NHS Urgent Medicines Suppy Advanced Service

This service is an expansion of the pilot we had in the NE last year. The service was commissioned in late November and is on national roll out with NE area having gone live during December 2016.

If a patient has run out of medicines then 111 can signpost them to a pharmacy that has signed up via logging the patient on PharmaOutcomes.
Roughly 600 NE pharmacies signed up to date (out of about 750).
PharmaOutcomes captures - Name, DOB, Postcode but no details re the medicine needed.

The patient then goes to that pharmacy and pharmacist makes a clinical judgement regarding supply within the existing legal framework for emergency supplies - main thing they cannot give is controlled drugs.
If pharmacist supplies they log this on PharmaOutcomes and payment of medicines covered by NHS.
Patient's GP is informed of the supply by NHS mail or physical paperwork going to the practice from the pharmacy.

If they cannot supply, in the OOH period, then patient will be referred back to 111 as they will need to be seen by a GP - this should be a small minority of patients.
If it is in-hours then the pharmacies have been encouraged to do what they can to appropriately sign-post the patients and try to resolve the situation.

GatDOC should see reduced numbers of patients presenting needing a script for medicines they have run out of.
For any patients that do present feedback of what was needed would be useful so that we can let LPC know if anything inappropriate occurs which should have been managed by pharmacy via this service (NUMSAS).

GatDOC cannot log onto PharmaOutcomes and everything should be managed by 111 without any GP OOH involvement.

Anti-viral Prescribing

There is some flu around at present and the Department of Health has published new guidelines on anti-viral prescribing. They can be found in the Memos section of the handbook.