Community Pharmacy. Chronic Medication Service Serial Prescriptions

Transcription

1 NHS Forth Valley Standard Operating Procedures Community Pharmacy Chronic Medication Service Serial Prescriptions DO NOT USE THIS SOP IN PRINTED FORM WITHOUT FIRST CHECKING IT IS THE LATEST VERSION The definitive versions of all NHS Forth Valley s SOPs appear online, not in printed form, to ensure that up to date versions are used. If you are reading this in printed form, check that the version number and date below is the most recent one as shown on the NHS Forth Valley pages of the Community Pharmacy website: /index.html Author: Suzanne MacCrimmon, Carole Smith, Kirstin McIntosh Approved By: NHS Forth Valley epharmacy Group Version Number: 1.0 Date Printed: Effective Date: 1 st November 2012 Review Date: 1 st November 2013 Template Version: 1.0

2 Contents Page No 1 Introduction, Background and Purpose 3 2 Risks 3 3 Who Should Use This SOP 3 4 When this SOP Should be Used 3 5 Description 3 6 Review 5 7 Related SOPs and Documents 5

3 1 Introduction, Background and Purpose This Standard Operating Procedure should be used to manage the serial prescription element of the Chronic Medication Service (CMS) in Community Pharmacies. 2 Risks Failure to follow this SOP could lead to: Serial prescription not identified correctly Misfiled or mislaid prescription forms Subsequent dispensing not completed on time Claims not submitted correctly Repeat requests not submitted at the appropriate time Valid prescription not available to dispense Items not collected are not identified 3 Who Should Use This SOP This SOP should be used by the pharmacist and appropriately trained staff within the Community Pharmacy. 4 When this SOP Should be Used This SOP should be used for the management of CMS serial prescriptions and repeat requests for medication for CMS registered patients. 5 Description 5.1 First Dispensing Prescription arrives from GP practice Prescription is identified as a CMS prescription by the barcode reference, the dispensing frequency and duration. The repeat request form should be retained with the prescription until re-ordering is required The barcode is scanned to retrieve the electronic message from the emessage Store Using the electronic message, the initial supply of medication is labelled and dispensed according to the pharmacy s SOPs for dispensing medicines. The dispensing interval is selected to determine the quantities dispensed and dates of subsequent dispensings The date of the next dispensing is calculated and written on the top right hand corner of the prescription form. This date is one week before the medication is due for collection. 3

4 5.1.6 After confirming that all items are required on this occasion the medication is given to the patient/representative The patient/representative is informed that this is a serial prescription, the date the next supply will be available and that re-ordering from the GP is not required at this stage A contact telephone number should be requested for the patient. This should be added to their PMR The electronic claim is sent for payment for the items issued at this dispensing The prescription form is filed for subsequent dispensing in a CMS serial prescription storage system according to the date of next dispensing. 5.2 Subsequent Dispensing On a daily basis, the prescriptions are reviewed to identify those due for collection the following week The barcode on the prescription is scanned to re-request the electronic message (no more than 7 days before expected collection by patient) The retrieved message is reviewed against the original script to check for any cancellations The medication is prepared as in to and to with the medication being stored safely until the patient arrives. 5.3 Final Dispensing The final dispensing of the serial prescription is made as in 5.2. Once one item on the form is complete, the prescription can be electronically marked as complete if any outstanding items are no longer required The prescription is signed by the patient/representative The treatment summary is sent to the GP practice The prescriptions are ordered as described in the Repeat Prescription Re-ordering Protocol The prescription is filed to be sent to PSD with the next submission. 5.4 Non Collection of Medications Any medication which has not been collected within one week of the collection due date should be retrieved from the storage shelves The patient should be contacted to remind them their medication is due for collection. 4

5 5.4.3 If the patient cannot be contacted or the medication is no longer required, the PMR should be updated accordingly If the patient fails to collect the items from the final dispensing, the prescription can be electronically marked as complete and submitted to PSD Ensure no claim was inadvertently submitted electronically at the time of dispensing. This can be done electronically within 14 days of submission. or by completing the CMS Incorrect Claim Notification Form out with this period The pharmacist should consider informing the GP if a patient fails to collect their medication 6 Review This procedure should be reviewed after each critical incident and after one year by the Senior ehealth Trainer/Facilitator and Pharmacy Champions. 7 Related SOPs and Documents This document should be used in conjunction with NHS Forth Valley Chronic Medication Service Guidance for Community Pharmacy and the NHS Education for Scotland CMS Implementation Pack. The CMS Incorrect Notification Claim Form is available on the SHOW Community Pharmacy Website: rror_form_v1.doc 5