Enhanced Service Contract

Nene CCG

Designated contact: NHS England (Central Midlands)

John Hooper, Pharmacy Contracts Manager

SECTION 1: INTRODUCTION

1.1 PARTIES TO THE CONTRACT

Party 1:

NHS England (Central Midlands)

Charter House

Parkway

Welwyn Garden City

AL8 6JL

Party 2:

(Insert Pharmacy Details)

ODS Code:

……………………………………………

Name:

……………………………………………

Address:

……………………………………………

1.2CONTRACT PERIOD

This Locally Enhanced Service Contract (LESC) takes effect from 1st April 2015 to 31stMarch 2016

1.3NOTICE OF TERMINATION

Either party may terminate this contract by providing three months written notice or by a mutually agreed date confirmed in writing by both parties.

NHS England Hertfordshire & South Midlands Area Team may suspend or terminate this agreement forthwith if there are reasonable grounds for concern, including but not limited to malpractice, negligence, or fraud on the part of the pharmacy.

1.4CONTRACT REVIEW

1.4.1NHS England (Central Midlands) and the Community Pharmacy in consultation with the Community Pharmacy Contract Manager will review the content of the contract and the performance against the contract to inform and agree any changes to service requirements.

1.4.2This contract may be amended to reflect updated Department of Health guidance on locally enhanced Primary Care services.

1.4.3Both parties must agree any changes to this agreement in writing via a contract variation.

1.5OBLIGATIONS

The pharmacy will provide the service in accordance with the specification (Schedule 1)

NHS England (Central Midlands) will manage the service in accordance with the specification (Schedule 1).

1.6STANDARDS

The service will be provided in accordance with the standards detailed in the specification (Schedule 1).

1.7CONFIDENTIALITY

Both parties shall adhere to the requirements of the Data Protection Act 1988 and the Freedom of Information Act 2000.

Any approaches by the media for comments or interviews must be referred to NHS England (Central Midlands).

1.8INDEMNITY

The pharmacy shall maintain adequate insurance for public liability and professional indemnity against all claims which may arise out of terms and conditions of the agreement.

Any litigation resulting from accident or negligence on behalf of the pharmacy is the responsibility of the pharmacy who will meet the costs and any claims for compensation, at no cost to NHS England.

Schedule 1

SECTION 1: SERVICE SPECIFICATION

AIMS OF THE LOCALLY ENHANCED SERVICE

All pharmacies are expected to provide Essential Services and those additional enhanced services that they are contracted to provide to their patients.

This Locally Enhanced Service specification outlines the service for the provision and maintenance of stocks of drugs for use in Palliative Carefor supply against an NHS prescription presented to the pharmacy.

The specification is designed to cover the locally enhanced aspects of clinical care of the patient, all of which are beyond the scope of essential services.

SERVICE TO BE PROVIDED BY THE PHARMACY

Service Provider = Pharmacist

The pharmacy shall

a)Purchase and maintain the required stock (range and quantity) of palliative care drugs according to the agreed list which will be reviewed annually (appendix A).

b)Dispense the items from the palliative care drug stock in response to NHS prescriptions presented to the pharmacy in line with the dispensing service of the NHS Community Pharmacy Contract.

c)Maintain records of all drugs supplied (appendix B) in order to monitor and audit service delivery.

d)When dispensed the pharmacy shall replenish stocks at the earliest opportunity

e)Monitor the expiry date of these drugs and ensure that those reaching the expiry date are replaced. The pharmacy may claim for reimbursement, at cost, of date expired drugs from the approved list, provided stock rotation procedures have been followed.

f)Submit returns quarterly to NHS England (Central Midlands)to claim reimbursement payments for any date expired drugs.

g)In circumstances where the pharmacy is unable to supply an item on demand, they will signpost the patient/carer/healthcare professional to the nearest pharmacy provider of palliative care stock drugs (appendix C), checking first that they have the supply in stock.

h)Refer any concerns which cannot easily be dealt with, to the Area team

i)Provide the NHS England (Central Midlands) with such information as may be required to monitor the uptake and costs of the service.

1.1SERVICES TO BE PROVIDED BY THE NENE AND CORBY CCG PRESCRIBING POLICY AND PHARMACY SERVICE

To support pharmacies to provide the service, NHS Nene and NHS Corby’s Prescribing and Medicines Management Team will provide the following:

a)Up to date list of drugs to be held

b)Support to pharmacies with advice if requested.

SECTION 2: PAYMENT MECHANISM

2.1Each Pharmacy contracted to provide this service will receive an annual retainer fee of £100 at the start of each annual period.

The NHS England (Central Midlands) will reimburse the pharmacy for drug costs (at Drug Tariff prices) on receipt of the attached claim form (appendix ), for medicines included in the Nene CCG and Corby CCGPalliative Care Stock List which are date expired, provided normal stock rotation procedure has been followed and broken bulk has not been claimed

2.2Payment will be made on receipt of a signed contract and invoice claim form for remuneration of drug costs

2.3 Payment will be made as a local enhanced service through the PPD system

SECTION 3: PERFORMANCE MANAGEMENT

3.1ACTIVITY FOR SUBMISSION TO THE NHS England (Central Midlands)

As detailed in Section 1.2:

Payment for the service will be made on return of the signedLocal Enhanced Service contract.
Claims for date expired stock should be made on the claim form (appendix D)which should be returned as stock is replaced.

All forms must be completed fully and accurately and returned to:

Jane Bray

Primary Care Support

NHS England (Central Midlands)

Charter House

Parkway

Welwyn Garden City

AL8 6JL

3.2SUPPORTING EVIDENCE

Pharmacies will be required to provide an audit trail for supplies issued to demonstrate implementation of quality standards, including, appropriate supply and recording.

3.3WHERE TO SUBMIT EVIDENCE

Paper claims should be sent to:

Jane Bray,

Primary Care Support

NHS England (Central Midlands)

Charter House

Parkway

Welwyn Garden City

AL8 6JL

SECTION 8: SIGNATORIES TO THE AGREEMENT

LOCALLY ENHANCED SERVICE CONTRACT 2015-16

SUPPLY OF DRUGS FOR USE IN PALLIATIVE CARE

PARTY 1

SIGNED

……………………………………………………………………………………..

NAME (Print)JOHN HOOPER

Pharmacy Contract Manager, NHS England (Central Midlands)

PARTY 2

SIGNED by

………………………………………………………………………………………

NAME (Print)

………………………………………………………………………………………

For and on behalf of

………………………………………………….Pharmacy

Date

……………………………………………

NHS England (Central Midlands)will keep a signed copy of this agreement.

Appendix A

Leicestershire, Northamptonshire &

Rutland Cancer Network

PALLIATIVE CARE AND PHARMACY ACCESS GROUP

Palliative Drug Formulary

Drugs to be stocked by Community Pharmacies in Nene CCGand Corby CCG as agreed within the Supply of Drugs for use in Palliative Care Service

2.1Palliative Care Immediate Access

Drug / Minimum quantity required for stock
INJECTIONS
Cyclizine 50mg in 1ml / 2 x 5 ampoules
Dexamethasone 8 mg in 2ml / 1 x 10 ampoules
Diamorphine 10 mg / 2 x 5 ampoules
Diamorphine 30 mg / 2 x 5 ampoules
Glycopyrollate 600 mcg in 3 ml / 1 x 3 ampoules
Haloperiodol 5 mg in 1 ml / 2 x 5 ampoules
Hyoscine butylbromide 20 mg in 1 ml / 1 x 10 ampoules
Hyoscine butylbromide 600 mcg in 1 ml / 1 x 10 ampoules
Levomepromazine 25 mg in 1 ml / 1 x 10 ampoules
Metoclopramide 10 mg in 2 ml / 1 x 10 ampoules
Midazolam 10 mg in 2 ml / 1 x 10 ampoules
Morphine sulphate 10 mg / 1 x 10 ampoules
Morphine sulphate 30 mg / 1 x 10 ampoules
Oxycodone 20 mg in 2 ml / 1 x 10 ampoules
Water for injection 10 ml / 2 x 10 ampoules
ORAL
Cyclizine 50 mg / 1 x 100 tablets
Dexamethasone 2 mg1 1 x 50 tablets / 1 x 50 tablets
Haloperidol 1.5 mg / 1 x 28 tablets
Haloperidol 5 mg / 1 x 28 tablets
Metoclopramide 10 gm / 1 x 28 tablets
Morphine sulphate 10 mg in 5 ml / 2 x 100 ml oral solution
Morphine sulphate modified-release 30mg / 1 x 60 tablets (or capsules)

This list reflects drugs expected to be in stock at pharmacies on the list of providers of palliative care formulary drugs and out-of-hours pharmacies. In the event of problems accessing drugs please contact

AppendixB

Date on script / Prescriber / Drug Prescribed / Quantity Prescribed / Day, date & time script presented / Date & time medication supplied / If prescription not dispensed at time of presentation give reason for this / Comments regarding the script or supply and advice given to health professionals/patients/carers

Record of Drugs Supplied by …………………………………………….Pharmacy (State name). ODS Code………………..

Address…………………………………………………………………………………………………………………………………………..

Date ……………………………………………………………………………………………………………………………………………….

Printed Name of Pharmacist …………………………………………………………………………………………………………………

Signature of Pharmacist ………………………………………………………………………………………………………………………

Appendix C

East Midlands Cancer Network - LNR Participating Community Pharmacies Holding

Palliative Care Formulary Drugs

Contractual hours: Monday-Friday Saturday Sunday

Pharmacy Name / Address / Telephone / Open / Close / Open / Close / Open / Close
Northampton
Abington Pharmacy / Abington Health Complete
Northampton NN2 3JG / 01604 720010 / 8.45 / 18.30 / 8.45 / 13.00 / closed
Balmoral Pharmacy / Queensview Medical Centre, Thornton Road, Northampton NN2 6LS / 01604 715324 / 8.30 / 19.00 / 9.00 / 18.00 / 10.00 / 14.00
Boots UK Ltd / Unit D 31 Gambrel Road
Sixfields Retail Park
Northampton NN5 5DG / 01604 751800 / 8.00 / 24.00 / 7.00 / 21.00 / 10.00 / 16.00
Mounts Health Centre / Mounts Medical Centre
Northampton NN1 3DS / 01604 250838 / 8.30 / 23.00 / 8.00 / 21.45 / 8.00 / 21.45
Regent Pharmacy / Regent Square
Northampton NN1 2NQ / 01604 250734 / 7.00 / 23.00 / 7.00 / 22.00 / 10.00 / 16.00
Sainsbury’s / Gambrel Road
Sixfields Retail Park
Northampton NN5 5BB / 01604 759292 / 7.00 / 23.00 / 7.00 / 22.00 / 10.00 / 16.00
Tesco Stores Ltd / 12 Weston Favell Centre
Northampton NN3 8JZ / 01604 447349 / 8.00 (Mon)
6.00 (Tues-Fri) / 22.00 / 6.00 / 22.00 / 10.00 / 16.00
North Northants
JB Cawdell / 46 High Street, Thrapston, Northants NN14 4JH / 01832 732444 / 9.00 (lunch 13.00-14.00) / 18.00 / 9.00 / 13.00 / closed
Finedon Pharmacy / 95 Wellingborough Road
Finedon NN9 5LG / 01933 680330 / 9.00
(Lunch 13.00 – 14.30) / 18.00 / 9.00 / 12.30 / closed
Harborough Field Pharmacy / 160 Newton Road
Rushden NN10 0GP / 01933 469157 / 9.00
(lunch 12.30 – 13.30) / 18.00 / closed / closed
Mr Pickford’s Express Pharmacy / 4Spencer Court
Corby NN17 1NQ / 01536 264014 / 8.00 / 23.00 / 8.00 / 23.00 / 10.00 / 20.00
Odessey Pharmacy / 16 Lower Street
Kettering NN16 8DH / 01536 513820 / 9.00
(lunch 13.00 – 14.00) / 18.00 / 9.00 / 13.00 / closed
Tesco Pharmacy / Victoria Park
Turnells Mill Lane
Wellingborough NN8 2EF / 01933 337447 / 6.30 (8.00 Mon) / 22.30 / 6.30 / 22.00 / 10.00 / 16.00
Daventry & South Northants
Day & Night Pharmacy / 5St John’s Square
Daventry NN11 4FG / 01327 706320 / 8.00 / 21.00 / 8.00 / until / 19.00
Lloyds Pharmacy / Brook Medical Centre, Swinneyford Road, Towcester, NN12 6HD / 01327 352417 / 8.00 / 20.00 (Mon – Wed)
18.30 (Thurs & Fri) / 9.00 / 13.00 / closed
Lowick Ltd / Washington House, 77 Halse Road, Brackley NN13 6EQ / 01280 700935 / 9.00
(lunch 13.00 – 14.00) / 18.30 / 9.00 / 12.00 / closed
The Co-operative Pharmacy / 4 Hunters Way, Brixworth Northampton NN6 9EL / 01604 880156 / 9.00 / 18.00 / 9.00 / 13.00 / closed

Appendix D

Out of Date Drugs Claim Form

I confirm that the out of date drugs listed above have been held as part of this service, have been unable to be dispensed or issued as part of the normal running of the pharmacy business and have expired despite appropriate stock rotation procedures being followed.

Signed……………………………………………………………………Pharmacist

Print name……………………………………………………………… Date……………….

Pharmacy stamp:ODS Code:…………..…….