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.

Home Visits

There has been an issue recently where the patient address entered by 111 did not match the actual location of the patient. It would be good practice to check that the patient is at the stated address before visiting and we would encourage visiting doctors to do so.

Overnight Calls

There have been issues where doctors have been complaining that they are not notified by 111 about night calls which come into Adastra. We have tried to make this system reliable, but it has not worked. Calls coming into Adastra will generate a text message on the night shift mobile phone, so doctors should ensure that they take the mobile with them when retiring to the bedroom.
It is also essential that doctors take the appropriate Toughbooks when going out on calls at night so that they are aware when new calls come in. As an “insurance” doctors should also make sure they take the mobile with them when going out on visits.

111 calls from Yorkshire

Many of you will have noticed 111 calls coming through from Yorkshire. These calls are not generated by the 111 service in Newcastle and cannot be modified by them, they are sent through from Wakefield and I am afraid they are but another example of the 111 problems we have all been experiencing. The number to deal with these calls can be found in Useful Telephone Numbers at NHS 111 (Wakefield)

New DNAR form

Today NEAS have introduced new forms for patents for whom resuscitation should not be attempted. There is a letter in the memos section and the form can be found (surprise, surprise) in the forms section.

Working with the Walk-in Centre

We have published a memo about working with the Walk-in Centre (WiC) staff at Bensham once they move to the Adastra system today. It is part of the roll-out of the 111 service and the move to the QE site later this year. Please e-mail me if you have any queries.