SERVICE OUTLINES AND STANDARDS Sample Clauses
The 'Service Outlines and Standards' clause defines the specific scope, quality, and performance expectations for the services to be provided under the agreement. It typically details the types of services included, the methods or procedures to be followed, and any measurable standards or benchmarks that must be met, such as response times or quality metrics. By clearly establishing what is expected from the service provider, this clause helps prevent misunderstandings and disputes, ensuring both parties have a shared understanding of deliverables and performance criteria.
SERVICE OUTLINES AND STANDARDS. 6.1 As ONS are not Prescription Only Medicines (POM) an NHS GGC Approved Prescribing Protocol for the management of specified ONS products by Registered Dietitians will be used (Appendix 5). This authorises Registered Dietitians to directly request a prescription for specific categories and doses of ONS.
6.2 On receipt of an ONS Dietetic Request Form (Appendix 2) the Community Pharmacy will: • Explain the service to the patient; • Register the Patient using the Patient Registration form - (Appendix 3); • Supply the patient with supplements detailed on the ONS Dietetic Request Form (Appendix 2); • Identify patient follow-up arrangements and use the Community Pharmacy Guidance Pathway (Appendix 1) to decide and undertake next steps. It would be reasonable to obtain verbal consent (for housebound and care home patients) and document this when a signature can’t be obtained. Please note that this consent is informed and voluntary. If there are any concerns about the individuals capability to consent the Dietitian will already have indicated this on the ONS request form.
6.3 On receipt of an ONS Monitoring Transfer form (Appendix 4) the Community Pharmacy will: • Undertake the monitoring detailed on the ONS Monitoring Transfer Form (Appendix 4), to monitor progress for patients that have been discharged from active dietetic review against the targets / markers provided on the form, reducing and discontinuing ONS prescriptions or re-referring to dietetics as indicated.
6.4 The pharmacy will supply the patient with the specified ONS product and dose for the duration indicated. The duration indicated will be either: ‘Ongoing’ - in which case the pharmacy should prescribe every 28/31 days until further instruction is received from the Dietitian (usually within 3 months); Time limited - e.g. 1 week for trial purposes, or for 4 weeks only following hospital discharge.
6.5 ONS prescribing should be discontinued when: • A time limited duration has ended; OR • A Dietitian contacts the pharmacy to advise discontinuation of ONS: OR • The patient successfully achieves the targets set by the Dietitian as per the ONS monitoring form (Appendix 4).
6.6 The pharmacy will refer the patient back to the dietitian if: • The patient’s nutritional status declines to markers as specified on the ONS Monitoring Transfer Form: OR • If the patient is still prescribed ONS after 12 months of community pharmacy monitoring (in this instance, ONS prescribing by the pharmacy should continue unti...
SERVICE OUTLINES AND STANDARDS. 5.1 The service will be operational until the end of the flu vaccine season 2022/2023 or as directed by NHS GGC.
5.2 During the seasonal flu vaccination campaign period, pharmacy staff will identify people eligible for flu vaccination and encourage them to be vaccinated if they have not already been vaccinated in this flu season. This service covers the eligible patients as defined in CMO (2022)19 Adult Flu Immunisation Programme 2022/23. Community Pharmacies should focus on the cohorts described at Section 2.4 of this SLA above.
5.3 The seasonal flu vaccination to be administered under this service will be as indicated by the Scottish Government seasonal influenza vaccination programme 2022/23.
5.4 Contractors must ensure that vaccinations offered under this service are provided in line with Immunisation Against Infectious Disease (The Green Book), which outlines all relevant details on the background, dosage, timings and administration of the vaccination including disposal of clinical waste.
5.5 The Contractor must have an SOP in place for this service, which includes procedures to ensure cold chain integrity. All vaccines are to be stored in accordance with the manufacturer’s instructions and comply with NHS GGC Vaccine Ordering, Storage and Handling Guidelines. All refrigerators in which vaccines are stored are required to have a maximum/minimum thermometer. Readings are to be taken and recorded from the thermometer on all working days in line with GPhC regulations. NHS GGC recommends annual servicing of any fridge used for vaccine storage. The vaccines should not be used after the expiry date shown on the product. If a vaccine or cold chain incident occurs the Health Protection Scotland Vaccine Incident Guidance should be followed.
5.6 Each patient being administered a vaccine should be given a copy of the manufacturer’s Patient Information Leaflet (PIL) about the vaccine.
5.7 Each patient will be required to confirm consent before being administered the vaccine. Pharmacy Contractors must use the consent statements set out in the VMT system to obtain the patient’s consent. The consent covers the administration of the vaccine. Patients should be advised about sharing the patient’s details with the GP Practice and NHS GGC. This notifies the patient of the information flows that may take place as necessary for the appropriate recording in the patient’s GP practice record and for the purpose of post payment verification by NHS GGC.
5.8 Where hard copy for...
SERVICE OUTLINES AND STANDARDS. 6.1 This SLA only pertains to patients receiving instalment &/or supervised dispensing for the treatment of opioid dependence, who are prescribed one of the following medications: • Methadone; Buprenorphine (transmucosal) or Buprenorphine/Naloxone (transmucosal).
6.2 Pharmaceutical care for patients prescribed OST should be delivered in line with the current version of NHS GGC Standards for Drug & Alcohol Services in Community Pharmacies.
6.3 Patients will nominate a single community pharmacy at which they will receive their OST.
6.4 The nominated community pharmacy will be contacted by the ADRS Team with information about the patient.
6.5 Prescriptions may be posted, delivered or handed in directly by the patient.
6.6 Supervision and instalment dispensing instructions will appear on each prescription.
6.7 Prescriptions will be stamped with the Home Office Wording to allow dispensing on a suitable day prior to unplanned/emergency closure.
6.8 Missed doses and/or patient concerns should be reported to prescriber and/or relevant ADRS Team in line with the timescales contained in the Missed Dose Guidance document developed by Glasgow ADRS.
6.9 The remaining capacity (i.e. number of additional patient spaces) available for OST provision should be included with each NEO claim submission.
SERVICE OUTLINES AND STANDARDS. 6.1 Overdose awareness and naloxone training provided will be in accordance with the NHS GGC naloxone programme. NHS Community Pharmacy Website (▇▇▇▇.▇▇▇.▇▇)
6.2 Naloxone supplies issued will be in accordance with the NHS GGC Take Home Naloxone Supply Framework. NHS Community Pharmacy Website (▇▇▇▇.▇▇▇.▇▇)
6.3 Appropriate consent to record and share data should be sought from the individual receiving the supply as defined by NHS Greater Glasgow & ▇▇▇▇▇ or ADP area.
SERVICE OUTLINES AND STANDARDS. 6.1 This SLA only pertains to patients receiving instalment &/or supervised dispensing for the treatment of alcohol dependence, who are prescribed disulfiram.
6.2 Pharmaceutical care for patients prescribed disulfiram should be delivered in line with the current version of the ADRS Board wide Community Pharmacy Disulfiram Service Guidance (See Section 7 for link).
6.3 Patients will nominate a single community pharmacy at which they will receive their disulfiram.
6.4 The nominated community pharmacy will be contacted by the ADRS Team with information about the patient.
6.5 Prescriptions may be posted, delivered or handed in directly by the patient.
6.6 Supervision and instalment dispensing instructions will be on each prescription.
6.7 Patients should be breathalysed prior to receiving their supervised disulfiram dose.
6.7.1 Doses should be withheld for any patient registering a level above 0mcg/100ml and the prescriber contacted.
6.8 Missed doses / positive breathalyser readings and / or patient concerns should be reported to prescriber and / or relevant ADRS Team in line with the timescales contained in the ADRS Board wide Community Pharmacy Disulfiram Service Guidance.
SERVICE OUTLINES AND STANDARDS. 6.1 The service will be carried out in accordance with the Injecting Equipment Provision in Scotland- Good Practice Guidance 2021.
6.2 IEP related incidents or issues should be reported to the ADRS Central Pharmacy Team. The report should be made as soon as reasonably practicable after the incident is identified.
SERVICE OUTLINES AND STANDARDS. 7.1 The pharmacy will be contacted by HSCP social services when an individual has been assessed as requiring LEVEL 3 or LEVEL 4 assistance with medication. This will require medication to be dispensed in original dispensing packs at 1 month intervals and the provision of a 28 day MAR Chart.
7.2 The pharmacy will be informed which Care Provider (local authority or commissioned carers) will provide care at home for the individual. The pharmacy should agree a start date and collection or delivery date for the first 28 day supply of medication taking into consideration current medication supplies the individual has at home.
7.3 The pharmacy should offer medicine synchronization at the point of service initiation.
7.4 The HSCP will contact the individual’s GP to inform them of the need for Level 3/4 medication support, initiation of the Medicines Management Service with MAR, and to request the patient record is noted accordingly.
7.5 Prescriptions for individuals on the Medicines Management Service with MAR should be highlighted in the directions field. If this annotation is missing, the community pharmacy must contact the practice to ensure the Service User is coded correctly so that the information appears on the Emergency Care Summary, should the individual be admitted to hospital or attend an out of hours consultation.
7.6 The initial set up of an individual for the Medicines Management Service with MAR will require reconciling all medication and confirmation of specific dosage instructions for all current medication. If simplification of medication regime can be made to reduce carer workload this should be considered at this time.
7.7 The pharmacy will annotate the patient medication record that the individual requires a MAR Chart. A MAR Chart will be issued every time a prescription is received for the service user.
7.8 If medication is prescribed at different times to regular prescriptions then a mid-cycle MAR Chart will be issued.
7.9 The MAR Chart will include: ✓ All medication currently prescribed for the individual.
7.10 Dressings and appliances will not be included.
7.11 PRN medication may not be ordered every 28 days, but should still appear on every MAR Chart and only be removed when pharmacy has been notified this has been stopped.
7.12 Any discontinued medication will be deleted to ensure this is not ordered or administered in error.
7.13 Clear and standardised directions for administration will be given e.g. ONE tablet to be taken at NIGHT. PRN...
SERVICE OUTLINES AND STANDARDS