Pharmacy First Extended Care Service


Introduction

Following a successful pilot NHSE have now identified funding to allow 25 pharmacies across Staffordshire and Shropshire offer this service.

The Pharmacy First Extended Care Service for ENT & Eye aims to provide eligible patients who are registered with a GP practice contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S) with access to medication via Community Pharmacy for the treatment of ear, nose, throat (ENT) conditions  and for acute bacterial conjunctivitis not suitable for treatment under the Pharmacy First Common Ailments Service. The service can ONLY be provided through Community Pharmacies contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S) who have been selected for the service and have signed the Service Level Agreement.

May 2019: The scheme is being extended to include treatment for infected eczema and infected insect bites.  Pharmacists need to attend an extra training session on skin and the pharmacy will need to sign the skin SLA.

All Extended Care Pharmacies will be able to offer the skin service once their pharmacists have attended the training and a copy of the signature page of the SLA has been received by gill@southstaffslpc.co.uk AND a.pickard@nhs.net

Aims of the scheme

The overall aim of the scheme is to ensure that patients can access self-care advice for the treatment of ENT and Eye, where appropriate, can be supplied antibiotics or other appropriate treatments as the pharmacist see fit at NHS expense to treat their condition. This provides an alternative location from which patients can seek advice and treatment, rather than seeking treatment via  a prescription from their GP or out of hours (OOH) provider, walk in centre or accident and emergency.

  • Educate patient’s to seek advice and treatment from the most appropriate healthcare setting
  • Improve patient’s access to advice and appropriate treatment for these ailments via Community Pharmacy
  • Reduce GP workload for these ailments allowing greater focus on more complex and urgent medical conditions
  • Promote the role of the pharmacist and self-care
  • Improve working relationships between doctors and pharmacists

The service is offered as a quicker alternative for patients to access healthcare. Patient may choose to refuse this service and continue to access treatments in the same way as they have done previously.

Recording

All recording of service provisions will be via  PharmOutcomes and the participating pharmacies will be given access to these modules.

 

Service Paperwork 2018

Pharmacy First Scheme extended care service sept 2018 updated Aug 2019

Please note the only change to the SLA in June 2019 is to Appendix 7.  This is the “new supplier form” and it is to be returned to a different email address to the one on the earlier version.  This has no effect on the service and those pharmacies already signed up to the SLA and providing the service do not need to take any action.  If you are newly signing up to the service please ensure you use the most up to date version of the form.

ENT + Eye Flow Chart to show patient journey

ENT + Eye Patient Consent Form 

Declaration of Exemption from NHS Levy

ENT + Eye Service ProForma

Pharmacy First Extended Care Patient Questionnaire August 2019

ENT + Eye Service Referral from Community Pharmacy

Summary for GP and other Health Care Professional briefing 14.11.18

Crib sheet – summary of patient eligibility for service inclusion – to follow

Infected Skin Paperwork 2019

Pharmacy First Scheme extended care skin SLA Updated Aug 2019

Please note the only change to the SLA in June 2019 is to Appendix 7.  This is the “new supplier form” and it is to be returned to a different email address to the one on the earlier version.  This has no effect on the service and those pharmacies already signed up to the ENT SLA who are providing the service and have already received payments do not need to take any action.

Infected Skin Flow Chart to show patient journey

Infected Skin Patient Consent Form

Declaration of Exemption from NHS Levy 

Infected Skin Proforma 2019

Pharmacy First Extended Care Patient Questionnaire August 2019

Infected Skin Referral from Community Pharmacy

PGDs and Protocols

Acute Bacterial Conjunctivitis

First line treatment  Chloramphenicol Eye Drops PGD FINAL v1.1 003

Second line treatment  Fusidic Acid Eye Drops PGD FINAL v1.1 008

Acute Otitis Externa

Protocol for use of Ear Calm EarCalm Acute Otitis Externa Protocol FINAL

Acute Otitis Externa with suspected secondary infection

PGD for treatment  Locorten Vioform Ear Drops PGD FINAL v1.1 009

New PGD due to non-availability of Locorten Vioform Otomize PGD Final v1.0

Acute Otitis Media

First line treatment  Amoxicillin AOM PGD FINAL v1.1 001

Second line treatment Clarithromycin AOM PGD FINAL v1.1 004

Acute Bacterial Sinusitis

First line treatment Doxycycline Sinusitis PGD FINAL v1.1 007

Second line treatment Clarithromycin Sinusitis PGD FINAL v1.1 005

Chronic Sinusitis and Seasonal Allergic Rhinitis

PGD for treatment Beclometasone Nasal Spray PGD FINAL v1.1 002

Sore Throat

First line treatment Phenoxymethylpenicillin Sore Throat PGD FINAL v1.1 010

Second line treatment Clarithromycin Sore Throat PGD FINAL v1.1 006

Infected Insect Bites

First line treatment Flucloxacillin PGD infected insect bites V4

Second line treatment Clarithromycin PGD infected insect bites V4

Infected Eczema

Topical treatment Fusidic Acid PGD infected eczema V3

Please note: systemic treatment length varies between Staffordshire and Shropshire for infected eczema due to differences in the local antibiotic formularies – treatment length to be based on pharmacy location not patient address.  PharmOutcomes has been set up to give access to correct PGD for your pharmacy.  BUT – If you are downloading PGDs from this website please take care to ensure you download the correct version for infected eczema for you pharmacy and if you work in branches in both counties make sure you are aware of treatment length where you are working on any given day).  This is the only condition where the two counties have different PGDs for this service.

Staffordshire Infected Eczema

First line treatment Staffordshire Flucloxacillin PGD infected eczema Staffordshire V3

Second line treatment Staffordshire Clarithromycin PGD for infected eczema Staffordshire V3

Shropshire Infected Eczema

First line treatment Shropshire Flucloxacillin PGD infected eczema Shropshire V3

Second line treatment Shropshire Clarithromycin PGD for infected eczema Shropshire V3

 

Pharmacies In Staffordshire and Shropshire offering the Extended Care (ENT, Eye and Infected Bites and Eczema) Service

You can download this spreadsheet and check which pharmacies have a tick against them as providing the extended care service.

Pharmacy Services Sign-Ups Sept 2019