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Video: Five views on the pharmacy contract

Following the announcement of the new funding settlement last month, C+D attended the Pharmacy Show in Birmingham on Sunday (October 5) to get the views of sector leaders, contractors and a pharmacy student.




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10 Comments

Er Ds, Superintendent

sami sell up. u seem too bitter and twisted to have empathy for your patients.

Sami Khaderia, Non healthcare professional

I disagree. Independents including myself go out of their way to help their patients.

You need to have watched question time last night.

By 2020 there will be a shortfall of £30 billion in the NHS. There will have to be cuts in every area and Pharmacies cant BE immune to that. ITS YOU THAT BOASTED THAT CONTRACTS TAKE HOME £150K PER ANNUM.

PS: locums have not had a pay rise in 4/5 years.

SP Ph, Community pharmacist

"go out of their way to help their patients. "

You mean giving emergency supplies when the surgeries are closed and taking them against a prescription later? Don't you know it is illegal?

Sami Khaderia, Non healthcare professional

I refer the right honourable gentleman to the answer I gave earlier.

1. if i am doing something illegal then report me to the relevant authorities.

2. Going out of my way doesnt mean supplying meds illegally.

3. Emergency supplies are not illegal.

4. Read the MEP :)

Here endth the lesson.

SP Ph, Community pharmacist

""Emergency supplies are not illegal.""

As long as you do them as "on patient request" or there is a proof that "there is a Rx signed & ready at GP and will be with the pharmacy in 72 hours" by this I mean on a weekday (no doctor is going to call you on a Saturday to inform you that he has just done a prescription for Mr. X for his repeat medicines and he cannot get it to you straight away)

It is illegal, if you LEND them some to tidy them over till the prescription come to the Pharmacy and then you deduct it against that prescription. Ask anyone who has a better knowledge than you.

""Going out of my way doesnt mean supplying meds illegally.""

Kindly point out 3 important things which fit your definition of going out of the way.

""Read the MEP""

Too old for that. MEP is either a pass time for the RPS members or for those who have not done their pre-reg year properly and for those who are not up to date with the legislation.

Ohh by the way, where should we report footballers ?? specially when they give emergency medicines !!

Chandra Nathwani, Community pharmacist

It is illegal! Not the emergency supply bit..if you follow the MEP quoted above...but if you except the next script for payment for a private sale.

Charge £0.00 for your emergency supply and then take NOTHING off the FP10 then it is legal but you will not be in business for long. Charge patients for the emergency supply and they will never set foot in your pharmacy! Go out of your way to help patients but realise you put your hand in your pocket for it

Hope that the national Audit on emergency supply to be undertaken around Easter next year will provide information on a paid for National Emergency Supply Structure...but then pigs may start to fly!! Can't win!

Sami Khaderia, Non healthcare professional

I refer the right honourable gentleman to the answer I gave earlier.

Report me to the relevant body.

EMERGENCY SUPPLY AT THE REQUEST OF A
PATIENT
Subject to the conditions below, you may legally make an emergency supply at the request of a patient who has previously been prescribed the requested POM(s) by:
– an EEA or Swiss doctor or dentist – the following prescribers registered in the UK:
• a doctor, dentist, supplementary prescriber, community practitioner nurse prescriber, nurse independent prescriber, optometrist independent prescriber, pharmacist independent prescriber.
Conditions that apply
Interview: You should interview the patient, preferably face to face (if this is not possible consider using the telephone to contact the patient to gather the relevant information).
Immediate need: Be satisfied there is an immediate need for the POM and it is not practical for the patient to obtain a prescription (e.g. they are out of town, etc).
Previous treatment: The POM requested has previously been used as a treatment prescribed by at least one of the prescribers listed above. Note: the time interval from when the medicine was last prescribed to when it is requested as an emergency supply would need to be considered and you should use your professional judgement as to whether a supply or referral to a prescriber is appropriate.
Continued...
Emergency Supply
A GUIDANCE ON PROFESSIONAL PRACTICE
Dose: Be satisfied of the dose the patient needs to take.
Controlled drugs: Cannot supply controlled drug Schedule 1, 2 and 3 (except phenobarbitone or phenobarbitone sodium for epilepsy) and medicines which consist of or contain the following substances:
Ammonium bromide, calcium bromide, calcium bromidolactobionate, embutramide, fencamfamin hydrochloride, fluanisone, hexobarbitone, hexobarbitone sodium, hydrobromic acid, meclofenoxate hydrochloride, methohexitone sodium, pemoline, piracetam, potassium bromide, prolintane hydrochloride, sodium bromide, strychnine hydrochloride, tacrine hydrochloride, thiopentone sodium.
Note: requests made by a patient of an EEA or Swiss doctor/ dentist cannot be supplied a controlled drug Schedule 1, 2 and 3 or medicines that do not have a UK marketing authorisation.
Length of treatment of Controlled Drugs: Cannot supply more than 5 days treatment of controlled drugs (i.e. phenobarbitone, phenobarbitone sodium, Schedule 4 and 5).
Length of treatment of POMs: Cannot supply more than 30 days for other POMs, except where:
• The POM is insulin, an ointment, a cream, or an inhaler for asthma, (i.e. the packs cannot be broken) the smallest pack available in the pharmacy should be supplied.
• An oral contraceptive, a full treatment cycle supplied.
• An antibiotic in liquid for oral administration, supply the smallest quantity that will provide a full course of treatment.
Record Keeping
Entry is made in the POM register with the following information on the day of supply (or if impractical the next day following):
• the date the POM was supplied • the name (including strength and form) and quantity of
medicine
• the name and address of the patient requesting the POM
• information on the nature of the emergency, such as why the patient needs the POM, why a prescription cannot be obtained, etc
Labelling
• Usual labelling requirements apply, additionally have the words “Emergency Supply” on the label.
Where to go for further information
RPS Support: 0845 257 2570, [email protected] or complete an online web form.
RPS support tools available on our website:
• EEA Prescriptions a quick reference guide • Professional Judgement a quick reference guide
Other points to consider when faced with requests for emergency supply
You should be mindful of patients abusing emergency supplies, for example where the patient medication record shows the patient has on a number of occasions requested a medicine as an emergency supply or
the patient is known to the pharmacy for regularly requesting emergency supplies.
You are able to make an emergency supply even when the surgery is open.Trying to obtain a prescription may sometimes cause undue delay in treatment and potentially cause harm to the patient.
If patients are away from home and have run out of their medicines, referring them to the nearest surgery to register as a temporary patient may not always be appropriate.You could make an emergency supply if you were satisfied conditions in this guidance were met.

Here endeth the lesson

Sami Khaderia, Non healthcare professional

Ash...Most murs are done under pressure from management to hit targets ....in fact I told Lloyds deputy manager to stop bullying me if she didn't want legal action taken against her in my days as a locum - most MURs are FAKE........!!!

Sami Khaderia, Non healthcare professional

Mz govind...........Get out of the profession before its too late

Sami Khaderia, Non healthcare professional

Please sir can I have some more?

If you are not happy with the funding, sell up...Simple.!!

Job of the week

Pharmacist Manager
Midlands, Cheshire & Dorset
Salary dependent upon experience