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  • General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    Tuesday, 31 July 2018 15:31
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Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

a pharmacist woman consultJanuary 24 2018

Patients have indicated overwhelming satisfaction with the National Urgent Medicine Service being piloted through community pharmacies. 


Preliminary data released by NHS England shows that in a survey of 1,928 patients conducted earlier this January, 93% said they were “very satisfied”, with a further 5% saying “fairly satisfied.” In addition, 1% described themselves as “neither satisfied or dissatisfied”, and 1% as “dissatisfied.”

The Advanced Service scheme has been introduced to enable patients who run out of a medicine and who are unable to obtain another medicine to have an urgent supply of the medicine on the NHS. Previously, an emergency supply would have to be treated as a private transaction, although pharmacies were also supplying medicines on the understanding that an NHS prescription would be forthcoming.

Data from the patients who have used the service, which had 3,674 pharmacy registrations at january 8, indicates that if NUSMAS were not available:

  • 24% would have gone without medicines
  • 4% would have contacted GP practice
  • 2% would have contacted another GP practice
  • 41% would have contacted GP out of hours service
  • 20% would have gone to an urgent care centre e.g. A&E, MIU, WIC
  • 7% would have done something else

Community pharmacies supplied 29,177 items on the scheme between December 2016 and October 2017. The top five drugs dispensed via NUSMAS were:

  • Ventolin 100 micrograms/dose Evohaler with 928 items
  • salbutamol 100 micrograms/dose inhalerCFC free – 889 items
  • sertraline 100mg tablets – 520 items
  • sertraline 50mg tablets – 507 items
  • citalopram 20mg tablets – 477 items

The data has been put into a slide set by NHS England and shared with PSNC. It has flagged up two aspects where further action is required: completing patient questionnaires, and completing the FP10DT EPS token when a supply was not made.

“Approximately 15% of patients who have received the service have completed a patient questionnaire. The data from the questionnaires is important for the evaluation of the service, so community pharmacy teams are reminded of the importance of asking patients to complete a copy of the national patient questionnaire (Annex D of the NUMSAS service specification) following the supply of a medicine of appliance,” said PSNC. An IT platform has been set up to allows e-submissions of patient questionnaires.

In addition: “The initial evaluation has identified that 29% of the FP10DT EPS tokens completed when a supply is not made as part of the service, do not contain the name of the medicine that was not supplied. This is important information for use in the evaluation of the service, so pharmacy teams are reminded of the importance of including this on the token.”

Links:
PSNC announcement    
NHS England slide set: ‘NHS Urgent Medicines Supply Advanced Service (NUMSAS) Pilot. Update January 2018’ )(via PSNC website)        
NUMSAS IT platform    

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