1. Pharmaceutical Care Services Contract Dorothy Findlay Pharmacist NHS Lanarkshire – Primary Care October 2013

2. New Pharmaceutical Care Services Contract  Minor Ailment Service (e-MAS)July 06  Public Health Service(PHS)July 07  Additional PH ServicesAug/Dec 08  Acute Medication Service(e-AMS)ongoing  Chronic Medication Service(e-CMS) May 10

3. Minor Ailments Service Service is for patients who  Are registered with a GP in Scotland  Did not previously pay for prescriptions  Do not live in a nursing home or residential care home

4. Minor Ailments Service  Patients registers with pharmacy  Patient presents at pharmacy  Pharmacist offers  NHS Prescription & advice  Advice only  Referral to other practitioner  Patient counselled

5. MAS Statistics  NHS Scotland  Approx 156,000 Rxs per month  Some will be new NHS activity  Some will be activity redirected from GP surgery

6. e-Minor Ailments Service Main indications  Analgesics  Allergies  Skin  GI  Eye Preparations  Average cost £2.06  Total cost£478,548 (0.39%)

7.  Health Improvement Poster display  Smoking cessation  Emergency Hormonal Contraception Public Health Service

8.  Health improvement  4 x 6/52 campaigns each year  Agreed between CPS and SGHD  Organ Donation  Seasonal Flu  Be Ready For Winter  Take Life On

9. Smoking Cessation  Minimum national dataset completion  CO meters  Smoking cessation facilitators – additional training – close liaison  Successes very valuable – achievement HEAT target

10. Sexual Health Services  Emergency hormonal contraception 107,520 items Scotland ( Apr 11- Mar 12)  85,160 by community pharmacists  Accessible (7/7, extended hours)  No charge to patient

11. Acute Medication Service  GP produces bar-coded Rx (hard copy)  E-message also sent to e-store  Patients presents Rx in pharmacy  Pharmacy scans bar code which downloads e- message  Rx dispensed  Pharmacist confirms dispensing – e-message sent to PSD  No change in clinical practice  More efficient ( in time)  More data & quicker data about Rx/dispensing processes

12. Chronic Medication Service Long Term Conditions  GP authorisation  Patient registers with pharmacy  Patient will have an electronic pharmacy based PMR & care plan  Structured discussion with patient re compliance, how best to take meds, ADRs etc  e-communication with GP practice  Serial prescribing/dispensing  3 way partnership

13. Guess how much?

14. Total Cost ~ £1,400

15. £5 £36 £41

16. £59 £31

17. 2541 tablets returned from 1 patient