Impetigo and Simple UTI March 2017


Pharmacy First UTI and Impetigo Service Specification 2017.  Please read all of this information

Links to service documentation can be found at the bottom of this page.

Introduction

The service aims to provide any eligible patient who is registered with a GP practice contracted to NHS England North Midlands Staffordshire and Shropshire Area (NHSE S&S), with access to medication for the treatment of impetigo and simple urinary tract infection (UTI) via Community Pharmacy. The service will be provided through Community Pharmacies contracted to NHS England North Midlands (Shropshire & Staffordshire Area) who have signed up to provide this service.

Aims of the scheme

The overall aim of the scheme is to ensure that patients can access self-care advice for the treatment of impetigo and simple urinary tract infection (UTI) and, where appropriate, can be supplied with antibiotics, at NHS expense, to treat their infection. 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, or via a walk-in centre or accident and emergency.

  • Improve patients’ access to advice and appropriate treatment for these two common ailments
  • Reduce GP workload for these common ailments allowing greater focus on more complex and urgent medical condition
  • 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. Patients may choose to refuse this service and continue to access treatments in the same way as they have done previously.

The service is only available for the treatment of impetigo in adults and children and un-complicated urinary tract infection (UTI) in adult females. Only medicines specified in the PGDs may be supplied following the correct protocols and only in the pharmacies who have signed up to the service.

Service Requirements – as outlined in SLA and PGD.

Who can provide the service?

This service may be provided by authorised Community Pharmacies contracted to NHS England North Midlands (Shropshire & Staffordshire Area), who are committed to making staff available to provide the service, subject to the following:

All professional consultations, with a service accredited pharmacist, must take place in a confidential environment.

Signed SLAs should be returned to Andy Pickard at NHSE.  Please also include Gill Hall to ensure that your pharmacy becomes accredited on PharmOutcomes. a.pickard@nhs.net and gill@southstaffslpc.co.uk

Pharmacist training requirements

Pharmacists working at participating pharmacies can provide this Enhanced Service if they have completed the mandatory training requirements.  The requirement is that the pharmacist accesses the CKS summaries on urinary tract infections and impetigo. Please access the summary; background information; diagnosis; management; prescribing information and evidence sections for each condition to ensure that you have up to date, relevant clinical knowledge on these two conditions:

http://cks.nice.org.uk/urinary-tract-infection-lower-women

http://cks.nice.org.uk/impetigo#!topicsummary

They must document their service readiness using a Declaration of Competence (DoC) specifically for this service. This DoC is separate from the DoC which may already have been completed for the supply of OTC medications on the original Pharmacy First Common Ailments Service.

As with all PGDs pharmacists must sign the pharmacy copy of the PGD in every pharmacy where they deliver this service.

DoC Process for this service:

The pharmacist will need to log in to the CPPE website and access the DoC section to download the DoC Self-Assessment Framework for Minor Ailments. (Impetigo and simple UTI service is a Level 2 Minor Ailments Service involving supply of POM medication under a PGD).

The DoC framework document allows the pharmacist to assess their readiness against the mandatory core competencies (consultation skills and safeguarding) as well as suggesting other training they may find useful in regard to minor ailments and PGDs.

The pharmacist then needs to download their personalised Minor Ailments DoC (interactive PDF document).

Section 1 of the DoC will automatically contain details of all CPPE training and assessments they have undertaken and which are relevant to this service.

In section 2 of the pharmacist will need to add details of the mandatory training they have completed. Namely that they have worked through the CKS summaries on impetigo and simple UTIs. They must ensure that they have the correct clinical knowledge to provide the service.

The pharmacist should then print their DoC and add the heading “Staffordshire and Shropshire Pharmacy First for Impetigo and Simple UTIs”. It must then be signed and dated to complete the process. The pharmacist must confirm on the CPPE website that they have completed and signed the DoC.

The accuracy of the DoC is the pharmacist’s professional responsibility.

All Pharmacists working at participating pharmacies and providing the scheme should ensure that they continue, through continuing education and CPD, to keep up to date with guidance issued around of the treatment of impetigo and simple UTIs.

Service Recording on PharmOutcomes

Only pharmacies who have returned the signed SLA to NHSE will access to the new PharmOutcomes modules.  There are several modules for completion.

Pharmacist Enrolment

In order to record the consultations on PharmOutcomes the pharmacist must complete a pharmacist enrolment form within the Impetigo and UTI module. They must give the CPPE system permission to allow PharmOutcomes to access their CPPE record in order to confirm completion of the DoC for this service. If this was not done while on the CPPE website a link within the PharmOutcomes pharmacist enrolment module will take the pharmacist to the relevant part of the CPPE website.  For more information on PharmOutcomes and DoC please see the relevant pages on this website.

Pharmacy First – Impetigo and Simple UTI – Patient Registration

This registration module should be completed the first time a patient registers for this service in you pharmacy.  This is a separate registration to the module for common ailments and so will need to be completed even if the patient has accessed the common ailments service in your pharmacy.  If the patient has registered with another service at your pharmacy you will see their details in a drop down list – you can select this if it is the correct patient but you will still need to complete this registration module to record consent to this service specifically etc.

Pharmacy First – Impetigo Consultation and Supply 

Complete this module for every impetigo consultation and if a supply is made this is also recorded on the same module (please note this removes the 2 stage process used for the old service recording).

Pharmacy First – Simple UTI Consultation and Supply 

Complete this module for every simple UTI consultation and if a supply is made this is also recorded on the same module.

Service Variations

Please note there are variations in the antibiotic treatment / course length for Staffordshire and Shropshire pharmacies.  This is because the formularies for the two counties differ and the service offered in the pharmacy must mirror the treatment offered at GP surgeries.

The treatment to be offered is determined by the location of the PHARMACY not the home address of the patient.

Topical fusidic acid is not to be provided under this service.  This is because the formulary has been altered to reduce the amount of fusidic acid supplied in order to save fusidic acid in it’s injectable form for the treatment of bone infections.

2017-18 Service Paperwork

UTI and Impetigo Service Letter 2017

UTI and Impetigo Service Spec 2017 FINAL

Clarithromycin PGD FINAL 260216 V4

Flucloxacillin PGD FINAL 260216 V4

Nitrofurantoin PGD FINAL 200317

Nitrofurantoin for UTI Consultation Proforma 2017-18

UTI & Impetigo Service Providers updated 040517

2016-17 Service Paperwork

Shropshire and Staffordshire Common Ailments UTI and Impetigo Service Spec 2016

Urine Dipstick Aanalysis Guidance (Mulitstix GP)

Declaration of Exemption Pharmacy First UTI and Impetigo 2016

Patient Consent Form to be used where not recording consultation live on PharmOutcomes

Referral from Community Pharmacy

Staffordshire and Stoke on Trent Service Paperwork

Staffordshirer Trimethoprim PGD Signed by Commissioner 2016 only valid until 31.3.17

Staffordshire Flucloxacillin PGD Signed by Commissioner 2016

Staffordshire Clarithromycin PGD Signed by Commissioner 2016

 

Staffordshire UTI Trimethoprim consultation proforma V2

Staffordshire Impetigo consultation proforma

 

Telford & Wrekin and Shropshire (TaWS) Service Paperwork

Nitrofurantoin PGD (TaWS) Signed by Commissioner 2016

Flucloxacillin (TaWS) PGD Signed by Commissioner 2016

Clarithromycin (TaWS) PGD Signed by Commissioner 2016

 

Shropshire, Telford & Wrekin UTI Nitrofurantoin consultation proforma V2

Impetigo (TaWS) consultation proforma

Pharmacies Offering the UTI and Impetigo Service:

South Staffordshire:

Pharmacies in Stafford and Surrounds signed up to UTI & Impetigo July 2017

Pharmacies in South East and Seisdon signed up to UTI & Impetigo July 2017

Pharmacies in East Staffs signed up to UTI & Impetigo July 2017

Pharmacies in Cannock Chase signed up to UTI & Impetigo July 2017

North Staffs, Stoke on Trent and Shropshire:

Pharmacies in North Staffs signed up to UTI & Impetigo July 2017

Pharmacies in Stoke on Trent signed up to UTI & Impetigo July 2017

Pharmacies in Shropshire signed up to UTI & Impetigo July 2017

Pharmacies in Telford & Wrekin signed up to UTI & Impetigo July 2017