North Lincolnshire Community Pharmacy

LOCAL ENHANCED SERVICE

FOR A COMMUNITY PHARMACY

MINOR AILMENTS SERVICE

October 2009

North Lincolnshire Community Pharmacy, Minor Ailments Service, 1 October 2009 – 31 March 2011

CONTENTS

Service specification

Participating Community Pharmacies (Appendix 1)

Participating GPs (Appendix 2)

Pharmacy Pass Book (Appendix 3)

Pharmacist Referral & Reporting Form (Appendix 4)

Pharmacy Data Collection Form (Appendix 5)

Minor Illnesses (Appendix 6)

Contact Details (Appendix 7)

Acknowledgements

Thanks and acknowledgements go to the following for their contributions:

Ø Sefton Health Authority for the original idea

Ø Ayrshire and Arran PCT

Ø Graham Hill, Professional Development Pharmacist, Hull & East Riding LPC

Ø Former Eastern Hull PCT Pharmacies

Ø East Yorkshire PCT Practices

Ø Jackie Matthews, Pharmaceutical Adviser, East Yorkshire PCT

Ø Mike Rymer, Pharmaceutical Adviser, Eastern Hull PCT

Ø East Lancashire Primary Care Trust

1. Introduction

1.1 This service is available to all patients registered with NHS North Lincolnshire (NHSNL) general practices as identified in Appendix 2. Patients are at liberty to refuse this service. Patients who pay for their prescriptions should be referred to a pharmacy to purchase medicines in the usual way. For these patients medicines will be charged at the price of a prescription or the purchase price if less than the prescription charge. The pharmacy will provide advice and appropriate medicines when clinically necessary.

1.2 The service is only available for the minor illnesses identified in Appendix 6.

1.3 Only community pharmacies who are committed to making staff available to provide the service and who have completed the necessary training will be included in the minor ailment service.

1.3.1 a) Participating Pharmacies should have a regular pharmacist(s)

b) Participating Pharmacies should have an approved private consultation area for this service.

c) Participating Pharmacies should have a named member of staff to manage the overall service.

Participating pharmacies are listed at Appendix 1.

1.4 The contract for pharmacies to participate in the scheme will commence on 1October 2009.

2. Transfer of Care

2.1 Patients presenting with a minor illness at the GP surgery can be offered this service. Patients may also self refer.

2.2 Patients presenting at a participating community pharmacy confirmed as being registered with a NHSNL surgery will receive the level of care as laid out in this service specification.

2.3 Patients from NHSNL surgeries presenting at a participating pharmacy with a passbook will receive the level of care as laid out in this service specification.

2.4 All patients must present to the pharmacy in person. For patients under the age of 16 the parent/guardian can accept transfer into the scheme on behalf of the patient. The parent/guardian must always bring the child with them to the pharmacy in order for an assessment to be carried out by a pharmacist/pharmacy staff member.

2.5 If the patient does not present in person, the patient will not be eligible for the scheme and they will be advised to access medical care through the normal procedures.

2.6 A passbook must be presented in order to receive services under this agreement.

3 Duties of Participating Surgeries (Appendix 2)

3.1 All patients requesting appointments for symptoms matching the criteria identified can be offered this service.

3.2 Patients presenting in person accepting the service should be issued a service information leaflet and a list of participating Pharmacies.

3.3 Monitoring of inappropriate use or abuse of the service must be undertaken and if identified should be notified to the NHSNL Medicines Management team.

3.4 Surgeries should co-operate and liaise with Community Pharmacists to activate the rapid referral procedure when required (see section 4.9).

3.5 Participating NHSNL surgeries should display official posters and provide leaflets promoting the service.

3.6 Patients accepting transfer by telephone will be advised to take evidence of identity or Passbook if already registered on the scheme to one of the participating pharmacies. In the absence of an NHS card or passbook the pharmacy may telephone the surgery to confirm a patient is on the practice list.

3.7 For patients under the age of 16 the parent/guardian can accept transfer into the scheme on behalf of the patient.

4 Duties of Participating Community Pharmacies (Appendix 1)

Patients should only be accepted into the service if the pharmacy can confirm their identity and has reasonable proof of registration with a NHSNL surgery. The pharmacy will provide the patient with the passbook and the same pharmacy will reissue a new passbook as required. The patient can access any pharmacy in the scheme.

4.1 Children under 16 years old, who self refer, without parental agreement, should be Gillick competent to receive this service.

4.2 All participating pharmacies will provide a professional consultation service for patients registered with a NHSNL surgery who present with one of the specified conditions. (Appendix 6)

4.3 The Pharmacist will assess the patient’s condition. The consultation will consist of:

4.3.1 Patient assessment.

4.3.2 Provision of advice.

4.3.3 Provision of medication, only if necessary, from the agreed formulary appropriate to the patient’s condition.

4.4 Normal rules of patient confidentiality apply.

4.5 The Pharmacy should ensure that the patient has completed and signed the declaration of exemption of Prescription charges and confirm this in the usual manner. (Appendix 3).

4.6 A record of any supply should be made on the Pharmacy Patient Medicine Record system.

4.7 All participating pharmacies will provide agreed medication in accordance with the Medicines Act 1968 and within the medications product licence.

Prescription Only Medicines must only be supplied under appropriate patient group directions (PGD’s).

4.8 If a patient presents more than twice within any month with the same symptoms they should be referred to their GP, dentist or optometrist and unless the symptoms meet the criteria for a rapid referral the patient should be advised to make an appointment in the normal manner. The Pharmacy Referral Form should be completed (Appendix 4).

Pharmacists should report significant interventions to the patients’ GP, dentist or optometrist (Appendix 4)

4.9 Rapid Referral Procedure – If the patient presents with symptoms indicating the need for an immediate consultation with the GP, dentist or optometrist the pharmacist should ring the appropriate professional and make an appointment for the patient within the appropriate time frame.

If the surgery is closed and/or the symptoms are sufficiently severe the patient should be advised to contact the on-call doctor at the GP Out of Hours Service, Emergency Dental Service or optometrist (if available) or attend A&E (if appropriate) immediately.

4.10 If the pharmacist suspects that the patient and/or parent are abusing the scheme they should alert NHSNL Medicines Management Team or the patient’s GP.

4.11 Pharmacies will be required to complete a monthly summary sheet and submit it to the PCT at NHSNL, Health Place, Wrawby Road, Brigg, DN208GS. This will allow for evaluation of the service, reimbursement of drug costs and feedback to pharmacies and practices. (Appendix 5).

4.12 Copies of the Data Collection (Appendix 5), Referral/Reporting Forms and completed Pass Books should be retained for audit purposes by the pharmacy for at least one year.

4.13 The pharmacist must ensure that adequate levels of stock are maintained.

4.14 All medication supplied should be in original packs and must contain a patient information leaflet. There is no need to label medication.

4.15 The pharmacist must inform the PCT if for any reason they are unable to deliver the service.

5. Service Funding and Payment Mechanism

The pharmacy will be paid according to the following schedule:-

5.1 Agreed cost price of medicine + VAT.

5.2 £3.00 professional fee per consultation.

The summary recording forms (Appendix 5) should be returned to the PCT office by the seventh of each month to enable payment at the end of the month. Pharmacists are advised to retain a copy of the summary forms.

6. Monitoring and Evaluation

Pharmacies and surgeries will be expected to participate in monitoring and evaluation to show:-

6.1 Any changes to GP prescribing data

6.2 Cost and volume of Pharmacy prescribing and indications treated

6.3 Impact on GP appointments and time

6.4 Attitudinal survey of:-

a) GPs

b) Receptionists

c) Pharmacists

d) Patients

NORTH LINCOLNSHIRE COMMUNITY PHARMACY

MINOR ILLNESSES

APPENDIX 1

PHARMACY OPENING HOURS

Name / Address / Hours
Day / Hours / Lunch
Boots (UK) Ltd
t/a Alliance Pharmacy / 11 George Street
Barton on Humber DN18 5ES
Tel: 01652 632393 / Mon-Fri
Sat
Sun / 8.30am-6.00pm
8.30am-5.00pm
Closed / 1.00-2.00pm
1.00-2.00pm
Boots the Chemist Ltd / 43-47 High Street,
Scunthorpe DN15 6SB
Tel: 01724 864285 / Mon-Sat
Sun / 8.30am-5.30pm
10.00am-4.00pm
Boots the Chemist Ltd / 7 Wrawby Street
Brigg DN20 8JH
Tel No: 01652 652269 / Mon-Fri
Sat
Sun / 9.00am-5.30pm
9.00am-5.00pm
Closed / 1.00-2.00pm
1.00-2.00pm
Boots the Chemist Ltd / 233-235 Ashby High St
Scunthorpe DN16 2SQ
Tel No: 01724 864755 / Mon-Fri
Sat
Sun / 9.00am-5.30pm
9.00am-5.00pm
Closed / 1.00-2.00pm
1.00-2.00pm
Damian Ltd
t/a Broughton Pharmacy / 27 Brooklands Avenue
Broughton
North Lincs
Tel: 01652 658112 / Mon, Tues, Thurs & Fri
Wed
Sat
Sun / 8.30am-6.30pm
8.30am-12.30pm
Closed
Closed / 1.00pm-2.00pm
Damien Ltd
t/a Riverside Surgery / Barnard Avenue
Brigg DN20 8AS
Tel: 01652 600301 / Mon-Sat
Sun / 7.00am–11.00pm
10.00am–2.00pm
Garners Pharmacy Ltd / 160/164, Frodingham Rd
Scunthorpe DN15 7NJ
Tel: 01724 276156 / Mon-Fri
Sat
Sun / 9.00am-6.30pm
9.00am-1.00pm
Closed
Garners Pharmacy Ltd / 72/74 Cottage Beck Rd
Scunthorpe
DN16 1LE
Tel: 01724 842429 / Mon, Tues, Thurs & Fri
Wed
Sat
Sun / 9.00am-7.00pm
9.00am-6.00pm
Closed
Closed / 1.30pm-2.30pm
1.30pm-2.30pm
Lincoln Co-op Chemists Ltd t/a Westcliffe Pharmacy / 13 Westcliffe Precinct
Dryden Road, Westcliffe
Scunthorpe DN17 1PS
Tel: 01724 844477 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
9.00am-12.30pm
Closed / 12.30pm-1.30pm
Lloyds Pharmacy / 10 Cambridge Avenue
Bottesford
Scunthorpe DN16 3LG
Tel: 01724 853160 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
9.00am-12.30pm
Closed
Lloyds Pharmacy / 29 Marsden Drive
Scunthorpe DN15 8AL
Tel: 01724 282821 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
9.00am-1.00pm
Closed / 1.00-2.00pm
Lloyds Pharmacy Ltd / 6 Asda Development
Scotter Road
Scunthorpe DN17 2XG
Tel: 01724 869902 / Mon-Sat
Sun / 8.30am-10.00pm
10.00am-4.00pm
Name / Address / Hours
Day / Hours / Lunch
Lloyds Pharmacy Ltd / Orchid Rise
Church Lane
Scunthorpe DN15 7AN
Tel: 01724 281494 / Mon-Fri
Sat
Sun / 8.30am-6.30pm
Closed
Closed
Lloyds Pharmacy Ltd / 85-87 Willoughby Road
Ashby
Scunthorpe DN17 2DJ
Tel: 01724 865268 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
9.00am-5.30pm
Closed
Lloyds Pharmacy Ltd / 26 Oswald Road
Scunthorpe DN15 7PT
Tel: 01724 843398 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
Closed
Closed
Lloyds Pharmacy Ltd / 84-86 Frodingham Road
Scunthorpe DN15 7JW
Tel: 01724 843381 / Mon-Fri
Sat
Sun / 9.00am-7.00pm
9.00am-5.30pm
Closed
Lloyds Pharmacy Ltd / 213 Ashby High Street
Scunthorpe DN16 2JP
Tel: 01724 842581 / Mon-Fri
Sat
Sun / 9.00am-7.00pm
9.00am-5.30pm
10.00am-4.00pm
Lloyds Pharmacy Ltd / 1-3 High Street
Barton upon Humber
DN18 5PD
Tel: 01652 632129 / Mon-Fri
Sat
Sun / 8.30am-6.00pm
9.00am-5.00pm
Closed
Morrison Pharmacy / Wm Morrison Supermarkets
Lakeside Parkway
Scunthorpe DN16 3UA
Tel: 01724 850669 / Mon-Wed
Thurs-Fri
Sat
Sun / 8.30am-8.00pm
8.30am-9.00pm
8.00am-8.00pm
10.00am-4.00pm
National Co-op Chemists Ltd / Ashby Clinic & Childrens Centre
Collum Avenue, Ashby
Scunthorpe DN16 2SZ
Tel: 01724 865342 / Mon-Fri
Sat
Sun / 8.30am-6.30pm
Closed
Closed
National Co-op Chemists Ltd / Ashby Turn Primary Care Centre
The Link, Ashby High Street
Scunthorpe DN16 2UT
Tel: 01724 865212 / Mon-Fri
Sat
Sun / 8.30am-6.15pm
Closed
Closed
G Payne (Chemists) Limited / 8 High Street
Kirton Lindsey
DN21 4LU
Tel: 01652 648244 / Mon, Tues, Thurs, Fri
Wed
Sat
Sun / 9.00am-6.30pm
9.00am-1.00pm
4.30pm-6.30pm
9.00am-1.00pm
Closed / 1.00pm-2.00pm
Sedgemill Limited / 38 Manlake Avenue
Winterton DN15 9TA
Tel: 01724 732369 / Mon-Fri
Sat
Sun / 9.00am-6.30pm
Closed
Closed / 1.00-2.00pm
Tesco Stores Ltd
t/a Tesco In-Store Pharmacy / Gallagher Retail Park
Doncaster Road
Scunthorpe DN15 8GR
Tel: 01724 207447 / Mon
Tues-Sat
Sun / 08.00am–10.30pm
06.30am– 10.30pm
10.00am–4.00pm
Name / Address / Hours
Day / Hours / Lunch
Watson & Crump t/a
Kingston Pharmacy / 18 High Street
Messingham
Scunthorpe DN17 3RS
Tel: 01724 761771 / Mon, Tues, Wed. Fri
Thurs
Sat
Sun / 9.00am-5.00pm
9.00am–1.00pm
Closed
Closed
H I Weldrick Limited t/a
Weldricks Pharmacy / 5 Church Street
Epworth DN9 1ER
Tel: 01427 872235 / Mon, Tues, Thurs, Fri
Wed
Sat
Sun / 9.00am-5.30pm
9.00am-5.30pm
9.00am-1.00pm
Closed / 12.30pm-1.30pm
1.00pm-2.00pm
Weldricks Pharmacy / Market Place
Crowle DN17 4LB
Tel; 01724 710263 / Mon-Fri
Sat
Sun / 9.00am-6.30pm
9.00am-1.00pm
Closed
Whitworth Chemists Ltd / 188 Ashby Road
Scunthorpe DN16 2AP
Tel: 01724 843194 / Mon-Fri
Sat
Sun / 9.00am-6.00pm
9.00am-12.30pm
Closed
Whitworth Chemists Ltd / 8 Springs Parade
Brigg DN20 8EQ
Tel: 01652 652196 / Mon-Fri
Sat
Sun / 9.00am-5.30pm
9.00am-1.00pm
Closed

North Lincolnshire Community Pharmacy, Minor Ailments Service, 1 October 2009 – 31 March 2011

NORTH LINCOLNSHIRE COMMUNITY PHARMACY

MINOR ILLNESSES

APPENDIX 2

NORTH LINCONSHIRE GP SURGERIES

Surgery Code / Surgery Name / Post Code / Telephone Number
A / ASHBY TURN PRIMARY CARE PARTNERS / ASHBY TURN / ASHBY LINK / SCUNTHORPE / DN16 2UT / 01724 842051
B / BALASANTHIRAN S / ASHBY CLINIC / COLLUM LANE / SCUNTHORPE / DN16 2SZ / 01724 742300
C / BASU DK / 27 COMFORTS AVENUE / SCUNTHORPE / DN15 6PN / 01724 842377
D / BRIDGE STREET SURGERY / 53 BRIDGE STREET / BRIGG / DN20 8NT / 01652 657779
E / CAMBRIDGE AVENUE MEDICAL CENTRE / CAMBRIDGE AVENUE / BOTTESFORD / SCUNTHORPE / DN16 3LG / 01724 842415
F / CAUVERY MEDICAL CENTRE / 58E COTTAGE BECK ROAD / SCUNTHORPE / DN16 1LE / 01724 843744
G / CEDAR MEDICAL PRACTICE / 275 ASHBY ROAD / SCUNTHORPE / DN16 2AB / 01724 843375
H / DR K YOUNGS PRACTICE / HIGH STREET / EPWORTH / DONCASTER / DN9 1EP / 0844 4770934
I / DR RM JAGGS-FOWLER & PARTNERS / CENTRAL SURGERY / KING STREET / BARTON UPON HUMBER / DN18 5ER / 01652 635435
J / GOOD HOPE MEDICAL PRACTICE / CROSBY HEALTH CENTRE / PARKINSON AVENUE / SCUNTHORPE / DN15 7JY / 0844 4157911
K / HAYES GJ / ASHBY CLINIC / COLLUM LANE / SCUNTHORPE / DN16 2SZ / 01724 742400
L / KENNEDY JCBS / 291 ASHBY ROAD / SCUNTHORPE / DN16 2AB / 08444 778569
M / KIRTON LINDSEY SURGERY / TRAINGATE / KIRTON LINDSEY / DN21 4PQ / 01652648214
N / MELROSE JR / CHURCH LANE MEDICAL CENTRE / ORCHID RISE / SCUNTHORPE / DN15 7AN / 08444 773111
O / MURALEEDHARAN A / WEST TOWN SURGERY / 80 HIGH STREET / BARTON-UPON-HUMBER / DN18 5PU / 01652 660041
P / RAHA AK / 78 OSWALD ROAD / SCUNTHORPE / DN15 7PG / 01724 843168
Q / RIVERSIDE SURGERY / BARNARD AVENUE / BRIGG / DN20 8AS / 01652 650131
R / TRENT VIEW MEDICAL PRACTICE / 45 TRENT VIEW / KEADBY / SCUNTHORPE / DN17 3DR / 08444 778653
S / VORA A / VICTORIA ROAD / BARNETBY / DN38 6HZ / 01652 688203
T / WEST COMMON LANE MEDICAL CENTRE / DORCHESTER ROAD / SCUNTHORPE / DN17 1YH / 0844 4773671
U / WINTERTON MEDICAL PRACTICE / MANLAKE AVENUE / WINTERTON / DN15 9TA / 01724 732202