Pharmacy First Extended Care Service
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 firstname.lastname@example.org AND email@example.com
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.
All recording of service provisions will be via PharmOutcomes and the participating pharmacies will be given access to these modules.
Service Paperwork 2018
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.
Crib sheet – summary of patient eligibility for service inclusion – to follow
Infected Skin Paperwork 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.
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
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
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.