NEWS




December 4, 2017 Newsletter0

There have been multiple reports from concerned community pharmacists about an increase in requests for Sudafed by young people with no apparent cold symptoms. We would like to remind contractors of existing sales restrictions that have been in place since April 2008 to manage the risk of misuse of pseudoephedrine and ephedrine. Further details can be found here: https://www.gov.uk/drug-safety-update/pseudoephedrine-and-ephedrine-update-on-managing-risk-of-misuse

 

Please ensure robust processes are in place for the sale of products containing pseudoephedrine and ephedrine. Discuss this issue with your pharmacy teams to increase vigilance. The police have been made aware of this and have asked for any suspicious activity to be reported to the police. Please see below for Police contact details for your area.

 

Coventry, Birmingham, Solihull, Black Country – Mohammed Khan (CDLO) –  m.khan@west-midlands.pnn.police.uk , mobile  07901 103413.

West Mercia & Herefordshire – Stephen Leenhouts (CDLO) –  Stephen.a.leenhouts@westmercia.pnn.police.uk , mobile 07799525411.

Warwickshire – Mark English (Police Crime officer)– mark.english@warwickshire.pnn.police.uk , mobile 07799525411.



November 30, 2017 Newsletter0

The CCG have organised a free Diabetes education event on Monday 11th December 2017 in Coventry. The agenda on the day covers a broad range of NHS staff from Consultants to Diabetes Nurses offering advice to patients about healthy eating, exercise and medication. Please find attached below a poster for the event, could you please advertise this to your diabetic patients.

NHS CCG Diabetes A3 1pp (5)

Diabetes Community Event – Nov 2017 SOH


SW.jpg

October 12, 2017 Newsletter0

Health Campaigns for 2017-18. NHSE has set three mandatory campaigns and requirement for recording evidence on PharmOutcomes to support Contractual requirements.

You will receive details shortly and the three are as follows:

October – Staywell this Winter

November – Antimicrobial Resistance

February – Know your numbers

For more information see the copy of the NHSE Letter: public health campaigns 1718


addaction-1.jpg

October 11, 2017 Newsletter0

QPS Stage 2 – November 2017 Claim LPC Communications: Number 1 October 13th – GATEWAY CRITERIA

If you are part of a pharmacy chain, please check with your area / central teams before actioning anything.

This is the first regular communication for stage 2, which will be numbered so that you will know that you have had them all. Back copies will be on the LPC website.  Note you can still refer to the communications 1-7 prior to the April stage 1. Note there have been a few changes which will be outlined on these communications.

Number 1 cover General Points and Gateway in this edition 13th October

Number 2 will cover the all the QPS points highlighting any changes and will come out by Friday 20th October

Number 3 will cover HLP & Patient Safety in more details with suggestions around evidence gathering and come out by Friday 27th October

Number 4 will cover making the claims and evidence to retain and come out by Friday 3rd November

QPS stage 2 November 2017 claim LPC Communication Number 1 Coventry vs1

QPS stage 2 November 2017 claim LPC Communication Number 2 CWHW vs1

Video link to support you with HLP Evidence set up:  https://www.youtube.com/watch?v=sQb4pwwm4p4&feature=youtu.be

QPS stage 2 November 2017 claim LPC Communication Number 3 CWHW vs3

QPS stage 2 November 2017 claim LPC Communication Number 4 CWHW final

Below is link to a sample evidence portfolio – currently based on Herefordshire’s as an example others will follow including Coventry’s. You can view it and use the links as well as print from it:


addaction-1200x425.jpg

September 20, 2017 InformationNews0

Welcome!                                                                         

We have produced the following newsletter to share recent pharmacy incidents to raise the awareness of pharmacy based incidents and sharing of lesson’s learnt. We have seen an increase in Controlled Drug incidents and want to work together to reduce their number and improve practice.

If you would benefit from a site visit, have any questions or want to share good practice please get in touch with the following:

Emma Lamond, Coventry Service Manager and Local Accountable Person

emma.lamond@addaction.org.uk

07876 397261

Kirsten Lord, Warwickshire Service Manager and Local Accountable Person

Kirsten.lord@addaction.org.uk

07917 186481

Steve Bliss, Harm Reduction Co-ordinator and Pharmacy Liaison lead

steve.bliss@addaction.org.uk

02476 397261

Dispensing Errors                     

An increase has been observed in the number of dispensing errors which are being reported as follows

  • Incorrect dose given to the service user
  • Medication dispensed off incorrect prescription
  • Service user being given someone else’s medication or dose
  • Dispensing from the incorrect prescription

Please ensure you have robust measures in place in checking the prescription before dispensing this includes

  • The service users name and address
  • The medication and dose
  • The date of the prescription

Standard practice of checking the above will reduce dispensing errors and prevent harm to service users.

Suspension of prescriptions by community drugs teams

Whilst incidents of this kind are currently low, just a reminder that suspended prescriptions should not be dispensed. Addaction Coventry suspend prescriptions when service users are not engaging in treatment and supports the team to re-engage service users and reduce harm. Recent ‘Did Not Attend’ clinics that utilise the suspend approach have had 100% re-engagement of service users previously missing their clinic appointments.

Addaction Coventry also suspend prescriptions when 3 consecutive days of collection have been missed, this is part of our safeguarding processes to reduce the risk of overdose and death.

When suspended prescriptions are dispensed against, the main reason given has been that there is a locum pharmacist present in the pharmacy on the day the incident occurred and they were not aware of the suspension.

Below is guidance previously shared to reduce these types of incidents

  • The community drugs team will ask for the pharmacist directly when contacting the pharmacy informing them of a suspension.
  • Messages must not be put onto the current prescription using a ‘post-it’ note as these often fall off. Notes should be attached securely to the relevant prescription.
  • The pharmacy should develop a robust system of communicating any suspensions to all staff including locums, perhaps a diary/communications book kept in the dispensary where everybody can check at the beginning of the day any recent messages from the community drugs team and/or messages could be added to the Patient Medication Record (PMR). Whatever system is adopted in the pharmacy, all staff needs to be aware of the process and there should be consistency with the approach adopted.
  • The suspended prescription needs to be clearly segregated from other current prescriptions. At one pharmacy recently visited, the prescriptions were put onto a clip clearly labelled ‘on hold’ and were stored away from other current prescriptions.
  • Any pre-dispensed items should be segregated in the controlled drugs cupboard so that it is clear that they should not be handed out to clients. It should be noted that these segregated doses will still form part of the CD stock.

Missed collection of doses

Again, incidents have reduced in frequency but as a reminder to communicate to Addaction if a service user has not collected their prescription for 3 consecutive days. This is because the client is at risk of overdose due to loss of tolerance and the service user may need a dose adjustment when restarting their medication. It is important to ensure the dispensing team is made aware that the prescription is on hold pending a reply to prevent accidental dispensing by another pharmacist. Communication is key to preventing such incidents.

It is best practice to inform the team if any day is missed as this can assist the worker in supporting the service user in treatment compliance and trouble shooting any barriers in terms of engagement.

Downloadable version of this newsletter is available here:  Pharmacy Incident briefing Sept 17


coventry-lpc-logo-white_16

Providing information for Community Pharmacies about the work of the Local Pharmaceutical Committee and of the Community Pharmacy Services commissioned within Coventry

pharmacy-logo

Copyright by Coventry LPC. All rights reserved.