by the Secretary pharmacy on PharmOutcomes. The CCG will provide up to date details of State must be provided if the patient requests itother services which pharmacy staff can use to refer service users who require further assistance. Any prescription charges collected from patients The CCG will be deducted from responsible for the sum payable promotion of the service locally, including the development of publicity materials, which pharmacies can use to promote the service 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 this service. • Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicinepublic.

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 maintain a record: •  of the emergency supply, setting out the name and address 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. This record will be 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 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 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 this service. •  Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to make an urgently required supply of a prescription only medicine.