On Demand Availability of Palliative Care Drugs

Enhanced Service Specification 2009-10

On Demand Availability of Palliative Care Drugs

Service description

Service description / On Demand Availability of Palliative Care Drugs
This service is aimed at the supply of specialist medicines, the demand for which may be urgent and/or unpredictable. The pharmacy contractor will stock a locally agreed range of specialist medicines for palliative care and will make a commitment to ensure that users of this service have prompt access to these medicines at all times agreed with the PCT.

Aim of service

To improve access for healthcare professionals, carers and patients to these specialist palliative medicines when they are required, by ensuring prompt access and continuity of supply.

Description of service to be provided

1.  The pharmacy holds the specified list of medicines required to deliver this service at all times and will dispense these in response to NHS prescriptions presented. The pharmacy may also hold specialist equipment, linked to the medicines on the list, for example syringe drivers and associated equipment.

2.  The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service have relevant knowledge and are appropriately trained in the operation of the service.

3.  The pharmacy should maintain appropriate records to ensure effective ongoing service delivery and audit. The pharmacist must make the PCT aware if they are unable to provide the service, especially over bank holidays.

4.  CPPE training which may support this service:

“Care of the terminally ill – communicating with patients” open learning

How the service will be funded

The PCT will reimburse the cost of any medicines in the formulary once it exceeds its expiry date.

Audit

The pharmacy will comply with any post-payment verification of payment claim forms undertaken by the PCT.

Performance monitoring of this service specification may be undertaken at the time of the pharmacy contract assessment visit.

Monitoring

The PCT reserves the right to request evidence or information that the contractor is providing the service in a way that is safe, convenient and in accord with the requirements of this specification. The contractor is required to comply with all reasonable requests for evidence or information.

Notice

This enhanced service agreement may be terminated by either party by the giving of one months notice in writing.

How to Claim Payment

Please send the reimbursement form to the Primary Care Commissioning Team for the attention of Wendy Illsley. Please ensure that the packaging of the expired medicine is attached to the reimbursement form. Without this evidence, payment will not be made.

Please claim payment via the monthly pharmacy contractor claim form and send electronically to:

If electronic transfer is not possible then please send to:

The Finance Department

Buckinghamshire PCT

3rd Floor, Rapid House

40 Oxford Road

High Wycombe

HP11 2EE

Tel: 01494 552200

Contact

If you have any queries about this specification please contact:

Wendy Illsley, Primary Care Manager on 01494 555566

Pharmacy Information (List currently under review)

The pharmacy will stock TEN of each of the following drugs (unless a smaller quantity is indicated below):
·  *Morphine Injection 10mg/ml
·  *Morphine Injection 30mg/ml
·  Diamorphine Injection 100mg
·  Oxycodone Injection 10mg/ml
·  Haloperidol Injection 5mg/1ml
·  Hyoscine Butylbromide 20mg/ml
·  Cyclizine Injection 50mg/ml
·  Levomepromazine Injection 25mg/1ml
·  Midazolam 5mg/1ml – 2ml amps
·  Water for injections 10ml
·  Dexamethasone Injection 4mg/ml
·  Diazepam Rectal Tubes 10mg (x 2)
·  Metoclopramide 5mg/ml – 2ml amps
·  Morphine Sulphate Oral Solution 10mg/5ml (2 x 100ml)
Please note, morphine injection is first line choice unless volume of injection necessitates the switch to diamorphine.
Diamorphine 10mg injection has been removed. If these cannot be used to supply against a prescription you will still be able to claim for the cost should they expire. This applies to pharmacies who signed the 08/09 SLA.
The following nurses are independent prescribers within palliative care and may prescribe controlled drugs. If confirmation of identity is required please contact Florence Nightingale House - 01296 332600 for Sue, Ally and Jane and Gail Tucker – 01296 508713 for Vivienne.
Nurse independent prescriber prescriptions are lilac and will have the nurse’s name, NMC registration number, designated PCT or district, Practice code (K code), the nurse’s contact number and a FP10P number. For verification of any other nurse, not included below, please contact Gail.
Name Registration number
Sue Warr 71LH300E
Ally Pethick 84H0693E
Jane Naismith 86Y0110S
Vivienne Tight 75U5779E

Additional sources of information

Palliative Care formulary 2nd Edition Available on line www.palliativedrugs.com. Registration is free.
Palliative Care Handbook ) Thames Valley Cancer Network
) available on PCT intranet
Bucks PCT Opiate Conversion Chart ) and from LPC

AGREEMENT TO PROVIDE ENHANCED SERVICE – ON DEMAND AVAILABILITY OF PALLIATIVE CARE DRUGS

I have read the enhanced service specification and agree to provide the service in accordance with the specification.

Name of Pharmacist (block capitals)………………………………………………………………..

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

Date:………………………………….Review date……………………………………………..

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Pharmacy Name / Town / Telephone Number / Opening Hours /
Tesco Pharmacy / Amersham Old Town / 01494 657449 / Mon-Sat: 0800-2000
Sun: 1000-1600
Meadowcroft Pharmacy / Aylesbury (Meadowcroft) / 01296 483750 / Mon-Fri: 0900-1800 (Closed 1300-1400)
Sat: 0900-1200
Lloyds Pharmacy / Bourne End / 01628 520144 / Mon-Fri: 0830-1830
Sat: 0900-1730
Tesco Stores / Aylesbury (Broadfield) / 01296 557449 / Mon-Sat: 0830-2000
Sun: 1100-1700
Boots the Chemist / Buckingham / 01280 813263 / Mon-Sat: 0845-1730 (Closed 1300-1400)
Vantage Pharmacy / Chalfont St Peter / 01753 884056 / Mon-Fri: 0845-1815
Sat: 0845-1700
Sun: 1000-1300
Garlicks Pharmacy / Chesham (Broadway) / 01494 782968 / Mon-Fri: 0900-1730
Sat: 0900-1700
Heath & Beauty / Gerrards Cross / 01753 883484 / Mon-Fri: 0900-1800
Sat 0900-1730
JMW Vicary / Haddenham / 01844 291960 / Mon-Fri: 0830-1800
Sat: 0830-1200
Alliance Pharmacy / Hazlemere / 01494 711713 / Mon-Fri: 0900-1900 (No Pharmacist 1400-1430)
Sat: 0900-1730 (Closed 1330-1430)
Fox Pharmacy / Holmer Green / 01494 713360 / Mon-Fri: 0900-1800 (Closed 1300-1400)
Sat: 0900-1300
Little Chalfont Pharmacy / Little Chalfont / 01494 762206 / Mon-Sat: 0900-1730
Lansdales Pharmacy / Penn / 01494 816163 / Mon-Fri: 0900-1830 (Closed 1300-1400)
Prestwood Pharmacy / Prestwood / 01494 862303 / Mon-Fri: 0900-1800 (Closed 1300-1415)
Sat: 0900-1300
Bells Pharmacy / Princes Risborough / 01844 342282 / Mon-Wed: 0830-1800
Thur-Fri: 0830-1830
Sat: 0830-1730
Hedgegrail / Stoke Poges / 01753 645464 / Mon-Fri: 0845-1830
Sat: 0845-1300
Tesco Stores / Aylesbury (Tring Road) / 01296 552449 / Mon-Fri: 0900-2000
Sat: 0800-2000
Sun: 1000-1600
Lansdales Pharmacy / Wycombe (Desborough Road) / 01494 528604 / Mon-Fri: 0830-1830
Priory Pharmacy / Wycombe (Town Centre) / 01494 437162 / Mon-Fri: 0900-1900
Sat: 0900-1600
Ryemead Pharmacy / Wycombe Marsh Retail Park / 01494 525752 / Mon-Fri: 0900-1800
Sat: 0900-1600
Asda Pharmacy / Holmers Farm Way, High Wycombe / 01494 470318 / Mon – Fri 0830-2200
Sat 0800 -2000
Sun 1000 -1600
FMY / 36 High St, Chesham / 01494 782866 / Mon – Sat 0800 -1830
Jeeves Pharmacy / 7 Thornbridge Road, Iver Heath / 01753 653882 / Mon-Fri 0900 -1800
Boots the Chemist / Amersham / 01494 724900 / Mon – Sat 0845 - 1730

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PALLIATIVE CARE DRUGS

REIMBURSEMENT FORM

Expired Drug Name /

Quantity

/

Cost

Morphine Injection 10mg/ml

Morphine Injection 30mg/ml

Oxycodone injection 10mg/ml

Haloperidol Injection 5mg/1ml

Hyoscine Butylbromide 20mg/ml

Cyclizine Injection 50mg/ml (Valoid)
Levomepromazine Injection 25mg/1ml (Nozinan)

Midazolam 5mg/1ml – 2ml amps

Water for injections 10ml

Dexamethazone injection 4mg/ml
Diazepam Rectal Tubes 10mg
Metoclopramide 5mg/ml – 2ml amps
Morphine Sulphate Oral Solution 10mg/5ml
Signature:
Print Name: / TOTAL COST: £

Return to:

Primary Care Commissioning Team, Bucks PCT, Rapid House, 40 Oxford Road, High Wycombe, HP11 2EE or fax 01494 522046

Office Use only:

Authorised for Payment ……………………………………………Date …………………………

Cost Code ……………………………………………………………..

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