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) – firstname.lastname@example.org , mobile 07901 103413.
West Mercia & Herefordshire – Stephen Leenhouts (CDLO) – Stephen.email@example.com , mobile 07799525411.
Warwickshire – Mark English (Police Crime officer)– firstname.lastname@example.org , mobile 07799525411.
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.
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
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
Video link to support you with HLP Evidence set up: https://www.youtube.com/watch?v=sQb4pwwm4p4&feature=youtu.be
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:
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
Kirsten Lord, Warwickshire Service Manager and Local Accountable Person
Steve Bliss, Harm Reduction Co-ordinator and Pharmacy Liaison lead
An increase has been observed in the number of dispensing errors which are being reported as follows
Please ensure you have robust measures in place in checking the prescription before dispensing this includes
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
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