1

A Two Year Pilot Scheme for the Treatment of Minor Ailments in Fartown/Birkby areas of

Huddersfield. (Enhanced Service Specification)

Compiled by

Medicines Management Team at NHS Kirklees

December 2008

2

Contents

3 Service Description

4 Service Outline

5 Transfer of Care

6 Duties of Participating GP Surgeries

6 Duties of Participating Pharmacies

8 Pharmacy Service Flowchart

9 Conditions and Product Summary

11 List of Participating GP Practices and Pharmacies

12 Referral Form

13 Pharmacist MAS Consultation Form

14 Declaration of Exemption

15 Product Supply List

16 Monthly Return Claim Form

17 Clinical Governance

19 Service Level Agreement

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Minor Ailment Service

Service Description

This service will provide a Minor Ailments Scheme from Community

Pharmacies on a 24 month pilot basis. The scheme is for the patient population of 7 GP practices in the Fartown/Birkby area of Huddersfield

and will be commissioned from 10 community pharmacies in the local area.

The service will provide an alternative route for patients into primary

health care, and will include a 10 minute consultation, provision of patient advice leaflets and where appropriate free „over the counter‟

(OTC) medication for patients exempt from prescription charges. Patients not exempt from prescription charges will be required to

purchase any OTC medicines recommended. People will continue to be

able to access the free advice from pharmacists on suitable medications for their ailment as they do now.

A defined list of conditions eligible for consultation under the scheme

and treatment has been agreed with a list of OTC medicines that can be provided (Conditions and Product Summary – SEE APPENDIX 1)

Minor Ailment Schemes have a number of benefits:

Improved access to primary care health services

Increased number of healthcare delivery points Release of GP and Nurse Practitioner time to manage the

increasing numbers of patients with long term conditions Facilitates the shift of healthcare from secondary care through

increased GP capacity

The value of such schemes has been identified in the Pharmacy White

Paper*(DH 2008), which also sets out plans for extending the role of community pharmacies in the management of minor ailments,

including a direction from the Secretary of State to commission such services, subject to local need. Currently 24% of all pharmacies within

England have contracts to provide minor ailment services, particularly those in deprived areas*(DH 2008).

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Service Outline

The pharmacy should use their consultation room for provision

of the service in order to provide a sufficient level of privacy and confidentiality

The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service have relevant

knowledge and are appropriately trained in the operation of the service.

The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service are aware of

and operate within local protocols. The pharmacy will maintain appropriate records of the

consultation and any medicines supplied, to ensure effective ongoing service delivery and audit.

Only the approved minor ailments formulary of OTC (over the

counter) licensed P/GSL medicines will be used. See Appendix 1 This Enhanced Service may be offered to all patients exempt

from prescription charges, who have been registered onto the scheme by those GP practices involved in the scheme. See

Appendix 2

The pharmacy will:

- have a system to check the person‟s eligibility for receipt of the service. (i.e. provision of an access card)

- provide advice on the management of the ailment. - where appropriate supply a licensed P/GSL medicine from

the local MAS formulary, and provide advice on its use. - provide a patient information leaflet on the ailment

(available at www.patient.co.uk) or

- provide advice on the management of the ailment plus a referral to an appropriate health care professional.

The Medicines Management team at NHS Kirklees will provide a

framework for the recording of relevant information for the

purposes of audit and the claiming of payment. The Medicines Management Team will be responsible for the

promotion of the service locally, including the development of publicity materials, which GP‟s and Pharmacies can use to

promote the service to the public.

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Transfer of Care

Patients presenting with identified symptoms at the GP surgery may be offered transfer into this service.

Patients presenting at the Community Pharmacy who are

confirmed, as being registered into the scheme by a participating GP practice, will receive the service level of care as laid out in

this specification.

Evidence of registration with a participating GP must be confirmed for all patients accessing this service. The Pharmacist

will be required to be satisfied of the patient‟s registration into the scheme via production of a valid access card.

If the Pharmacist cannot confirm the patient‟s registration (no access card presented) the patient will not be eligible for this

scheme at that time and they will be advised to access medical care through the normal channels and seek registration into the

scheme via their GP practice.

All patients must present to the pharmacy in person. For

patients under the age of 16, the parent/guardian can accept transfer into the scheme on behalf of the patient. The

parent/guardian must always present the child together with the child‟s access card to the pharmacy in order for a full

assessment to be carried out by the pharmacist.

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Duties of Participating GP Practices

GP practices are responsible for assessment of patients suitable to access the service and for the issue of access cards.

Patients requesting appointments with GP practices (either immediately or on a non-urgent basis) for symptoms matching

criteria identified in this service may be offered transfer to this service.

Surgeries should co-operate and liaise with Community Pharmacists in the operation of the Minor Ailments service.

Participating GP surgeries should display official posters and provide leaflets promoting the service.

For patients under the age of 16 the parent/guardian can accept transfer into the service on behalf of the patient. An access card

must be provided for each individual registered onto the scheme.

Duties of Participating Community Pharmacists

Patients should only be accepted into the service if they present with a valid access card

If a patient is not registered on the scheme the patient should be referred back to the GP practice. The MAS is only available to

patients registered with one of the 7 participating GP practices and can only be accessed from the 10 participating Pharmacies.

When a patient presents with an access card for the first time, explain to the patient how the scheme works.

All participating Pharmacists will provide a professional consultation service for patients registered in the scheme,

presenting with one of the specified conditions.

The Pharmacist will assess the patient‟s condition. The consultation will consist of:

o Patient assessment by Pharmacist o Provision of advice

o Provision of a patient information leaflet o Provision of medication, if necessary, from the approved

formulary appropriate for the patient‟s condition

The Pharmacist will update the access card and enter onto the PMR system. The Pharmacist will retain these details for their

own records.

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The Pharmacist will complete the MAS Consultation form. A copy

of the form should be kept at the pharmacy and is subject to inspection and audit if required.

Copies of the MAS Consultation forms should be returned to the relevant GP practices at least once a week.

NB In the event of a consultation under the Scheme not leading to the supply of a product, the Pharmacist should

indicate this on the MAS consultation form and the patient should sign the form to confirm validity.

Normal rules of patient confidentiality apply.

The Pharmacist should ensure that the patient has completed and signed the declaration of exemption of Prescription charges.

If, in the opinion of the pharmacist, the patient presents with symptoms outside the service, they should be referred back to

their GP or other relevant service using the Referral form.

If a patient presents more than twice within any month with the same symptoms and there is no indication for urgent referral,

the patient should be referred to their GP practice. The Referral form should be completed and given to the patient to take back

to the surgery. If the patient presents with symptoms indicating the need for an

immediate consultation with a GP, they are outside the service and should be advised to refer back to their GP (within surgery

hours) or to contact the on-call doctor, or to attend the Walk-in Centre or A & E immediately (as appropriate), outside surgery

hours. If the pharmacist suspects that the patient and/or parent is

abusing the service they should alert the practice manager at the patient‟s surgery.

Patients should be advised not to lose or damage their access

cards If the access card is full, inform the patient that they must

return to the GP practice for a new card before any further supplies can be made on the scheme.

The pharmacist will provide feedback to the GP as appropriate. The pharmacist will send the Monthly Claim form and Product

supply list to Su Pursell, Medicines Management, NHS Kirklees,

Princess Royal Community Health Centre, Greenhead Road,

Huddersfield HD1 4EW once a month by the 5th of the month.

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Pharmacy Service Flowchart

Does the patient have an Access Card?

Begin Consultation – Does patient fulfil exclusion criteria on data sheet?

Perform Consultation - Does the patient require referral to G.P?

No

Yes

Yes No

Yes

No

Refer

patient

back to surgery

using referral

form

Yes

1. Complete MAS Consultation

Form and ensure declaration

is signed by patient

2. Complete section on patients

access card and issue patient

information leaflet related to

the condition.

3. File copy of consultation

form and send copy to GP.

Record on PMR.

Give appropriate advice

to patient and/or recommend medicines

Patient requests treatment for one

of the ailments under the scheme

1. Fill in MAS

consultation form

2. Complete referral

form

3. Direct patient to G.P.

END

START

See Formulary

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Conditions and Product Summary Appendix 1

Condition Product(s) Available

Athletes Foot Clotrimazole 1% Cream

Conjunctivitis (bacterial) Chloramphenicol 0.5% eye

drops

Conjunctivitis (allergic) Otrivine Antistin eye drops

Cold Sores Aciclovir Cream 5%

Constipation Ispaghula Husk Sachets Lactulose

Senna Tablets

Cough Simple Linctus Simple Linctus Paed.

Dry Cough Pholcodine Linctus

Diarrhoea Dioralyte Sachets

Loperamide 2mg Caps

Haemorrhoids Anusol Ointment

Hay Fever Beclometasone Nasal Spray,

Cetirizine Syrup 5mg/5ml, Cetrizine 10mg Tabs,

Chlorphenamine 2mg/5mlSyrup,

Chlorphenamine 4mg tablets Loratadine Syrup 5mg/5ml

Loratadine 10mg tablets Sodium Cromoglycate eye drops

Headache/Earache/Temperature/Dental Pain/Sprain

Ibuprofen 200mg Tablets Ibuprofen suspension

100mg/5ml Paracetamol 500mg Tablets

Paracetamol 120mg/5ml Susp.

Paracetamol 250mg/5ml Susp

Indigestion Peptac Liquid

Insect Bites and Stings Cetirizine 10mg Tabs Hydrocortisone 1% Cream

Loratadine 10mg Tablets

Mouth Ulcers Adcortyl in Orabase , Benzydamine Oral Rinse, Choline

Salicylate Gel

Nappy Rash

Sudocrem

Condition Product(s) Available

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Nasal Congestion Menthol & Eucalyptus Inhalation

Pseudoephedrine 60mg Tablets Pseudoephedrine30mg/5ml Elixir

Sodium Chloride Nasal Drops Xylometazoline 0.05% N/Drops

Xylometazoline 0.1% N/Spray

Pruritis Calamine Lotion, Cetirizine 10mg Tablets

Loratadine 10mg Tablets Chlorphenamine 4mg Tablets

Sore Throat Aspirin Sol. 300mg Tablets Paracetamol 500mg Tablets

Paracetamol 120mg/5ml Susp. Paracetamol 250mg/5ml Susp.

Threadworm Mebendazole 100mg Tablets

Thrush (Oral) Miconazole Oral Gel

Thrush (Vaginal) Clotrimazole 2% Cream, Clotrimazole 500mg Pessary,

Fluconazole 150mg Capsule

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APPENDIX 2

List of Participating GP Practices and Pharmacies

The scheme involves 7 GP Practices

Grange Group Practice, Fartown Dr. Das, Woodhouse Hill

Dr. Handa, Fartown Green Road Bradford Road Surgery, Fartown

Dr. Bhuyan, Fartown HC Dr. Dutt, Fartown HC

Dr. Singh Norwood Road MC

The scheme involves 10 Community Pharmacies

Asda, Longhill Road (2)

Tesco, Viaduct street (2) Sainsbury‟s Southgate (1,2)

Cohens, 56 Sheepridge Road Siddique Pharmacy, 14 Spaines Road

S.T. Shaw, Fartown Grange, Spaines Road Medicare, 5 Copthorne Square, Bradley

K Pharmacy, 2 Grimscar Avenue Bradford Road Pharmacy, 107 Bradford Road

Boots Great Northern Retail Park, Leeds Road (1, 2)

(1)100 Hour Pharmacies (2)Pharmacies open 7 days a week

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NHS KIRKLEES

Minor Ailments Scheme

Referral Form from Community Pharmacy

Date: ……………………….. To : GP practice ………………………………………………………………………..

From: Pharmacist ………………………………………………………….. Pharmacy ……………………………………………………………… Patient’s Name: …….……………………………………………………… Presenting Condition: …………………………………………………… Reason for referral back to surgery: …………………………………………… ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ……………………………………………………………………………………………

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NHS Kirklees Minor Ailments Scheme

Pharmacist MAS Consultation Form

To be completed by the Pharmacist: The above patient was accepted onto the Minor

Ailments Scheme under the following criterion (tick one box only)

Tick

one

only

Product Supplied Yes / No Details of product supplied or alternative action taken:

Signed (Pharmacist)………………………………………………… Date ………………………………..

Pharmacy Stamp

Patient’s Name………………………………….……………………. Patient’s Address…………………………………………………….

…………………………………….…….………………………………

Patient’s Phone No. ……………………………………………….. NHS no (if known)…………………………………….……………..

Date of birth ………………………………………………………

GP’s Name ………………………………………..……………..

GP’s Address ………………………………….…………………..

………………………………….…….……………………………..

Patient’s Presenting Symptoms: (Please tick)

Athletes Foot Indigestion

Cold Sores Insect Bites and Stings

Conjunctivitis (Acute Bacterial) Mouth Ulcers

Conjunctivitis (Allergic) Nappy Rash

Constipation Nasal Congestion

Cough Pruritis

Dental Pain Sore Throat

Diarrhoea Sprain

Dry Cough Temperature

Ear Ache Threadworm

Haemorrhoids Thrush (Oral)

Hay fever Thrush (Vaginal)

Headache

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DECLARATION OF EXEMPTION

To be completed by the patient

A

×

iiss uunnddeerr 1166 yyeeaarrss ooff aaggee

B × iiss 1166,, 1177 oorr 1188 aanndd iinn ffuullll--ttiimmee eedduuccaattiioonn

C × iiss 6600 yyeeaarrss ooff aaggee oorr oovveerr

D × hhaass aa vvaalliidd mmaatteerrnniittyy eexxeemmppttiioonn cceerrttiiffiiccaattee

E × hhaass aa vvaalliidd mmeeddiiccaall eexxeemmppttiioonn cceerrttiiffiiccaattee

F × hhaass aa vvaalliidd pprreessccrriippttiioonn pprreeppaayymmeenntt cceerrttiiffiiccaattee

G × hhaass aa vvaalliidd wwaarr ppeennssiioonn eexxeemmppttiioonn cceerrttiiffiiccaattee

L × iiss nnaammeedd oonn aa ccuurrrreenntt HHCC22 cchhaarrggeess cceerrttiiffiiccaattee

X × wwaass pprreessccrriibbeedd ffrreeee--ooff--cchhaarrggee ccoonnttrraacceeppttiivveess

H × ggeettss iinnccoommee ssuuppppoorrtt ((IISS))

K × ggeettss iinnccoommee--bbaasseedd JJoobbsseeeekkeerr’’ss AAlllloowwaannccee ((JJSSAA ((IIBB))))

M × iiss eennttiittlleedd ttoo,, oorr nnaammeedd oonn,, aa vvaalliidd NNHHSS TTaaxx CCrreeddiitt EExxeemmppttiioonn

CCeerrttiiffiiccaattee

S × hhaass aa ppaarrttnneerr wwhhoo ggeettss PPeennssiioonn CCrreeddiitt gguuaarraanntteeee ccrreeddiitt ((PPCCGGCC))

To the Patient - Please complete either declaration (1) or (2) below:-

1. I have received the above medicine(s) and am exempt from charges for the reason specified

above. I understand that this is an NHS service and that the NHS will retain data relating to my use

of the service and may contact me for my views.

Signed (Patient)…………………………………….Date……………………………………………….

2. I have consulted the pharmacist under the Minor Ailments Pilot Project, am exempt from charges

and confirm that no medicine has been issued to me on this occasion. I understand that this is an

NHS service and that the NHS will retain data relating to my use of the service and may contact me

for my views.

Signed (Patient)…………………………………….Date……………………………………………….

The patient doesn’t have to pay because he/she:

I am the patient I am the patient’s representative

Evidence of Exemption Seen: YES NO

IMPORTANT – Your Pharmacist is providing treatment and/or advice under the Minor Ailments Scheme in line with the symptoms you have described. If your symptoms persist you should seek further advice from your doctor. Please advise the doctor which pharmacy you have attended and what advice and/or treatment you have already

received from the Pharmacist.

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PRODUCT SUPPLY LIST

PRODUCT BRAND

(price based

upon)

COST £

(inc.VAT)

Number

Issued

Total

Cost (£)

Aciclovir 5% Cream 2g Soothelip 2.94

Adcortyl in Orabase 5g 2.59

Antazoline/Xylomet.azoline eye drops (10ml) Otrivine-

Anthistin

2.70

Anusol Ointment 23g 2.32

Aspirin Sol. 300mg tablets (32) 1.76

Beclometasone Nasal Spray 100dose Beconase 4.23

Benzydamine Oral Rinse (300ml) Difflam 4.61

Calamine Lotion (200ml) 0.72

Cetirizine Syrip 5mg/5ml (70ml) Zirtek 2.83

Cetirizine 10mg Tablets (30) 0.58

Chloramphenicol E/D 0.5% (10ml) Brochlor 3.25

Chlorphenamine Syrup (150ml) 2.70

Chlorphenamine 4mg Tablets (28/30) 1.24

Choline Salicylate Dental Gel 15g Bonjela 2.17

Clotrimazole 1% Cream 20g 2.07

Clotrimazole 2% Cream 20g Canesten 4.59

Clotimazole 500mg Pessary 3.68

Diorylate Sachets 2.43

Fluconazole 150mg Capsule 1.08

Peptac Liquid (500ml) 2.24

Hydrocortisone 1% Cream 15g Hc45 2.55

Ibuprofen 200mg Tabs. (24) 0.66

Ibuprofen Susp. 100mg/5ml (100ml) 1.60

Ispaghula Husk Sachets (10) 1.41

Lactulose (300ml) 2.87

Loperamide Capsules (12) 1.24

Loratidine Syrup 5mg/5ml (150ml) Clarityn 3.28

Loratadine 10mg Tablets 1.47

Mebendazole 100mg Tablet (1) Ovex 1.96

Menthol /Eucalyptus Inhalation (100ml) 0.89

Miconazole Oral Gel 15g 3.26

Paracetamol 500mg Tabs. (32) 1.20

Paracetamol 120mg/5ml Susp. (200ml) Medinol 0.99

Paracetamol 250mg/5ml Susp. (200ml) 1.71

Pholcodine Linctus (200ml) 1.01

Pseudoephedine 60mg Tablets (12) Sudafed 1.97

Pseudoephedrine Elixir (100ml) Sudafed 1.78

Senna Tablets (20) Senokot 1.71

Simple Linctus (200ml) 0.74

Simple Linctus Paed. (200ml) 0.89

Sodium Chloride Nasal drops (10ml) 1.14

Sodium Cromoglycate EyeDrops (10ml) Opticrom Allergy 3.67

Sudocrem (125g) 2.11

Xylometazoline 0.05% Nasal Drops (10ml) 1.83

Xylometazoline 0.1% Nasal Spray (10ml) 2.20

Total cost of Products supplied (b)

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NHS Kirklees Minor Ailments Scheme Monthly Return

NHS KIRKLEES Minor Ailments Scheme

Monthly Claim Form

Month……………………………………. Year……………….

Total Number of Consultations X £3 = a £

Cost of Products Supplied = b £

Total Claim = a+b £

I certify I have performed the above number of consultations and

supplied the medicines as indicated in accordance with the service level agreement.

Name of Pharmacist: ……………………………………………………….

Signature of Pharmacist: ………………………………………………..

Pharmacy Name and Address:

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

……………………………………………………………………..

Pharmacy OCS Code …………………………………..

Return with Product Supply List to: Su Pursell, Medicines Management. NHS Kirklees, Princess Royal Community Health Centre, Greenhead Road, Huddersfield HD1 4EW.

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Minor Ailments Scheme

CLINICAL GOVERNANCE

A service level agreement between the community pharmacy

and the PCT must be in place before commencing the scheme.

Participating Pharmacists will be required to have successfully completed the CPPE Minor Ailments training modules: -

“Responding to Minor Ailments” and “Minor Ailments Services – a starting point for Pharmacists” which will be used to assess

competence / accreditation to participate in the scheme.

Copies of Accreditation certificates must be forwarded to the Medicines management team before commencing the Minor

Ailments scheme in a community pharmacy.

All medicines available under the scheme are Pharmacy Only or GSL medicines, which pharmacists are already permitted to sell

to patients for specific indications. Therefore Pharmacists already have good knowledge about these products and are competent

to judge the appropriateness for supply. Due to this fact, when the regular pharmacist is not available, locum pharmacists will

be permitted to make supplies under the scheme so long as the regular pharmacist is not away for a prolonged period of time

(maximum 2 weeks). Where there may be a prolonged absence of the regular pharmacist, this will need to be discussed with the

PCT.

Data sheets for each medicine approved for supply on the

scheme will be available, indicating for what clinical conditions they may be supplied, and will be part of an information pack for

participating pharmacies. Only licensed P/GSL medicines containing a manufacturer‟s PIL may be supplied to patients.

A Patient Information Leaflet for the appropriate Minor Ailment

must be supplied at the end of the consultation. These are available on line from www.patient.co.uk

The scheme is only open to patients who are exempt from

prescription charges and the exemption declaration must be signed on each occasion a product is supplied.

To register onto the scheme, patients will be issued with an

18

access card provided by their registered GP practice. The card

will require signing at each attendance by the community pharmacist and allows a restricted number of assessment /

medicine supplies to be accessed before a new card is issued. High access rates by individual patients on the scheme will be

reviewed by the practice where the patient is registered and by the pharmacist where he/she has concerns.

Pharmacists should mark the product supplied with the letters

„MAS‟ and inscribe an X over the product bar code to prevent any patient attempting to release funds by returning the medicines

to a different pharmacy for a refund.

Pharmacies must maintain secure records of patient attendance

under the scheme, the condition they are presenting with, and any medicines supplied, which will be shared with the patient‟s

GP practice via the MAS Consultation form

MAS Consultation forms must be submitted at least weekly to

the relevant GP practice to facilitate updating the patient‟s medical record.

Pharmacists will not be allowed to claim a fee for patients who

fall into the exclusion criteria as described on the data sheet for each ailment.

A fee may be claimed if the consultation is conducted in full and

the appropriate paperwork completed whether or not a product

is supplied.

This scheme will be monitored through the existing contract monitoring process although MAS Consultation Forms must be

available at any time for audit if requested by the PCT

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Service Level Agreement for an Enhanced Service

for the

Treatment of Minor Ailments by a Community Pharmacist

1. Parties to the Agreement

This agreement is between:

……………………………………………………………………………………………………… (“The Pharmacy”)

and

Medicines Management Department on behalf of

NHS Kirklees

2. Purpose of the Agreement

This agreement relates to a scheme for the supply of medicines and/or advice

under the NHS Kirklees Minor Ailments Scheme Pilot. The Medicines

Management team will manage the scheme subject to the provisions in the

Service Outline.

3. Agreement Period

3.1 The agreement will commence on 1 December 2008 and extend for a period of

24 months (or to the next Service review).

3.2 The agreement may be terminated, without penalty, if the Pharmacy or NHS

Kirklees give the other party two months notice in writing.

4. Obligations of the Pharmacy and PCT

4.1 The Pharmacy must provide the service in accordance with the NHS Kirklees

MAS Service Specification

4.2 The Medicines Management Team at NHS Kirklees will manage the scheme in

accordance with the Service Specification.

5. Terms and Fees

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5.1 Payment for Consultation - A £3.00 Consultation Fee will be paid for each

consultation at the Pharmacy, whether or not medication is supplied.

5.2 Payment for Medicines Supplied - The Pharmacy will be reimbursed for

medicines supplied at the cost price excluding VAT (as listed in the monthly

return sheet). These prices are derived from Drug Tariff or Chemist and

Druggist price lists.

5.3 Payment Method

Payment will be made monthly along with other NHS fees and will be included

in the Enhanced Service section of the NHS BSA payment schedule.

5.4 Payment Terms

The fully completed MAS monthly claim form and Product Supply List, should be

submitted by the 5th of each month, and sent to

Su Pursell

Medicines Management. NHS Kirklees,

Princess Royal Community Health Centre,

Greenhead Road,

Huddersfield HD1 4EW.

Claims will be processed and payment authorized from PCT funds as

appropriate.

6. Confidentiality

6.1 The Pharmacists and their staff must not disclose to any person other than a

person authorised by the Commissioner, any information acquired by them in

connection with this Agreement.

6.2 Without prejudice to the generality of Clause 6.1, the Pharmacist and their staff

must not disclose to any person other than a person authorised by Medicines

Management, any information acquired by them in connection with the

provision of the services hereunder which concerns:

Medicines Management, its staff or procedures;

the identity of any patient;

the medical condition of or the treatment received by any patient.

7. Tax Liabilities

It is hereby declared that it is the intention of the parties that the Pharmacy

shall have the status of a self-employed person and shall be responsible for all

Income Tax liabilities and National Insurance or similar contributions in respect

of his fees.

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8. Staff

The Pharmacy shall in respect of all persons employed, or seeking to be

employed by the Pharmacy (whether in and about the provision of the services

hereunder or otherwise), comply with each and every provision of law, including

those that prohibit discrimination in relation to employment on the grounds of

sex, colour, race, ethnic or national origin or religion.

9. Audit

The Pharmacy must allow the Medicines Management team and other PCT

nominated auditors access to all or any papers relating to this Agreement for the

purposes of audit and consent to the disclosure of relevant information for the

purpose of fraud prevention, detection and investigation.

10. Data Protection

The Pharmacy must protect personal data in accordance with provisions and the

principles of the Data Protection Act 1998 and must ensure the reliability of their

staff that have access to the data.

11. Complaints

The pharmacy will be required to have a system for the handling of complaints

that complies with the requirements of the NHS procedures.

I declare that the information given on this agreement form is true and complete to

the best of my knowledge. I understand that action may be taken against me if I

make an incorrect claim.

Signed for and on behalf of the Pharmacy

Signature ………………………………………………………. Date ………………………………………

Designation …………………………………………………………………….………………………………………….

Signed for and on behalf of Medicines Management Team (for NHS Kirklees)

Signature …………………………………………………..… Date ……………………………………...

Designation: ……………………………………………………………………………………..