Locally Commissioned Services

SUBSTANCE MISUSE

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CONTACT (for pharmacies)

Clare Morgan
1 Lamb Street
Coventry
CV1 4AE

email: coventryPSDA@celesio.co.uk


SERVICE SPECIFICATION

Supervised Consumption

Needle Exchange

Take-home Naloxone Service

Alcohol Screening & Intervention

CGL WEBSITE

CGL Coventry

CGL COVENTRY NEWSLETTERS


Number of adults in contact with drug and alcohol treatment services in England is almost 290,000.¹

The pharmacist is required to supervise the consumption of a medicine prescribed to the patient, for the purposes of dependence and/or addiction to ensure the entire dose is taken as directed. Common medicines which may have to be supervised include methadone and buprenorphine.

Pharmacies can also provide harm reduction items such as clean needles, sharps bins, swabs and citric acid as well as sexual health advice. Any used equipment can be returned for destruction in a safe sharps disposal bin.

The aim of these services is to reduce the harms associated with drug taking to the service user and on the wider society. The service user will be given help, support and signposting to additional services in a non-judgemental and confidential service.


Additional support and commonly asked questions.

  • How do I become accredited to provide the needle exchange service in Coventry?
  • How do I become accredited to provide the supervised consumption service in Coventry?
  • What are the training requirements for the Naloxone service?
  • What are the training requirements for the Alcohol Intervention service?
  • Do I need a Hepatitis B vaccination to provide these services?
  • The Pharmacy has run out of needle/syringe packs, where do I order them from?
  • How does the Pharmacy get paid for providing the needle exchange service?
  • How does the Pharmacy get paid for providing supervised consumption?
  • How does the Pharmacy get paid for providing the Naloxone service?
  • How does the Pharmacy get paid for the Alcohol service?
  • I have a concern about a service user, what should I do?
How do I become accredited to provide the needle exchange service in Coventry?

Participating community pharmacies must ensure that a designated pharmacist has completed the current CPPE Distance Learning Pack for Drug Use and Misuse (or be willing to do so within 3 months) or the GPHC Certificate in Management of Drug Misuse. CPPE certificates must be forwarded to the: Needle and Syringe Co-ordinator, CGL, 1 Lamb Street, Coventry CV1 4AE

It is the responsibility of the designated pharmacist to be assured that all staff (including support staff and locum pharmacists) are adequately trained to meet the requirements of the service at all times. The pharmacy Needle and Syringe co-ordinator will provide detailed training to prepare pharmacy staff for the scheme. Resource material provided during the training should remain available at the pharmacy for future reference.

How do I become accredited to provide the supervised consumption service in Coventry?

There are no specific training requirements however, all staff involved in the delivery of this service should be competent, have read and understood the SLA and be trained on all associated activities. The pharmacist is required to sign the SLA and return it to CGL. 1 Lamb Street, Coventry CV1 4AE

It is recommended that you complete CPPE module Substance Use and Misuse.

What are the training requirements for the Naloxone service?

All pharmacists are required to complete the CPPE Declaration of Competence for Needle Exchange and Supervised services as part of other service provisions. Only pharmacies providing these other services will be invited to deliver this service.
7.2. A pharmacist and representative will be required to attend an initial training session and any training updates.
7.3. The declaration will need to be confirmed on PharmOutcomes via enrolment. There will be a three month grace period for the CPPE Declarations from the start of the service; after this if not completed you will not be able to access the services. The declaration for reading and signing the SOP need to be confirmed on PharmOutcomes via enrolment before starting the service.
7.4. LloydsPharmacy aim to arrange at least one contractor meeting per year to promote service development and update the knowledge of the named pharmacist.

What are the training requirements for the Alcohol Intervention service?

All pharmacists are recommended to read the following as it will help them to provide the service and train their staff:
 CPPE Alcohol misuse: Support and advice from the pharmacy team – Distant
Learning Pack
 CPPE Dealing with difficult discussions – eLearning
8.2. A pharmacist and representative will be required to attend an initial training session and any training updates.
8.3. The declaration of reading and signing the SOP will need to be confirmed on
PharmOutcomes via enrolment.
8.4. LloydsPharmacy aim to arrange at least one contractor meeting per year to promote service development and update the knowledge of the named pharmacist.

Do I need a Hepatitis B vaccination to provide these services?

It is not a requirement but it is recommended.

The Pharmacy has run out of needle/syringe packs, where do I order them from?

You need to contact the Needle and Syringe Co-ordinator, CGL, 1 Lamb Street, Coventry CV1 4AE

How does the Pharmacy get paid for providing the needle exchange service?

For all pharmacy based needle and Syringe schemes the payment is currently £1.20 per transaction. This payment will be reviewed as part of the overall review of this Service Level Agreement on an annual basis.

Payments will be made monthly upon input onto PharmOutcomes. Invoices will be generated automatically by PharmOutcomes on the 5th of the month. The service contract and financial details will have needed to be completed and returned before any payments will be made

Late claims may be paid in exceptional circumstances, at the discretion of the CGL. Claims older than 3 months will be disallowed.

Claim queries should be directed to the Administration Team at the address above or by telephone to Anna White: 07894807205 .

Please note even if there has not been any activity during that month we will still require a return, this is due to our commitment to commissioners for data collection.

How does the Pharmacy get paid for providing supervised consumption?

Payments will be £2.00 per daily methadone dose consumption and £3.00 per daily buprenorphine dose consumption.

Payments will be made on a monthly basis upon input onto PharmOutcomes. Invoices will be generated automatically by PharmOutcomes on the 5th of the month. The service contract and financial details will have needed to be completed and returned before any payments will be made.

How does the Pharmacy get paid for providing the Naloxone service?

Payment arrangements

Naloxone supply £10.00 + cost price

Payments will be made on a monthly basis upon input onto PharmOutcomes. Invoices will be generated automatically by PharmOutcomes on the 5th of the month. The service contract and financial details will have needed to be completed and returned before any payments will be made.

The annual maximum delivery is 20 Naloxone kits supplied with training. Any claims over 20 will not be paid without prior agreement from the Contract Manager.

How does the Pharmacy get paid for the Alcohol service?

Alcohol Screening  £2.00 (inc. VAT)
Alcohol Intervention £5.00 (inc. VAT)

Payments will be made on a monthly basis upon input onto PharmOutcomes. Invoices will be generated automatically by PharmOutcomes on the 5th of the month. The service contract and financial details will have needed to be completed and returned before any payments will be made.

The annual maximum delivery is 150 patients screened. Any claims over 150 will not be paid without prior agreement from the Contract Manager.

I have a concern about a service user, what should I do?

If you have a safeguarding concern you must contact the safeguarding team. Information is supplied on the LPC website:
http://www.coventrylpc.co.uk/contacts/safeguarding/

You must not assume that someone else will report the incident. Safeguarding young people and vulnerable adults is everyone’s responsibility.


Reference
(1) National Treatment Agency, www.nta.nhs.uk/facts

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