Pharmaceutical Care Services Plan - NHS Lanarkshire

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8. Smoking Cessation Service In the period 1/4/08 – 31/3/11 all Health Boards had a smoking cessation HEAT target to support 8% of their smoking population to successfully quit at 4 weeks. For NHS Lanarkshire this equated to 10737 successful quits. This target number was met in March 2011 – two thirds of successful quits were achieved from patients attending the NHS Lanarkshire Stop Smoking Service and the remainder was met by the community pharmacy service. The HEAT target for 1/4/2011 – 31/3/2014 is to support 7.5% of the Boards smoking population successfully quit 4 weeks from their quit date through specialist services with 60% of the quits coming from the 40% most deprived within Board SIMD areas. For NHS Lanarkshire this equates to 9882 successful quits of which 5929 need to be within the most deprived areas. ADEQUACY COMMENT All but one community pharmacy participates in this service though two others in the immediate surrounds do so Community pharmacy contributions to HEAT target achievement in 2008-11 illustrate provision of an adequate service. 9. PGD authorised supply of Emergency Contraception 119 community pharmacies participate in this service and cumulatively in 2009/10 almost 9 000 supplies of Emergency contraception were made ADEQUACY COMMENT All but two community pharmacies participates in this service though several others in the immediate surrounds do so. 11. Supply of Chlamydia test kits and treatment of Chlamydia All pharmacies also participate in the supply of Chlamydia test kits. A PGD is also in place to authorise treatment of Chlamydia by community pharmacists though the supplies made via this service have been small approx 35 in 2010/11. Consequently there will be a review of this service in 2011/12. 11. Chronic Medication Service This will be a particularly important service for helping patients ensure that their long term medication is used safely and effectively. ADEQUACY COMMENT The service began in earnest in 2010/11 but is still maturing. On 31 st Jan 2011 115 community pharmacists in NHS Lanarkshire had registered 3371 patients for CMS. At this stage there is no evidence that patient demand is outstripping service availability. 6
12. Assessment of patient’s compliance needs and dispensing in Monitored Dose systems As more vulnerable patients are cared for in the community, often with the support of family carers or Council employed home support workers, there is a need to assess whether or not patients can use medicines presented in conventional bottles or blister packs. Community pharmacists can assess patients for the suitability of a range of medicine presentations and supply the one which best meets the patient’s requirement e.g. a monitored dose system. In providing this service pharmacists are expected to consider the guidance provided by NHS Lanarkshire with regard to the assessment process and provision of monitored dose systems. 118 pharmacies in NHS Lanarkshire provide this service. Annually approximately 4, 800 patients receive specialised weekly dispensing. ADEQUACY COMMENT This is a service which can be under pressure from time to time. We have recently reissued guidance on the assessment of patients for this service to minimise the risk of inappropriate demand and supply. 13. Services for Patients with substance misuse addictions In NHS Lanarkshire over 5, 000 patients have an drug addiction problem and over 2,000 are receiving substitution therapy in the form of methadone or buprenorphine. Many patients require regular and frequent dispensing of their medication (often daily) and supervision of the consumption of that medication within the pharmacy. It is therefore a major service. 108 pharmacies in NHS Lanarkshire provide this service and between them supervise the consumption of over 250 000 doses of methadone and approx 28 000 doses of buprenorphine each year. In recognition that drug injecting behaviour remains widespread it is important that good harm reduction strategies are developed. Recently the concept of Needle Syringe Exchange has been enhanced to a fuller “Injection Equipment Provider” (IEP) service. In NHS Lanarkshire 18 community pharmacies geographically spread to facilitate as wide access as possible provide an IEP service and approximately 18 000 transactions are carried out each year. ADEQUACY COMMENT There is close working between NHS Lanarkshire addictions services and community pharmacists to make sure that the community pharmacy services can meet the demands of the service 14. Oxygen Services The provision of a community based oxygen service is essential for patients and local access via a community pharmacy is of great benefit to patients. It is however a specialist service and not all pharmacies have the experience or indeed the space to provide this service. Within NHS Lanarkshire 47 pharmacists provide this service. 7
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Pharmaceutical Care Services Plan - NHS Lanarkshire

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