Community Pharmacy Extended Care Suite of Services


Now called Community Pharmacy Extended Care Services there will be a whole family of services commissioned by NHSE&I across the whole of the Midlands Regional footprint.

The old Pharmacy First name was “retired” amid confusion over which services had ended when common ailments services were decommissioned.

Community Pharmacy Extended Care Services

The service has two tiers:

Tier 1 services can be offered by any interested pharmacy and include the relaunched UTI service.

Please note the eye service was discontinued on 22.3.2021.  However, there are plans to reinstate the service once the product licensing of chloramphenicol is finalised.  The service may return with just eye ointment, or with eye ointment and drops depending on outcome of latest changes.

Tier 2a skin services are available for offer by any interested pharmacy provided that they also deliver Tier 1 service.

Tier 2b services will only be available for offer by selected pharmacies.  In Staffordshire and Shropshire these are the pharmacies that were delivering the ENT service prior to the service suspension (March 2020).  In other areas there will be a selection process – this will be announced in due course, at this time NHSE&I are working on new SLAs and PGDs etc.

Community Pharmacy Extended Care Services Tier 1

Locally commissioned UTI service Tier 1 is returned October 2020 with a new name, new SLA and new PGD.  More details can be found on the Extended Care UTI page of this website.

A new Tier 1 locally commissioned acute bacterial conjunctivitis service service is being commissioned, allowing pharmacies to supply chloramphenicol for moderate to severe acute bacterial infection in under 2s.  Pharmacists are reminded that antibiotics are not first line treatment for this condition. Details can be found on the Extended Care acute bacterial conjunctivitis page of this website.

Which pharmacies are signed up to the service

NHSE&I are producing master spreadsheets with details of all the pharmacies signed up to either UTI, ABC or both Extended Care Tier 1 services.  (This will be expanded to cover Tiers 2a and 2b when they are commissioned later in 2021).

There are two lists, one for the East of the region and one for the West.  The document is an excel spreadsheet and lists every pharmacy, you can use the filter function on excel to look at specific CCG or STP areas.

The lists will be updated each week so you need to keep looking here to ensure that you have the correct list, in other words, don’t print the list today and treat it as the definitive list.  As of 9th December we had 291 pharmacies signed up across the region but this number is going up all the time, hence the need to keep checking for an up to date list.

Pharmacy Lists: these now include Tier 1 and Tier 2a

East of Region list – please note there are different tabs in the document for Derbyshire; Leicestershire; Lincolnshire; Nottinghamshire and also Northamptonshire:  Extended Care pharmacy sign up East of Region 15.08.21

You will see all the pharmacies in the East of the Region are listed, you can see which one’s offer the extended care service because there is a date in the service column.  Those not providing a particular service had that service column greyed out.

West of Region list – please note there are different tabs in the document for Birmingham & Solihull;  Shropshire & Telford & Wrekin; Coventry & Warwickshire;Hereford & Worcester and also Staffs & Stoke on Trent: Extended Care pharmacy sign up West of region 01.10.21

You will see on the West of Region spreadsheet that some pharmacies are highlighted in orange, this is simply to show the pharmacies which have been added to the service since the last spreadsheet was uploaded.

 

Community Pharmacy Extended Care Services Tier 2a

Locally commissioned Skin Tier 2a service  is now live.  This allows treatment of impetigo, infected eczema and infected insect bites.  ENT pharmacies were already treating infected bites and eczema and the old impetigo service is now part of the Tier 2a service.

Community Pharmacy Extended Care Services Tier 2b

Locally commissioned ENT Tier 2b service will be introduced in the 20121-22 financial year – NHSE&I and the LPC are currently working on the new SLA and PGDs, along with designing some refresher training to allow the restart of this highly acclaimed service.  As soon as this is ready to go we will let the pharmacies know.

Anti Microbial Resistance Resources

HEE have produced info on AMR

Antimicrobial resistance | Health Education England

The Government’s five year antimicrobial resistance strategy sets out our role in improving professional education and training about antimicrobial resistance. As well as recommending that the Government campaign internationally for greater recognition of antimicrobial resistance, the strategy outlined how we have a central role in helping to improve the knowledge and understanding of antimicrobial resistance.

www.hee.nhs.uk

HEE AMR video on Primary Care Antibiotic Prescribing – click the image below.

 

This video supports clinical staff in primary care to make informed decisions regarding the prescription, dispensing and use of antibiotics.

HEE AMR video on Secondary Care Antibiotic Prescribing – click the image below.

This video supports clinical staff in secondary care to make informed decisions regarding the prescription, dispensing and use of antibiotics.