how are you helping your customers to discover...
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How are you helping your customers to Discover their Local Pharmacy?
The “Today in my Consultation
Room” PharmOutcomes
record shows ten different
pharmacies have recorded
activity on nineteen different
days - here is a chart showing
what they are doing:
You could:
• Promote flu vaccination
to all at risk groups –
especially targeting
those in at risk groups
under the age of 65 and people who may be carers (see page 5)
• Pick a target group for MURs and similar services – perhaps identify
regular patients who are community influencers (e.g. Parish
Councillors, members of the GP Patient Participation Group)
• Promote your Stop Smoking Service (Christmas Savings Scheme?)
• Shout about your recent Healthy Living Pharmacy accreditation –
encourage Healthy Living Champions to put their new-found
knowledge and skills into practice
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Salisbury Hospital are trialling the use of FP10s for medicines prescribed by Ophthalmology and
Dermatology clinics. Pharmacies in the area should expect to see around 100 prescriptions per month in
total coming out of these clinics. The hospital will continue to supply any Specials and unlicensed medicines
– so these prescriptions should be for standard, routinely prescribed creams and drops. These will just be
hand written prescriptions at the moment.
MDS referrals from hospital
Wiltshire Healthy Weight 4 Life e-toolkit I am pleased to announce the launch of the Wiltshire Obesity Strategy’s Healthy Weight 4 Life e-toolkit at
http://www.wiltshire.gov.uk/public-health-weight which provides a range of information to support people
to maintain/achieve a healthy weight across the life course.
There is also a separate page for Health Professionals at http://www.wiltshire.gov.uk/public-health-weight-
professionals, which includes information on the following: Wiltshire obesity strategy; Wiltshire’s tier 2
weight management care pathway; universal services across the life course; specialist services across the life
course; guidance on measurements across the life course; raising the issue of weight training information
and upcoming training dates.
Please share this new resource with your contacts, but note the Health Professionals page should not be
shared with members of the public.
Katie Davies
Public Health Specialist – Life Course Obesity, Public Health Wiltshire
We have recently collated feedback on the referrals
that pharmacies have been receiving from RUH Bath
over the past few months, and more recently started
to receive from Salisbury.
There have been 342 referrals to date, of which:
• 220 “useful”
• 20 “unsure whether useful or not”
• 10 “not useful”
• 34 not acknowledged by pharmacy
• 13 rejected
At 64% ‘useful’, these referrals are definitely worth
looking out for. I wonder how many of the 34 that
were ignored by the pharmacy would have helped a
patient?
Reasons for the 13 rejected included:
• Wrong pharmacy
• Patient changed pharmacy at discharge
• Patient readmitted
There were 24 free text notes completed:
• 2 didn’t know the patient was in hospital
• 6 gave information confirming the value of the
referral
• 1 stated that this discharge information was
different to the one supplied to the GP Practice
• 1 would have liked more information
• 4 accepted, but wrong pharmacy or unaware of
patient
• 8 information received too late (including 2
readmitted and 2 deceased)
• 3 didn’t say anything of value
More Salisbury hospital prescriptions
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Take this opportunity to give a boost to your most
valuable asset - your team. Praise for your high
performers will instil self-belief and give them the
confidence to grow!
Community Pharmacist of the Year
Have you or a pharmacist you know in Swindon and
Wiltshire done something special? Tell us about it!
Pharmacy Colleague of the Year
Is there a special member of your team who does
that extra something to make patients/customers/
the rest of the team take notice? Tell us about it!
Public Health Initiative
As we move forward with Healthy Living Pharmacy
in the area, tell us about something that you are
doing in your pharmacy! It could be a great Stop
Smoking Service; something in collaboration with
another local team (e.g. Rotary/Health Trainers/
schools); fantastic health promotion in your
pharmacy… We would love to hear about it all!
Pharmacy Friend
Tell us about someone working for another
organisation that does something special to help
your pharmacy integrate into the “patient pathway”
and how you are working together!
Engagement Award
This award will be made based on data available to
the LPC about performance in Advanced Services
and the range of Locally Commissioned services
which are actively provided.
Please use the nomination form enclosed with this
newsletter, or the online form at http://bit.ly/2f8elLZ
Photocopy the form or use the online version if you
want to nominate in more than one category!
Nominations must be submitted by 15 February 2018.
Lis
Help us to help you encourage your staff!
Public Health at Swindon Borough Council is supporting the national campaign (18th - 25th November 2017)
to increase awareness of HIV and to encourage anyone at risk to take an HIV test. We are particularly
encouraging residents in Swindon, to take the opportunity to test in the privacy of their own home, by
using the HIV home-sampling service by going to www.test.hiv and following the prompts. Swindon Bor-
ough Council are signed up to the service and it is available to anyone at risk of HIV, resident in Swindon.
Details of the national campaign, run by HIV Prevention England can be found at the campaign website and
we are encouraging all GP surgeries and pharmacies in Swindon, to join in and promote regular HIV testing.
For further details contact Angela Smith, Public Health Specialist: HIV Prevention on 07980940631 or at
HIV National Testing Week
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Smartcard governance in Pharmacies Michelle Wheatsheaf, RA Manager for NHS South,
Central and West Commissioning Support Unit,
contacted the LPC recently and asked us to circulate
the following, to improve the governance around
Smartcard use/issue.
Our working model is that each pharmacy has:
• a Sponsor (someone who approves Smartcard
access for users in that pharmacy), who can also
unlock cards that become blocked on site
• additional card unlockers if necessary to maintain
business continuity
• a RA Agent ID checker (someone who can check
ID documents and create a new smartcard user)
depending on whether that pharmacy wants to
take this on in house or would prefer to send their
staff to us for registration.
It is absolutely essential that all pharmacies have a
sponsor as this person gives us the authority to
assign access to someone in their store (or can in
fact do this themselves, along with removing access
too). In some of the chains we find that area
managers take on some of these roles for all
branches they cover.
A pharmacy sponsor is also responsible for their
staff’s Smartcard access, including removing it as
soon as someone leaves. This has become
increasingly important now SCR access can be
gained. The Smartcard Office are very seldom
informed when staff leave pharmacies and often find
that when they need to contact the sponsor who had
been set up, the Sponsor has since left.
Quality Points It can’t have escaped anyone that the next Quality Points deadline is close! Here is a reminder about the
“little things” that we are aware can be overlooked...
• New staff have had dementia friends training (to maintain 80%)
• New registered staff have completed safeguarding training (to maintain 80%)
• You are using Summary Care Records as part of routine practice (https://digital.nhs.uk/summary-care-
records/community-pharmacy/calculate-scr
-use-quality-payments)
• Check your DOS Entries (this is
different to the NHS Choices website) at
https://dos-profile.service.nhs.uk
There is also a video available on how to
complete the online tool: https://
digital.nhs.uk/directory-of-services/profile-
updater-guidance
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Carers need flu jabs
NHSmailbox: set up a footer Please watch this helpful video on setting an email signature and out of office in NHSmail. The relevant
sections start 4 minutes and 29 seconds into the video: http://support.nhs.net/advanceemailuse
We would like to encourage all pharmacies using NHSmail to set an
email signature with the name, address and telephone number of
the pharmacy as this gives your messages a much more
professional look.
We think your signature should look like the picture right, unless
you have specific guidance from your Head Office!
Carers UK says
“If you are the main carer for an elderly or disabled person who may be put at risk if you fall ill, and/or if you are in receipt of Carer's Allowance, you should be offered a free flu jab, according to government policy.”
PSNC has worked with Carers Trust to develop resources to help you identify carers who may be eligible for a flu vaccination. These include a 60-second pharmacy flu chat (see http://bit.ly/2z88jRo), which can be used to engage with someone who you think is a carer.
This suggests that pharmacists should offer to mention to a carer’s GP practice that they are a carer when they send the flu vaccination notification form to the practice. If the carer’s GP practice is aware that they are a carer, they can ‘tag’ their medical records so that everyone in the practice team will know that they are a carer.
Some practices may then offer the carer more flexible appointments (or home visits if the carer struggles to attend appointments). GPs and other healthcare workers at the practice will also be able to take into account the particular stresses and strains that being a carer might have on the person’s health.
If the carer becomes seriously unwell and is no longer able to provide care, it’s important that the practice is aware that the person is a carer so that alternative support can be put back in place for the person they look after as well.
See more useful PSNC resources at http://bit.ly/2gVGljA
Your pharmacy should sign up with the Carer Support group in your area (i.e. Carers in Wiltshire https://carersinwiltshire.co.uk/ or Swindon Carers https://www.swindoncarers.org.uk/).
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The revised service specification and PGD to enable care
workers employed by residential homes or
Domiciliary Care Agencies to receive NHS Flu vaccination
should be published shortly (mid-November).
Remember:
• You cannot vaccinate this group under the NHS
scheme until these are published
• You must then download and sign the revised PGD!
In Swindon and Wiltshire, young people are very for-
tunate to have excellent Outreach Nurses who will
follow up on sexual health issues, including access to
EHC through pharmacy.
When you record a consultation on PharmOutcomes,
and the client gives consent for follow-up, an
automated referral is sent. This includes free text
comments you may make. The nurses really value
these comments! Vicky Lofts from Wiltshire says “if
you have had a difficult consultation, or just have a
niggle that the client isn’t telling you everything, just
jot down a note about it in the “comments” box and
I will follow up sensitively.”
Wiltshire:
• If you would like to offer the “No Worries”
services, please contact Vicky Lofts at
• If you are treating Chlamydia – please remember
that Doxycycline is the first line choice
It is more effective
It is cheaper
Use Azithromycin if you are concerned that
the client will not be able to complete the
full doxycycline course
• When supplying EHC, remember that a copper
coil is by far the most effective method of
emergency contraception.
Ensure you know the details of local coil
fitters (GPs and clinics)
Tell the patient about the coil and encour-
age them to have this as well as the tablets
you are providing
Remember the question “How important is
it to you that you are NOT pregnant”
Swindon:
Pharmacies commissioned to provide the service
should have received copies of the “extended” PGDs
to keep you legal. New PGDs to take into account
updates will be circulated as soon as possible. The
new PGDs will reflect the reduced efficacy of
Levonnelle when the patient is overweight, changes
to the Ella-One license. We expect that pharmacies
will be able to supply Ella One on PGD shortly in line
with the latest guidance.
Training:
Training for sexual health services will be organised
for early 2018!
Sexual Health commissioning update
Wiltshire Needle Exchange pharmacies
Please look out for Naloxone supply specification coming out soon!
Flu Vaccinations for Care Workers
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Bi-monthly Swindon Diabetes Education Forum
Tuesday, 21 November, 2017, 18.30 registration, 19:00-20:00
The Holiday Inn Hotel, Swindon SN3 6AQ
“DVLA and Diabetes”
This 1 hour educational content has been accredited by the CPD Certification Service and is aimed at
Healthcare Professionals with a special interest in Diabetes.
Stop Smoking Practitioner Training Day
Friday, 1 December, 2017, 9am - 4pm
The Meadows, Penhill, Swindon
If you are interested, please book at:
https://www.eventbrite.com/e/stop-smoking-practitioner-training-tickets-39397549130
Raising the Issue of Weight
Tuesday, 5 December, 2017 9.30am-1pm.
Potterne Scout Hut, Devizes
The 3½ hour training session delivered by Public Health at Wiltshire Council, will guide practitioners through
the support and provide the opportunity for practical support to put the skills learnt into practice.
Book at https://www.eventbrite.co.uk/e/raising-the-issue-of-weight-training-tickets-37941877176
Stop Smoking level 2 practitioner training
Wednesday, 24 January, 2018 09:30 – 16:30
Salisbury City Hall, Malthouse Lane, Salisbury SP2 7TU
Booking is at :https://www.eventbrite.co.uk/e/wiltshire-stop-smoking-level-2-practitioner-training-january
-2018-tickets-31963430481?aff=es2
NEW DATE! Patient Centred Anticoagulation Training Wednesday, 21 February, 2018 18.30 – 21.00
Holiday Inn Salisbury-Stonehenge, Solstice Park, Amesbury
It is a free session (venue and food sponsored by pharma).
Booking is via an Eventbrite link where more information can be found:
https://www.eventbrite.co.uk/e/patient-centred-anticoagulation-training-a-wessex-wide-programme-
tickets-36856132685
LPC Community Pharmacy Awards 2018 Wednesday, 28 February, 2018
Food from 6.30pm, presentation begins 7.30 pm
Chippenham Golf Club, Malmesbury Road SN15
Nominations are now open for the Swindon and
Wiltshire LPC ‘Community Pharmacy Awards’.
Please use the form at http://psnc.org.uk/swindon-and-wiltshire-
lpc/our-news/community-pharmacy-awards-2017/ to nominate a
staff member, a colleague or yourself.
Upcoming events
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Check for NHS111 info
Swindon Borough Council is
looking to work in partnership
with two community
pharmacies in Swindon to pilot
the introduction of the South West Young People Friendly quality
assurance programme. Young People friendly is a framework for local
services to be assessed and verified against the nationally recognised
Department of Health 'You're Welcome' criteria and is based on the
following 6 areas:
• Access and Environment
• Staff Training, Attitudes, Confidentiality and Consent
• Involvement of Young People
• Publicity and Joined-Up Working
• Health and Wellbeing Issues for Young People
• Sexual and Reproductive Services (clinical settings only)
The quality mark is straightforward and will indicate that a service has
achieved 'You're Welcome' and has been verified and moderated
locally. The criteria identifies good practice in supporting young
people's health and well-being, whilst also supporting providers to
improve services by helping to recognise any gaps and implementing
development plans to ensure high quality services. The quality mark is
valid for a period of 3 years.
To register your interest in becoming a Swindon pilot site please email:
Jo Walsh, Senior Commissioner for Public Health, Swindon Borough
Council [email protected] by 30th November 2017.
Swindon Community Pharmacy Pilot
Keep checking your new NHS mail shared inboxes! Fiona has arranged
for you to receive detailed information from NHS111 if they refer a
patient to you. A pharmacist who has already received one of these
notifications commented on how useful it is. There is no obligation on
you to follow up on a patient where you have received this information
but they have not come to you. However, it is worth a check if a
patient tells you that “NHS 111 sent me”.
The LPC is here to help and advise pharmacy contractors in all NHS
matters and to improve pharmaceutical
services to the local population.
Please get in touch if
there are any questions or issues that we can
help you with.
We’d love to know what you think of our
newsletter; if you have any feedback, please contact Lis Jardine.
Committee members
Chair: Nick Jephson
Vice-Chair: Chris Shields
Treasurer: Robert Townsend
Members: Paul Hedge Sian Williams Arvinder Sagar Aga Janowska Charlie Wu Kaushik Patel John Hughes Zoë Pearce Sai Jammigumpala
Chief Officer:
Fiona Castle 07565 537319 fiona.castle@ lpcoffice.org.uk
Communi-cations Officer
Lis Jardine lis.jardine@ lpcoffice.org.uk
LPC
Support
Officer
Ilyas Piperdy 07985 308539 support@ lpcoffice.org.uk