Unlicensed medicines ( specials ) Current issues related to unlicensed medicines and a suggested approach to devising a coherent sourcing strategy
|
|
- Erin Norris
- 6 years ago
- Views:
Transcription
1 Unlicensed medicines ( specials ) Current issues related to unlicensed medicines and a suggested approach to devising a coherent sourcing strategy Andrew Tittershill
2 Content Personal introduction. Defining unlicensed medicines ( specials ). Recent events related to unlicensed medicines. Considerations in sourcing / procuring unlicensed medicines. Ideas and strategies for negotiating with specials providers. Reference documents.
3 Introduction Trained as a pharmacist, and still registered. Pharmaceutical industry for 30 years. Last 12 years working with companies involved with the manufacture and supply of unlicensed medicines. Current role includes responsibilities for technical, medical information, sales, communications activities, and I am a Responsible Person which is an MHRA defined role that confers a responsibility for compliance and safety. Declaration: Special Products Limited develops, sources and supplies batch manufactured unlicensed medicines.
4 Unlicensed medicines ( specials ) as defined in GN 14 Regulation 167 of the Human Medicines Regulations 2012 provides an exemption from the need for a marketing authorisation for a medicinal product which is supplied: In response to an unsolicited order. Manufactured and assembled in accordance with the specification of a person who is an appropriate healthcare professional. For use by a patient for whose treatment that person is directly responsible in order to fulfil the special needs of that patient; and meets the conditions specified in regulation 167(2)-(8) and includes: To whom the unlicensed medicine can be supplied. No advertisement relating to the product is published by any person. Manufacture carried out under supervision, precautions taken, to meet specification of person who requires it. Records are kept Entity involved in the supply holds the relevant licence.
5 Defining unlicensed medicines ( specials ) The terms unlicensed medicines and specials are broad terms and have occasionally been applied to the following: Extemporaneous dispensing (section 10 exemption) Medicine prepared in a facility regulated and licensed by the MHRA Imported medicines Compassionate use medicines (named patient?) Special obtains Unlicensed medicines and specials as defined in law: Medicines Act 1968 Human Medicines Regulations 2012 (SI 2012/1916) Human Medicines (Amendment) Regulations 2013 (SI 2013/1855) MHRA Guidance Note 14
6 Evolution of the unlicensed medicines (specials) sector Tragic and well publicised accident in 1998 (came to court in 2000). Corporate pharmacy chains errors in extemporaneous dispensing carries a risk of corporate liability. Evolution and development of pharmacy education, role of the pharmacist, role of the pharmacy technician. Freedom of pricing of unlicensed medicines (specials) and engagement in incentive schemes until Outsourcing of the manufacture of unlicensed medicines became a lower risk and more profitable way of supplying these products. Within the hospital pharmacy environment it became difficult to resource and support all legacy manufacturing units choices were made. All this led to substantial growth of the unlicensed medicines industry through the early and mid 2000s. New entrants attracted by the high profits and relative ease of market entry. Overheating of the unlicensed sector and the Drug Tariff of November 2011.
7 Recent events related to unlicensed medicines Introduction of part VIIIB of the Drug Tariff in November 2011 reimbursement prices for a defined list of unlicensed medicines. Number of products included in the list is increasing over time. Non-tariff items to be claimed for at cost. PCTs and now CCGs are also consistently asking prescribers and pharmacy teams to question whether an unlicensed medicine is required. Increasing interest in risk management of unlicensed medicines. Press exposure of dubious pricing and incentive schemes in June Publication of revised MHRA Guidance Note 14 in May Some evidence that the price controls introduced by way of the Drug Tariff are having a beneficial impact on costs. There is still a demand for unlicensed medicines.
8 (Pharmacy Professional June 2010)
9 (Pharmacy Professional June 2010)
10 Considerations in sourcing unlicensed medicines Hierarchy of risk. Company pricing policy, reliability, consistency, support services. Risk management of imported products: English language over-labelling. Risk management of UK manufactured products: awareness of the differences between batch manufactured and make-to-order products: Certificate of Analysis / Certificate of Conformity Chemical and microbiological testing of finished product Stability data Unopened shelf lives In-use shelf lives Availability of patient information leaflet, carton, dosing device
11 Ideas and strategies for negotiating with providers Assumed objective: manage / reduce risk and enhance value for money: Products manufactured in batches have a lower cost of goods than maketo-order. Selling prices will be lower at the outset. Estimate annual or monthly usage and consider volume purchases with associated discount. Consider storage conditions for product(s): 2 to 8 C has a cost associated with it in terms of shelf life and delivery cost. Delivery charges: how much is being charged? It is easier for a supplier to waive delivery charges if the customer is purchasing multiple units. Consortium of buyers. Undertake a tender exercise.
12 Reference documents MHRA Guidance Note 14. Pharmacy Professional 2010, Royal Pharmaceutical Society. The Human Medicines Regulations 2012 (SI 2012/1916).
Uncontrolled when printed NHS AYRSHIRE & ARRAN CODE OF PRACTICE FOR MEDICINES GOVERNANCE. SECTION 9(a) UNLICENSED MEDICINES
Uncontrolled when printed NHS AYRSHIRE & ARRAN CODE OF PRACTICE FOR MEDICINES GOVERNANCE SECTION 9(a) UNLICENSED MEDICINES BACKGROUND and PURPOSE Under the Medicines Act 1968 (EEC Directive 65/65), a company
More informationNHS Lanarkshire Policy for the Availability of Unlicensed Medicines
NHS Lanarkshire Policy for the Availability of Unlicensed Medicines Prepared by: NHS Lanarkshire Chief Pharmacist Endorsed by: Area Drug & Therapeutic Committee Previous Version/Date: Primary Policy Date:
More informationGuidance for registered pharmacies preparing unlicensed medicines
Guidance for registered pharmacies preparing unlicensed medicines May 2014 The text of this document (but not the logo and branding) may be reproduced free of charge in any format or medium, as long as
More informationUnlicensed Medicines Policy Document
Unlicensed Medicines Policy Document Effective: February 2002 (Intranet 2006) Review date: February 2007 A. Introduction In order to ensure that medicines are safe and effective the manufacture and sale
More informationNHS GREATER GLASGOW AND CLYDE POLICIES RELATING TO THE MANAGEMENT OF MEDICINES SECTION 9.1: UNLICENSED MEDICINES POLICY (ACUTE DIVISION)
SECTION 9.1: UNLICENSED MEDICINES POLICY (ACUTE DIVISION) CONTENTS POLICY SUMMARY... 2 1. SCOPE... 4 2. AIM... 4 3. BACKGROUND... 4 4. POLICY STATEMENTS... 5 4.1. GENERAL STATEMENTS... 5 4.2 UNLICENSED
More informationNHS PCA (P) (2015) 17. Dear Colleague
Healthcare Quality and Strategy Directorate Pharmacy and Medicines Division Dear Colleague PHARMACEUTICAL SERVICES AMENDMENTS TO DRUG TARIFF IN RESPECT OF SPECIAL PREPARATIONS AND IMPORTED UNLICENSED MEDICINES
More informationUnderstanding the Pharmacy and Drug Act amendments and mail order pharmacy licensing
Understanding the Pharmacy and Drug Act amendments and mail order pharmacy licensing Background As reported in the Spring 2009 issue of acpnews, ACP and Alberta Health and Wellness developed a new policy
More informationUnlicensed Medicines Policy
Unlicensed Medicines Policy This procedural document supersedes: PAT/MM 4 v.3 Policy and Procedure for the Use of Unlicensed Medicines Did you print this document yourself? The Trust discourages the retention
More informationUnlicensed Medicines Policy February 2013
Unlicensed Medicines Policy February 2013 WHSCT Unlicensed Medicines Policy Page 1 of 27 Policy Title Regional Unlicensed medicines Policy Policy Reference Number Med13/012 Implementation Date April 2013
More informationRegistration of a new pharmacy premises
Registration of a new pharmacy premises Send your completed application to: Pharmacy premises Applications to Register Customer Service Team General Pharmaceutical Council 25 Canada Square London E14 5LQ
More informationThe Newcastle Upon Tyne Hospitals NHS Foundation Trust. Unlicensed Medicines Policy
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Unlicensed Medicines Policy Version.: 2.4 Effective From: 13 October 2016 Expiry Date: 13 October 2018 Date Ratified: 12 October 2016 Ratified By:
More informationTECHNICAL PHARMACY CURRICULUM GUIDE 2011/12
School of Pharmacy, University of London Postgraduate Diploma in General Pharmacy Practice TECHNICAL PHARMACY CURRICULUM GUIDE 2011/12 In association with the Joint Programmes Board: East and South East
More informationProcess and methods Published: 23 January 2017 nice.org.uk/process/pmg31
Evidence summaries: process guide Process and methods Published: 23 January 2017 nice.org.uk/process/pmg31 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationBirmingham Children s Hospital
Title Special order medicines in paediatrics Prof Anthony Sinclair Chief Pharmacist Q A Symposium - 2012 Birmingham Children s Hospital We are one of the leading paediatric teaching centres in the country
More informationUnlicensed Medicines Policy
Who Should Read This Policy Target Audience All Consultant/Senior Medical Staff All Junior Medical Staff All Non-Medical Prescribers All Pharmacy Staff All Nursing Staff Version 1.0 February 2016 Ref.
More informationPharmacist (Palliative Care) December 2014 Page 1
Job Profile Job Title: Department: Main Location: Hospice Palliative Care Pharmacist 7 NHS (8SRC) Less than full time(0.8) Full time equivalent around 36,300 Head of Clinical Services 1. Main Purpose of
More informationCCG Policy for Working with the Pharmaceutical Industry
CCG Policy for Working with the Pharmaceutical Industry 1. Introduction Medicines are the most frequently and widely used NHS treatment and account for over 12% of NHS expenditure. The Pharmaceutical Industry
More informationPolicy and procedures for the use of unlicensed medicines
Policy and procedures for the use of unlicensed medicines Unique ID: NHSL. Author (s): Unlicensed Medicines Short-Life Working Group Category/Level/Type: Version: 3.0 Status: DRAFT Authorised by: Area
More informationFoundation Pharmacy Framework
Association of Pharmacy Technicians UK Foundation Pharmacy Framework A framework for professional development in foundation across pharmacy APTUK Foundation Pharmacy Framework The Professional Leadership
More informationNHS PCA (P) (2015) 17 ANNEX B. Specials Frequently Asked Questions for Community Pharmacy. Pre-authorisation:
ANNEX B Specials Frequently Asked Questions for Community Pharmacy Pre-authorisation: Q: When do I need to seek authorisation? A: You need to seek authorisation for all Specials manufactured medicines
More informationSPONSORSHIP AND JOINT WORKING WITH THE PHARMACEUTICAL INDUSTRY
SPONSORSHIP AND JOINT WORKING WITH THE PHARMACEUTICAL INDUSTRY 1 SUMMARY This document sets out Haringey Clinical Commissioning Group policy and advice to employees on sponsorship and joint working with
More informationSubject to Filing with Minister of Health
Pharmacy Operations and Drug Scheduling Act - BYLAWS Table of Contents 1. Definitions PART I Pharmacy Licences 2. Licence Types 3. New Community Pharmacy Licence 4. Community Pharmacy Licence Renewal 5.
More informationSFHPHARM11 - SQA Unit Code FA2X 04 Prepare extemporaneous medicines for individual use
Prepare extemporaneous medicines for individual use Overview This standard covers your role in preparing extemporaneous medicines for individual use. This involves accurately calculating the quantities
More informationAnnexure A COMPETENCE STANDARDS FOR CPD INTRODUCTION
COMPETENCE STANDARDS FOR CPD INTRODUCTION Pharmacists in each field of practice need to accept responsibility for the selfassessment and maintenance of their competence throughout their professional lives.
More informationNHS and LA Reforms Factsheet 5
NHS and LA Reforms Factsheet 5 Supply of medicines for public health commissioned services a factsheet for local authorities 1. Introduction As of April 2013, local authorities have responsibility for
More informationMark Drakeford Minister for Health & Social Services
EXPLANATORY MEMORANDUM TO THE NATIONAL HEALTH SERVICE (PHYSIOTHERAPIST, PODIATRIST OR CHIROPODIST INDEPENDENT PRESCRIBERS) (MISCELLANEOUS AMENDMENTS) (WALES) REGULATIONS 2014. This Explanatory Memorandum
More informationGuidance on the Delivery of Medicines Dispensed on Foot of a Prescription from a Retail Pharmacy Business
Guidance on the Delivery of Medicines Dispensed on Foot of a Prescription from a Retail Pharmacy Business Pharmaceutical Society of Ireland Version 1 July 2014 Contents 1. Introduction 2 2. Guidance 3
More informationJob Description. Basic Grade Pharmacy Technician
Job Description Job Title Basic Grade Pharmacy Technician Job Grade Basic Grade Location of Post Pharmacy Department, Temple Street Children s University Hospital Competition Reference HR382 Notes to Applicants
More informationMix of civil law and common law. Official law database Ministry for justice, culture and local government of Malta
Malta European Region Updated: February 2017 This document contains links to websites where you can find national legislation and health laws. We link to official government legal sources wherever possible.
More informationHospital Pharmacy Transformation Plan
Hospital Pharmacy Transformation Plan Introduction In June 2014, Lord Carter of Coles was appointed to the position of Chair of a new NHS Procurement & Efficiency Board to direct the NHS Procurement &
More informationNATIONAL PROFILES FOR PHARMACY CONTENTS
NATIONAL PROFILES FOR PHARMACY CONTENTS Profile Title AfC Banding Page Pharmacy Support Worker Pharmacy Support Worker Higher Level Pharmacy Technician 4 4 Pharmacy Technician Higher level 5 5 Pharmacist
More informationTexas Administrative Code
RULE 19.1501 Pharmacy Services A licensed-only facility must assist the resident in obtaining routine drugs and biologicals and make emergency drugs readily available, or obtain them under an agreement
More informationBest Practice Statement ~ March Patient Group Directions
Best Practice Statement ~ March 2006 Patient Group Directions NHS Quality Improvement Scotland 2005 ISBN 1-84404-403-3 First published March 2006 NHS Quality Improvement Scotland (NHS QIS) consents to
More informationGuidelines on the Keeping of Records in Respect of Medicinal Products when Conducting a Retail Pharmacy Business
Guidelines on the Keeping of Records in Respect of Medicinal Products when Conducting a Retail Pharmacy Business to facilitate compliance with Regulation 12 of the Regulation of Retail Pharmacy Businesses
More informationApplication for Membership of The Association of the British Pharmaceutical Industry
To be returned to: The Secretary 7 th Floor, Southside, 105 Victoria Street, London SW1E 6QT +44 (0)20 7930 3477 membership@abpi.org.uk Application for Membership of The Association of the British Pharmaceutical
More informationDERBY HOSPITALS NHS FOUNDATION TRUST PROJECT FINAL SUMMARY REPORT. Purchasing for Safety - Injectable Medicines
DERBY HOSPITALS NHS FOUNDATION TRUST PROJECT FINAL SUMMARY REPORT Purchasing for Safety - Injectable Medicines Document Control Version Status Date Author and summary of changes 0.1 Draft 07 Mar08 Tom
More informationNHS Fife WORKING WITH THE PHARMACEUTICAL INDUSTRY AND HEALTHCARE EQUIPMENT SUPPLIERS GUIDANCE FOR NHS STAFF
NHS Fife WORKING WITH THE PHARMACEUTICAL INDUSTRY AND HEALTHCARE EQUIPMENT SUPPLIERS GUIDANCE FOR NHS STAFF This guidance relates to all staff employed by NHS Fife (including staff within the Health &
More informationProcedure For Taking Walk In Patients
Procedure For Taking Walk In Patients 1. Welcome customers and accept prescription(s) from them. All Staff 2. Ensure that the patients personal details are correct and legible To ensure correct details
More informationST. JAMES S HOSPITAL
ST. JAMES S HOSPITAL Job Title: Grade: Area Of Assignment: Reporting Relationship: Anti-microbial Pharmacist Senior Pharmacist Pharmacy Department Deputy Director of Pharmacy Salary Scale: 61, 031-70,
More informationMedicines Management Strategy
Medicines Management Strategy 2012 2014 Directorate responsible for the strategy: Medical and Governance Directorate Staff group to whom it applies: All clinical staff and Trust managers Issue date: 30/6/12
More informationPrescribing & Medicines: Reimbursement and remuneration paid to dispensing contractors
Publication Report Prescribing & Medicines: Reimbursement and remuneration paid to dispensing contractors Financial Year 2014/15 Publication date 30 June 2015 A National Statistics Publication for Scotland
More informationImproving compliance with oral methotrexate guidelines. Action for the NHS
Patient safety alert 13 Alert Immediate action Action Update Information request Ref: NPSA/2006/13 Improving compliance with oral methotrexate guidelines Oral methotrexate is a safe and effective medication
More informationNHS Prescription Services CPAF Screening Questionnaire 2018/19
NHS Prescription Services CPAF Screening Questionnaire 08/9 Important Information about this Document This is a reference copy of the Community Pharmacy Assurance Framework Screening Questionnaire, the
More informationProcedure to Allow Nursing Staff to Dispense Leave and Discharge Medication
Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Version 2 minor update June 2013 Procedure Number Replaces Policy No. Ratifying Committee N/a PPPF Date Ratified April 2009 Minor
More informationJOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities.
JOB DESCRIPTION JOB TITLE: Clinical Pharmacy Technician PAY BAND: 5 DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PHARMACY/A5 University Hospitals Birmingham Pharmacy Support Manager PROFESSIONALLY RESPONSIBLE
More informationRULES OF THE TENNESSEE BOARD OF PHARMACY CHAPTER STERILE PRODUCT PREPARATION IN PHARMACY PRACTICE TABLE OF CONTENTS
RULES OF THE TENNESSEE BOARD OF PHARMACY CHAPTER 1140-07 STERILE PRODUCT PREPARATION IN PHARMACY PRACTICE TABLE OF CONTENTS 1140-07-.01 Applicability 1140-07-.05 Labeling 1140-07-.02 Standards 1140-07-.06
More information78th OREGON LEGISLATIVE ASSEMBLY Regular Session. House Bill 2028 SUMMARY
Sponsored by COMMITTEE ON HEALTH CARE th OREGON LEGISLATIVE ASSEMBLY-- Regular Session House Bill SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body
More informationAN ACT. Be it enacted by the General Assembly of the State of Ohio:
(131st General Assembly) (Substitute House Bill Number 124) AN ACT To amend section 4729.01 and to enact sections 4723.4810, 4729.282, 4730.432, and 4731.93 of the Revised Code regarding the authority
More informationReaccreditation of a Dispensing / Pharmacy Assistant programme, Buttercups Training Ltd.
Reaccreditation of a Dispensing / Pharmacy Assistant programme, Buttercups Training Ltd. Report of a reaccreditation event, 4 June 014 Introduction The General Pharmaceutical Council (GPhC) is the statutory
More informationLevel 3 NVQ Diploma in Pharmacy Service Skills (QCF) ( )
Level 3 NVQ Diploma in Pharmacy Service Skills (QCF) (5355-03) Qualification handbook for centres 500/9576/6 www.cityandguilds.com September 2010 Version 3.1 (August 2013) About City & Guilds City & Guilds
More informationNon Medical Prescribing Policy
Non Medical Prescribing Policy Author: Sponsor/Executive: Responsible committee: Ratified by: Consultation & Approval: (Committee/Groups which signed off the policy, including date) This document replaces:
More informationNon Medical Prescribing Policy Register No: Status: Public
Non Medical Prescribing Policy Policy Register No: 07049 Status: Public Developed in response to: Department of Health Policies, Prescribing Guidance & Legislation Contributes to CQC Outcome: 9 Consulted
More informationNew v1.0 Date: Cathy Riley - Director of Pharmacy Policy and Procedures Committee Policy and Procedures Committee
Clinical Pharmacy Services: SOP Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date: Review Date: Key Words:
More informationDECEMBER 6, 2016 MEDICAL ASSISTANCE IN DYING GUIDANCE FOR PHARMACISTS AND PHARMACY TECHNICIANS
DECEMBER 6, 2016 MEDICAL ASSISTANCE IN DYING GUIDANCE FOR PHARMACISTS AND PHARMACY TECHNICIANS Acknowledgments The PEI College of Pharmacists would like to thank the following regulatory authorities sharing
More informationManagement of Reported Medication Errors Policy
Management of Reported Medication Errors Policy Approved By: Policy & Guideline Committee Date of Original 6 October 2008 Approval: Trust Reference: B45/2008 Version: 4 Supersedes: 3 February 2015 Trust
More informationMedical Assistance in Dying (Practitioner Administered) Practice Guideline for Pharmacists and Pharmacy Technicians
Medical Assistance in Dying (Practitioner Administered) Practice Guideline for Pharmacists and Pharmacy Technicians 1 BACKGROUND Historically, medical assistance in dying (MAID) has been prohibited in
More informationThe Medicines Policy. Chapter 6: Standards of Practice. MISCELLANEOUS and DISCHARGE
Chapter 6: Standards of Practice MISCELLANEOUS and DISCHARGE V2.1 Date: October 2015 CHAPTER 6 CONTENTS 6.5. Miscellaneous... 3 6.5.1 Patients Moving Between Healthcare Trusts... 3 6.5.1.1 Transfer of
More informationabcdefghijklmnopqrstu
NHS Circular: PCA (P)(2011) 6 Health and Healthcare Improvement Directorate Pharmacy and Medicines Division abcdefghijklmnopqrstu Dear Colleague ADDITIONAL PHARMACEUTICAL SERVICES MINOR AILMENT SERVICE
More informationProfile Title AfC Banding Page Pharmacy Support Worker 2 2 Pharmacy Support Worker Higher Level 3 4 Pharmacy Technician 4 6
Contents Profile Title AfC Banding Page 2 2 Higher Level 4 Technician 4 6 Technician Higher Level ( or Primary Care) 5 8 Pharmacist Entry Level 5 0 Technician Specialist 6 2 Pharmacist 6 4 Technician Team
More informationNATIONAL HEALTH SERVICE (SCOTLAND) ACT 1978 HEALTH BOARD ADDITIONAL PHARMACEUTICAL SERVICES (PUBLIC HEALTH SERVICE) (SCOTLAND) DIRECTIONS 2014
NATIONAL HEALTH SERVICE (SCOTLAND) ACT 1978 HEALTH BOARD ADDITIONAL PHARMACEUTICAL SERVICES (PUBLIC HEALTH SERVICE) (SCOTLAND) DIRECTIONS 2014 The Scottish Ministers, in exercise of the powers conferred
More informationPatient Group Direction For the supply of Fusidic Acid 2% Cream
Patient Group Direction For the supply of Fusidic Acid 2% Cream This Patient Group Direction (PGD) is a specific written instruction for the supply of Fusidic Acid 2% Cream to groups of patients who may
More information79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled
79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled House Bill 2527 Sponsored by Representative BUEHLER, Senator STEINER HAYWARD; Representatives HACK, KENY-GUYER, SOLLMAN, Senator MONNES ANDERSON
More informationMedicines Management Policy
Medicines Management Policy Name of Policy: Purpose of Policy: Directorate responsible for Policy Name & Title of Author: Medicines Management Policy The Southern HSC Trust recognises that almost all patients
More informationDear Colleague. November 2013
NHS Circular: PCA (P) (2013) 29 ehealth, Finance & Pharmaceutical Directorate Pharmacy & Medicines Division Dear Colleague ADDITIONAL PHARMACEUTICAL SERVICES INTRODUCTION OF GLUTEN FREE FOOD SERVICE TIMETABLE,
More informationCommunity Pharmacy Multi-compartment Compliance Aids Audit
Community Pharmacy Multi-compartment Compliance Aids Audit Introduction To comply with the NHS contractual requirements associated with the Clinical Governance Essential Service, pharmacy contractors must
More informationNHS Prescription Services CPAF Screening Questionnaire 2017/18
NHS Prescription Services CPAF Screening Questionnaire 207/8 Important Information about this Document This is a reference copy of the Community Pharmacy Assurance Framework Screening Questionnaire, the
More informationPRESCRIBING SUPPORT TECHNICIAN:
PRESCRIBING SUPPORT TEAM AUDIT: CARDURA XL (Updated Sept 09) DATE OF AUTHORISATION: AUTHORISING GP: PRESCRIBING SUPPORT TECHNICIAN: SUMMARY Cardura XL is a once daily, extended release preparation of doxazosin
More informationVersion 1.0. Quality, Performance & Finance. Date Ratified 31 st March 2015 Iain Stewart, Head of Direct Commissioning
Joint working with the pharmaceutical industry Policy (Template based upon DH Best Practice Guidance for Joint Working between the NHS and the Pharmaceutical Industry, February 2008) Version 1.0 Ratified
More informationInspection decision making framework
Inspection decision making framework Version 8.0 Version 8 for Prototype inspection Page 1 of 18 Principle 1 The governance arrangements safeguard the health, safety and wellbeing of patients and the public.
More informationCONTROLLED DRUG GUIDE FOR CARE HOMES
CONTROLLED DRUG GUIDE FOR CARE HOMES Controlled drugs are prescription drugs controlled under the misuse of drugs legislation and subsequent amendments. These are drugs, substances or chemicals whose manufacture,
More informationNHS HDL(2004)17 abcdefghijklm. revised Health Service charges to take effect from 1 April 2004;
NHS HDL(2004)17 abcdefghijklm Health Department Primary Care Division St Andrew's House Directorate of Service Policy and Planning Regent Road EDINBURGH EH1 3DG Dear Colleague 1. THE NATIONAL HEALTH SERVICE,
More informationEHR] A INSPECTION REPORT. Guy s Hospital Pharmacy St Thomas Street London SE1 9RT. Safeguarding public health
Safeguarding public health EHR] A INSPECTION REPORT Guy s Hospital Pharmacy St Thomas Street London SE1 9RT Head Office: Inspection & Standards Division, Market Towers, I Nine Elms Lane, Vauxhall, London,
More informationLocal Implementation Plan for Supply of Stoma Appliances in the Community from April Draft. Version 1 October
Local Implementation Plan for Supply of Stoma Appliances in the Community from April 2006 Draft Version 1 October 2005 1 Contents Background National Procurement and Funding Status of Sponsored or Company
More informationNHS North Somerset Clinical Commissioning Group
NHS North Somerset Clinical Commissioning Group Medicines Policy - Safe and Secure Handling of Medicines Approved by: Quality and Assurance Group Ratification date: July 2013 Review date: June 2016 Page
More informationMINNESOTA. Downloaded January 2011
MINNESOTA Downloaded January 2011 4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. Subpart 1. Controlled substances. "Controlled substances" has the meaning given in Minnesota Statutes, section
More informationAlcock P (Phil) This has been received from an external party and has been swept for the presence of computer viruses.
Page 1 of 1 Alcock P (Phil) From: Andrew Power [Andrew.Power@gartnavel.glacomen.scot.nhs.uk] Sent: 05 September 2003 11:08 To: Cc: Appliance Contractors Consultation iain.bishop@fvpc.scot.nhs.uk; lorna
More informationCare Home support and medicines optimisation: Community Pharmacy National Enhanced Service
Care Home support and medicines optimisation: Community Pharmacy National Enhanced Service 1 1. Introduction Back in 2006 the National Service Framework for Older People in Wales 1 highlighted the problem
More informationFIRST PATIENT SAFETY ALERT FROM NATIONAL PATIENT SAFETY AGENCY (NPSA) Preventing accidental overdose of intravenous potassium
abcdefghijklm Health Department St Andrew s House Regent Road Edinburgh EH1 3DG MESSAGE TO: 1. Medical Directors of NHS Trusts 2. Directors of Public Health 3. Specialists in Pharmaceutical Public Health
More informationNORTH CAROLINA. Downloaded January 2011
NORTH CAROLINA Downloaded January 2011 10A NCAC 13D.2306 MEDICATION ADMINISTRATION (a) The facility shall ensure that medications are administered in accordance with standards of professional practice
More informationInformation shared between healthcare providers when a patient moves between sectors is often incomplete and not shared in timely enough fashion.
THE DISCHARGE MEDICINES REVIEW SERVICE Introduction During a stay in hospital a patient s medicines may be changed. Studies show that many patients may experience an error or problem with their medicines
More informationPrescribing & Medicines: Reimbursement and remuneration paid to dispensing contractors
Publication Report Prescribing & Medicines: Reimbursement and remuneration paid to dispensing contractors Quarter Three of Financial Year 2015/16 Publication date 22 March 2016 A National Statistics Publication
More informationPrescribing Policy between Nottinghamshire Commissioning Organisations and local providers of NHS Services
Prescribing Policy between Nottinghamshire Commissioning Organisations and local providers of NHS Services Document Purpose Version 2.2 To detail the specific contractual issues associated with prescribing
More informationLicensed Pharmacy Technicians Scope of Practice
Licensed s Scope of Practice Adapted from: Request for Regulation of s Approved by Council April 24, 2015 DEFINITIONS In this policy: Act means The Pharmacy and Pharmacy Disciplines Act means an unregulated
More informationStandards for the Operation of Licensed Pharmacies
Standards for the Operation of Licensed Pharmacies Introduction These standards are made under the authority of Section 29.1 of the Pharmacy and Drug Act. They are one component of the law that governs
More information(b) Service consultation. The facility must employ or obtain the services of a licensed pharmacist who-
420-5-10-.16 Pharmacy Services. (1) The facility must provide routine and emergency drugs and biologicals to its residents, or obtain them under an agreement described in 483.75(h) of Title 42 Code of
More informationAssistance With Self- Administered Medication. 2-hour Update Training
Assistance With Self- Administered Medication 2-hour Update Training 3 METHODS OF MEDICATION MANAGEMENT Self-administration Assistance with self-administration Administration Self-Administered Medication
More informationTrust Monitored Dosage System 0115 949 5421 email: mds@boots.co.uk 104628 12/05 Boots Monitored Dosage Service Group home service offer Trust contents Summary of offer 3 Monitored Dosage System 5 The Boots
More informationLegislations and Policies in Jordan/ Related to Health and Pharmaceuticals April 19, 2018
Legislations and Policies in Jordan/ Related to Health and Pharmaceuticals April 19, 2018 Dr. Rania Bader, HRH2030 Health Workforce Competency Lead HRH2030 The Human Resources for Health (HRH2030) is a
More informationCONSULTANT PHARMACIST INSPECTION LAW REVIEW
CONSULTANT PHARMACIST LAW REVIEW Florida Consultant Pharmacist s are required in: a. Class I Institutional Pharmacies b. Class II Institutional Pharmacies c. Modified Class II Institutional Pharm. d. Assisted
More informationNHS Rotherham CCG Medicines Management Team on behalf of NHS Rotherham CCG. Community Pharmacists in NHS Rotherham CCG
SERVICE LEVEL AGREEMENT TO ENABLE COMMUNITY PHARMACISTS IN NHS ROTHERHAM CLINICAL COMISSIONING GROUP TO SUPPLY TREATMENT AND ADVICE FOR MINOR AILMENTS PREPARED BY: NHS Rotherham CCG Medicines Management
More informationCHAPTER:2 HOSPITAL PHARMACY. BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY
CHAPTER:2 HOSPITAL PHARMACY BY Mrs. K.SHAILAJA., M. PHARM., LECTURER DEPT OF PHARMACY PRACTICE, SRM COLLEGE OF PHARMACY DEFINITION: The practice of pharmacy within the hospital under the supervision of
More informationDirectorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy Finance
NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy Finance Publications Gateway Reference: 06200
More informationDisability Discrimination Act 1995; Equality Act 2010; and Multicompartment
Contract and IT January 2016 PSNC Briefing 01/16: Equality Act 2010 This briefing updates PSNC Briefing 084/13: Equality Act 2010 on the Equality Act 2010 (incorporating its predecessor legislation the
More informationProcedure 26 Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG
Standard Operating Procedure for Controlled Drugs in homes within NHS Sutton CCG Introduction All health and social care organisations are accountable for ensuring the safe management of controlled drugs
More informationAs Introduced. 131st General Assembly Regular Session H. B. No
131st General Assembly Regular Session H. B. No. 548 2015-2016 Representative Schuring Cosponsor: Representative Sprague A B I L L To amend sections 4723.43, 4723.44, 4729.01, and 4761.17 of the Revised
More information7.200 DONATION OF UNUSED MEDICATIONS, MEDICAL DEVICES AND MEDICAL SUPPLIES
RQ Draft: 0 0 0 0 0 Proposed Regulation: DONATION OF UNUSED MEDICATION, MEDICAL DEVICES AND MEDICAL SUPPLIES The language proposed below would be added to CCR 0-, Chapter II - General Licensure Standards
More informationGood Practice Guidance : Safe management of controlled drugs in Care Homes
Good Practice Guidance : Safe management of controlled drugs in Care Homes Date produced: April 2015; Date for Review: April 2017 Good Practice Guidance documents are believed to accurately reflect the
More informationBest Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers
Medicines Management in Care Homes Best Practice Guidance for GP Practices, Community Pharmacists and Care Home Providers 1. Communication The care home manager, community pharmacist and GP surgery should
More informationStandards for the provision and use of Medicines Administration Record (MAR) charts
Standards for the provision and use of Medicines Administration Record (MAR) charts Background The MAR chart is the formal record of administration of medicines and may be required to be used as evidence
More informationSFHPHARM27 - SQA Unit Code FA2P 04 Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check
Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check Overview This standard describes the skills, knowledge and understanding required to demonstrate competence
More information