Common use of Service Outline Clause in Contracts

Service Outline. 3.1 The pharmacist will: (a) Interview the patient to identify the medicines needed and to establish the nature of the emergency. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication. (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary resident), the patient would be expected to have with them some evidence of the medicine required either: t of or This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, to ensure that successive supplies are not made under the emergency supply provisions. (d) Where appropriate, advise the patient or his representative on the importance of ordering prescriptions in a timely manner and ensure they understand the re-ordering system used by the patients GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the pharmacist ensures that the patient has a supply of all medication which they will run out of in the following 48 hours and that medication which will run out shortly after that is ordered as a matter of urgency in the normal way. 3.2 The pharmacist will at their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The maximum quantity to be supplied under this service is up to 14 days* of treatment. (*Where a supply is made in a special container, the quantity may be rounded up to the nearest number of full packs. This may apply to inhalers, creams or ointments or special tablet containers. E.

Service Outline. 3.1 The pharmacist will: (a) Interview the patient to identify the medicines needed and to establish the nature of the emergency. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication. (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary residentresident (resident in England only)), the patient would be expected to have with them some evidence of the medicine required either: t  a recent copy of the repeat slip with repeat medicines on it or  a recent box of medicines which they are running out of or  in the case of an MDS patient, an empty MDS package. This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, to ensure that successive supplies are not made under the emergency supply provisions. (d) Where appropriate, advise the patient or his representative on the importance of ordering prescriptions in a timely manner and ensure they understand the re-ordering system used by the patients GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the pharmacist ensures that the patient has a supply of all medication which they will run out of in the following 48 hours and that medication which will run out shortly after that is ordered as a matter of urgency in the normal way. 3.2 The pharmacist will at their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The maximum quantity to be supplied under this service is up to 14 days* of treatment. (*Where a supply is made in a special container, the quantity may be rounded up to the nearest number of full packs. This may apply to inhalers, creams or ointments or special tablet containers. E.

Service Outline. 3.1 The pharmacist will: (a) Interview the patient to identify the medicines needed and to establish the nature of the emergency. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication. (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary resident), the patient would be expected to have with them some evidence of the medicine required either: t • a recent copy of the repeat slip with repeat medicines on it or • a recent box of medicines which they are running out of or • in the case of an MDS patient, an empty MDS package. This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, to ensure that successive supplies are not made under the emergency supply provisions. (d) Where appropriate, advise the patient or his representative on the importance of ordering prescriptions in a timely manner and ensure they understand the re-ordering system used by the patients GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the pharmacist ensures that the patient has a supply of all medication which they will run out of in the following 48 hours and that medication which will run out shortly after that is ordered as a matter of urgency in the normal way. 3.2 The pharmacist will at their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The maximum quantity to be supplied under this service is up to 14 days* of treatment. (*Where a supply is made in a special container, the quantity may be rounded up to the nearest number of full packs. This may apply to inhalers, creams or ointments or special tablet containers. E.▇.

Service Outline. 3.1 The pharmacist will: (a) Interview Routinely check the ▇▇▇.▇▇▇ email to pick up the notification of the referral in a timely manner. b) Contact the patient by phone to interview the patient assess suitability / eligibility to use the service, identify the medicines needed and to establish the nature of the emergency. If . c) Arrange for the patient is housebound this interview may be conducted over to come to the telephone. For childrenpharmacy for a face-to-face consultation. d) Complete the face-to-face consultation, a parent/ guardian may make where possible confirming the request previous treatment ensuring that the emergency supply regulations and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the good practice guidance are met. e) The pharmacist must can use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or judgment and where it is deemed appropriate interview the patient does not have a comprehensive understanding of their medication. (b) Examine over the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary resident), the patient would be expected to have with them some evidence of the medicine required either: t of or This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, phone to ensure that successive supplies are not made under the emergency supply provisionsregulations and good practice guidance are met. The patients’ representative can then collect the medication from the pharmacy on their behalf. It is expected that the majority of emergency supplies will be made to the patient, not their representative. Where a representative collects the medication the rationale for a telephone interview and the representative collecting the supply will be recorded. f) The patient (dor representative) Where appropriate, must complete the relevant sections of the Urgent Repeat Medicine Supply Service Record Form. g) The pharmacist will advise the patient or his their representative on the importance of ordering prescriptions in a timely manner from their usual pharmacy to support patients in understanding of the importance of not running out of medication with the aim of changing behaviors and ensure they understand preventing the re-ordering system future need for emergency supplies. The Urgent Supply of Repeat Medication service must not be used by to attempt to change the patients GP practice; and (e) Explain that no further emergency supply patient’s use of any medication their usual pharmacy. If evidence of diverting, or attempting to change patient’s use of pharmacy is found then a pharmacy will be allowed for this patient under removed from this service. It is important that the pharmacist ensures that the patient has a supply of all medication which they will run out of in the following 48 hours and that medication which will run out shortly after that is ordered as a matter of urgency in the normal way. 3.2 The pharmacist will at their his/her discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The pharmacist will supply a maximum quantity of 7 days of medication except where it is not possible to be supplied under dispense this service is up to 14 days* of treatment. volume (*Where a supply is made in a special container, the quantity may be rounded up to the nearest number of full packs. This may apply to e.g. inhalers, creams or ointments or special tablet containersetc.); the smallest pack size should be dispensed in this instance. 3.3 The pharmacy will maintain a record: (a) of the emergency supply, setting out the name and address of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012; (b) of the consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied on the Urgent Repeat Medication Supply Service record form. E.This record form will be retained in the pharmacy for 3 months after the supply to allow for post verification checks. (d) of the consultation and any medicine that is supplied on the IT system (PharmOutcomes) which will send a copy of the record to the patient’s general practitioner. The supply will be recorded onto PharmOutcomes as soon as is possible after the supply and within 48 hours of the notification from NHS 111. 3.4 Patient consent will need to be given to take part in the service, which includes consent to share information with the patient’s own general practitioner, where applicable the GP Out of Hours Service, NHS111 and viewing of the Summary Care Record.

Service Outline. 3.1 The pharmacist will: (a) Interview the patient (or, in a pandemic only, the patient’s representative) to identify the medicines needed and to establish the nature of the emergency. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication.; (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary resident), the patient would be expected to have with them some evidence of the medicine required either: t of or This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply.; (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, to ensure that successive supplies are not made under the emergency supply provisions.; and (d) Where appropriate, advise the patient or his representative on the importance of ordering prescriptions in a timely manner and ensure they understand the re-ordering system used by the patients GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the pharmacist ensures that the patient has a supply of all medication which they will run out of in the following 48 hours and that medication which will run out shortly after that is ordered as a matter of urgency in the normal waymanner. 3.2 The pharmacist will at their his/her discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The maximum quantity local agreement is that the pharmacist will supply five (5) days medication to the patient. 3.3 The pharmacy will maintain a record: (a) of the emergency supply, setting out the name and address of the patient, the prescription only medicine supplied, the date of the supply and the nature of the emergency in accordance with the Human Medicines Regulations 2012; (b) of the consultation and any medicine that is supplied in the patient medication record; (c) of the consultation and any medicine that is supplied the paperwork/IT system provided by the commissioner. This paperwork will be used for the recording of relevant service information for the purposes of audit and the claiming of payment. 3.4 One copy of the record in sub-paragraph 3.4 (c) will be sent to the patient’s general practitioner for information. Patient consent will need to be supplied under given for this service data sharing. 3.5 A copy of the record in sub-paragraph 3.4 (c) will be submitted to the commissioner for payment. Patient consent will need to be given for this data sharing. 3.6 A prescription charge should be collected unless the patient is up to 14 days* of treatmentexempt in accordance with the NHS Charges for Drugs and Appliances Regulations. (*Where a supply prescription charge is paid a patient must sign a declaration. A prescription refund and receipt form as approved by the Secretary of State must be provided if the patient requests it. Any prescription charges collected from patients will be deducted from the sum payable to the pharmacy. 3.7 If a patient is exempt from paying a prescription charge in accordance with the NHS Charges for Drugs and Appliances Regulations, evidence of entitlement to exemption should be provided by the patient for the pharmacy to check and the patient must make a declaration of entitlement. Where a claim to exemption has been made in a special containerbut is not substantiated, the quantity may charge should be rounded up recovered from the patient by the commissioner. 3.8 The pharmacy contractor must have a standard operating procedure in place for this service. 3.9 Locally agreed referral pathways will be put in place and will be followed where the pharmacy is not able to the nearest number make an urgently required supply of full packs. This may apply to inhalers, creams or ointments or special tablet containers. E.a prescription only medicine.

Service Outline. 3.1 The pharmacist will: (a) Interview the patient to identify the medicines needed and to establish the nature of the emergency. If the patient is housebound this interview may be conducted over the telephone. For children, a parent/ guardian may make the request and explain the nature of the emergency. During a pandemic the patient’s representative may make the request and explain the nature of the emergency. In all other cases the pharmacist must use their professional judgement, for example when receiving a request from a carer/ representative of a patient with dementia or where the patient does not have a comprehensive understanding of their medication. (b) Examine the patient medication record to establish whether the patient’s last course of the medicine was obtained from that pharmacy against a prescription. Ideally it is hoped the patient will visit their regular pharmacy for the supply to be made. If the supplying pharmacy is not the patient’s regular pharmacy (i.e. the regular pharmacy is closed or the patient is a temporary residentresident (resident in England only)), the patient would be expected to have with them some evidence of the medicine required either: t  a recent copy of the repeat slip with repeat medicines on it or  a recent box of medicines which they are running out of or  in the case of an MDS patient, an empty MDS package. This will allow the pharmacist to make sure the patient is supplied with the correct medicine at the correct dose. Pharmacists must use their professional judgement to make sure that they supply the correct medication, if they are unable to ascertain exactly what is required they must not supply. (c) If the patient’s last supply of the medicine was not supplied from that pharmacy, make reasonable attempts to contact the last supplying pharmacy or the prescriber, to ensure that successive supplies are not made under the emergency supply provisions. (d) Where appropriate, advise the patient or his representative on the importance of ordering prescriptions in a timely manner and ensure they understand the re-ordering system used by the patients GP practice; and (e) Explain that no further emergency supply of any medication will be allowed for this patient under this service. It is important that the The pharmacist ensures must ensure that the patient has a supply of all medication which they will run out of in the following 48 hours hours, and that medication which will run out shortly after that is ordered as a matter of urgency in the normal way. 3.2 The pharmacist will at their discretion, make the supply in accordance with the requirements of the Human Medicines Regulations 2012. The maximum quantity to be supplied under this service is up to 14 days* of treatment. (*Where a supply is made in a special container, the quantity may be rounded up to the nearest number of full packs. This may apply to inhalers, creams or ointments or special tablet containers. E.