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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
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SHED quit smokingApril 22 2015

The Scottish Government has issued further guidance on pharmacy smoking cessation services.

NHS Circular PCA(P)(2015)9 is intended to set out the context for the service within wider NHS Scotland policy and also to provide further clarity for pharmacists and health boards on how the scheme is intended to operate.

Since April 1, pharmacy contractors can expect an increase in payment for people who reach a third ‘milestone’ after quitting at 12 weeks. It also means all ‘shared care’ quit attempts, where the quit attempt is shared between pharmacy and non-pharmacy services can count towards the pharmacy contract Public Health Service Smoking Cessation Additional Pharmaceutical Service payments.

Describing the process for shared care clients, the Circular says pharmacists should ask clients if they are also attending an NHS Board cessation service. If they are, this should be marked in the pharmacy care record, which will be checked by the NHS Board as the PCR will be uploaded to the Smoking Cessation Database.

It will be up to NHS Boards to look into duplicate records and then assess whether the quit attempt should be kept on the pharmacy records or the NHS Board’s own record.

The Circular says that there are a number of key points to note:

  • Pharmacists should complete the data “on an individual’s quit attempt within the relevant specified time frame (between 4- 6 weeks for the 1st milestone at 4 weeks and between 10 – 14 weeks for the second milestone at 12 weeks) and ensure that an individual’s smoking status at the end of each period is recorded.”
  • Completing the data appropriately by using the reporting tools in the PCR within the time frames will generate a contractor payment.
  • Smokers who have been unsuccessful in quitting with the PHS Smoking Cessation Service should be referred on to their local NHS Board smoking cessation service, to offer more intensive and tailored cessation support.
  • Community pharmacy contractors should inform the NHS Board if the client cannot be contacted at 12 weeks, to allow the Board to conduct the follow up and reduce the number of ‘lost to follow ups’.
  • To enhance partnership working between local NHS Board cessation services and pharmacies, work is underway to make quit service providers better aware of referral pathways and strategies.

The Scottish Government says that a further Circular may be issued during the summer to communicate lessons learnt during the April-June 2015 quarter.

Link:

NHS Circular PCA(P)(2015)9 ‘Pharmaceutical services: additional pharmaceutical services: smoking cessation service’     

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