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CPNCommunity Pharmacy News – January 2016
PSNC criticises Government proposals forpharmacyPSNC CEO calls for the community pharmacy sector to pulltogether to help ensure patients won't suffer
New Check34 features | EPS process changes | Drug Tariff factsheet
On 17th December 2015, in an open
letter to PSNC from the Department of
Health and NHS England, the Government
announced that it would reduce
community pharmacy funding in 2016/17
by at least £170m. You can find a link to
the letter and PSNC’s response at
dld.bz/eew9Z. Publication of an ‘offer’ is
without precedent, and the reason is only
clear when the rest of the letter is
studied.
The letter is not exactly coherent, and lacks
detail in critical areas, but it is evident that
the Government is set on reducing
pharmacy numbers and costs. The letter
states the Government’s belief that the
“efficiencies” (their word for the cut in
funding) “can be made within community
pharmacy without compromising the
quality of services or public access to
them”. It speaks about current locations of
pharmacies and clusters, and says that “in
some parts of the country there are more
pharmacies than are necessary to maintain
good access”. But it is silent on protecting
patient choice, other than the choice to use
online pharmacies which it wishes to drive.
It is also silent on appreciation of the social
value of community pharmacy and the
extent to which pharmacies are a safety
valve for a beleaguered NHS. Then on
Boxing Day the media publicised heavily
urgent pleas to the public to only visit A+E
if absolutely essential, and instead to
consult a community pharmacist.
We face a very difficult year. The
contractors who represent you on PSNC,
who are your colleagues, will work with me
and my team to battle for your interests,
and those of the patients you care for. They
have a great responsibility and will fight to
secure the best outcome possible.
Community pharmacy must work together,
and PSNC will work with the LPCs, and with
other pharmacy organisations to ensure we
all cooperate to play our different parts. We
need your support.
2 Community Pharmacy News – January 2016
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A message from Sue Sharpe,PSNC Chief Executive OfficerPSNC’s CEO responds to an open letter from the
Government setting out a variety of proposals for
community pharmacy services as well as
announcing a 6% funding cut in 2016/17
“My team and I will
battle for your
interests in the face of
a very difficult year”
RPS Fellowship for PSNC MembersPSNC members Mark Burdon and Peter Cattee have both been appointed Fellows of the Royal Pharmaceutical Society (RPS).
The Fellowships recognise distinctions that RPS members have attained in their pharmacy careers and they are based on
nominations from other members.
Mark is an elected PSNC Regional Representative and chairs PSNC’s Resource, Development and Finance Subcommittee. Also an
independent contractor, Mark maintains close links to the school of pharmacy at the University of Sunderland and sitting on
PSNC’s Drug Tariff working group.
Peter was elected to PSNC from the non-Company Chemists’ Association multiples. As the Chief Executive Officer of PCT
Healthcare, parent company for two community pharmacy chains operating in Derbyshire and Manchester, he is well placed to
Chair PSNC’s Funding and Contract Subcommittee.
These are uncertain times and this latest Government
announcement will be particularly worrying for pharmacy
contractors. PSNC therefore urges any contractor who is
concerned about the impact of large dispensing units on patients
to share these concerns now with their MP.
When writing to or emailing your MP be sure to highlight any
particular examples of the ways in which you and your pharmacy
team have helped your patients and local community recently.
You should also ask what the MP can do to reassure you that your
patients won't suffer.
Contact details for your MP can be found on the Houses of
Parliament website (www.parliament.uk/findyourmp) and
please contact PSNC if you need any help or support.
Look out for further details of how you can support our work in
this area on the PSNC website.
Are you concerned about the cuts?
psnc.org.uk 3
services anD commissioning the healthcare lanDscape lpcsDispensing anD supply
Brand new features for Check34 analysis toolEPS nominations, flu vaccination fees and script source analysis are the
latest additions to PSNC’s Check34 prescription payment analysis tool.
Three new key performance indicators
(KPI) are now available for community
pharmacy contractors using Check34.
Contractors with Check34 accounts will
now be able to log in and see:
1. Flu vaccination fees – how many
fees/vaccinations you have been paid
for (from September 2015 onwards);
2. Script source analysis – which GP
practices your prescriptions are coming
from (top three surgeries each month –
number of scripts + percentage of
total); and
3. EPS nominations – total number of
nominations for your pharmacy each
month (this information appears on the
Paper vs EPS KPI.)
The latest additions to the Check34 service
allow you to track your fee income from
offering a flu vaccination service, and
compare your performance with other
pharmacies that are offering the service
locally and nationally.
The EPS nomination KPI means you can
monitor the number of patients who are
nominating your pharmacy for EPS
prescriptions as the switch from paper to
EPS gathers pace. How fast are your EPS
nominations growing? Does this reflect
your share of prescriptions from local
surgeries?
The script source analysis lets you see which
GP practices provide the majority of your
scripts and allows you to track changes in
script number from each surgery month by
month. The KPI shows the addresses of
your main surgeries, the total number of
scripts/items from each month and the
percentage of your total items.
As well as new KPIs there are some other
changes to help you get more out of
Check34:
• The red/amber/green traffic light
system has been revised so that good
results are now coded blue instead of
red (‘good’ means where the figure for
the month appears above the trend
line and higher than the 90%
confidence limit).
• An option now exists for you to print
out KPI graphs direct to your printer.
• For those who use the reporting tool
on a regular basis to extract figures,
you can now save your search criteria,
so you can pull off the same report
month after month without having to
rekey all the parameters.
• For single pharmacy accounts the KPI
dashboard will now display as your
homepage when you first sign in. If you
want to go to the administration area,
use the link in the menu on the left of
the screen.
Check34 webinar now available on-demand
Community pharmacy contractors can now access an online
recording of PSNC’s recent webinar which explained how to get
the most benefit from the Check34 prescription payment
analysis tool.
More than 150 people tuned in to the webinar on 30th
November when PSNC’s Check34 Project Manager Patrick Grice
and Head of Pricing Harpreet Chana demonstrated how you can
use Check34 to analyse the performance of your prescription
business and answered viewers’ questions.
Did you miss out or do you just want to watch again?
The webinar is now available to watch at: psnc.org.uk/webinar. To
view the recording you will need to register (or input the email
address you registered with previously).
More than 150 people tuned in on thenight (41% of those who hadregistered)
The presenterswere asked a
total of 23questions
on the night
?The average viewing time was54 minutes (out of a possible 90 minutes)
Category M price changesThe new Category M prices from the Department of Health (DH) for prescriptions dispensed from January until March 2016
represent a reduction of £15m per month.
Available information for 2015/16 suggests that an over-delivery of margin is being made in the current financial year; therefore
DH and PSNC have agreed it is prudent to seek to reduce margins now. This will smooth the delivery of margin and minimise the
need for any future adjustments. View the January 2016 Category M prices at: dld.bz/edY2z
4 Community Pharmacy News – January 2016
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EPS prescription process changes
The Health and Social Care Information Centre (HSCIC) has
announced alterations to the Electronic Prescription Service
(EPS) prescriber cancellation and repeat dispensing processes.
Prescriber cancellationFrom February 2016, a change will be made
relating to the cancellation of items that have been
marked as Not Dispensed (ND) by the pharmacy
team.
The cancellation process is used when a prescriber
decides that they need to cancel an EPS
prescription which they have issued, for example,
because of a decision to change the prescription to
a different product. The EPS process can only occur
if the prescription has not been downloaded by a
pharmacy. If it has been downloaded the prescriber
will need to contact the pharmacy or the patient.
However, when a member of the pharmacy team
uses the ND endorsement on an item following a
practice request for cancellation, the GP system
will not confirm successful cancellation. This may
lead to inaccuracies within the patient medical
record on the prescriber’s system and the
pharmacy team may then be asked to return the
prescription to the central NHS Spine.
The change to the EPS system, from February 2016
onwards, will mean that where a GP practice
requests EPS cancellation of an item and the item
is marked as ND, the GP system will be updated to
reflect the successful cancellation.
CPPE launch Apps for pharmacy guide
The Centre for Pharmacy Postgraduate Education (CPPE) has launched their latest edition of the Apps for pharmacy guide.
The guide is updated on a yearly basis and contains details of a number of health-related apps for
pharmacy professionals and their patients. The guide includes icons to show if apps are available
for Apple or Android devices or both, and lists health apps as those that can be used:
• as a source of information for pharmacy professionals;
• during consultations with patients; and
• to signpost patients to use to support a healthy lifestyle.
The guide can be downloaded from: dld.bz/efDrr
Currentprocess forEPS RDissuetiming
Newprocess(late Feb2016onwards)
Pharmacy can use the EPS reference to pulldown batch issues early where needed 3 3
Spine allows early download of subsequentbatch issues to pharmacy associated with dateprevious issue had its dispense message sent
3 7
Spine allows early download of subsequentbatch issues to pharmacy associated with GPissue/appropriate date
7 3
Then check out our new ‘CPPEcorner’ feature which containsmuch more about CPPE’s workand can be found on page 6.
Found thisinteresting?
ElectronicPrescriptionService
Repeat dispensing logicFrom February 2016, a change will be made relating to the timing for which
subsequent repeat dispensing (RD) batch issues can be downloaded.
The current logic uses timing linked with the sending of dispense messages.
This can lead to delays in the automatic download of subsequent issues if a
previous dispense message is sent late. Any delay may risk items not being
prepared in time.
Following the change, the timing for when the next batch issue is available
to download from the Spine will be linked with the GP practice’s intended
date. A dispense message should still be sent in accordance with your
processes, but this will not delay the start of the automatic countdown to
the next issue.
Please check the PSNC website for further
information on these changes, including
the exact date of implementation.
PSNC websiteFor up to date information and news on community pharmacy issues, visit the PSNC website at psnc.org.uk
PSNC Community Pharmacy News is published by:The Pharmaceutical Services Negotiating Committee, Times House, 5 Bravingtons Walk, London N1 9AWCommunity Pharmacy News is edited by:Melinda Mabbutt who can be contacted at the above address or by email at: mmabbutt@psnc.org.uk © PSNCPSNC Office: 0844 381 4180 or 0203 122 0810
psnc.org.uk 5
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PSNC’s Regulations and Support Team are often asked questions about the requirements in the terms of service relating to opening
hours. We have therefore produced this quick reference guide for 2016.
Contract Factsheet: Pharmacy opening hours in 2016
Are you aware of pharmacy opening hour requirements in the terms of
service? Here we explain all you need to know for the public holidays in 2016.
1. Can I close my pharmacy on these
days?
Yes. Community pharmacy contractors can
close their pharmacies on days which are
specifically mentioned in the Regulations
(namely Christmas Day, Good Friday,
Easter Sunday) or a day which has been
designated as a “bank holiday” unless
directed to open by NHS England.
2. What about my core contractual
hours?
A pharmacy will be treated as having been
open for its usual hours on that day for
the purpose of counting the core
contractual hours that week. Therefore
the contractor can close their pharmacy
on the days indicated without giving
notice or making an application to change
their core hours.
3. Are there exceptional circumstances
when I must open on these days?
Yes. If a contractor has been directed to
open their pharmacy by NHS England.
4. Can I close my pharmacy early any
other time?
Sometimes contractors may wish to close
an hour or so earlier than usual on a
particular day for any reason. If the hours
that the contractor wishes to close early
are supplementary hours, then notice of
that intention should be given at least
three months in advance. If the hours are
core hours, then an application is needed,
and the contractor would have to be able
to satisfy NHS England that there have
been changes to the needs of people in the
area, otherwise the application would likely
to be refused.
Unless you have notified NHS England of
changes to your supplementary hours at
least three months before the date or
applied successfully for amendment of
core hours, the contractor will not be able
to close early.
5. Do I need to notify NHS England of
opening intentions on bank holidays?
Contractors are encouraged to inform NHS
England whether their premises will be
open on bank holidays.
This information is of critical importance to
NHS England in order that it is able to plan
pharmacy provision during holiday periods.
If NHS England is not able to determine the
opening hours of pharmacies with a high
degree of certainty, its only option may be
to issue directions to one or more
pharmacies requiring them to open.
This clearly is not in the best interests of
pharmacies if there are other suitable
pharmacies that would have been open; so
PSNC recommends that all contractors
notify their intentions and then open as
they have notified.
NHS England has published template forms
which can be used for notification of
opening intentions; these are available at:
tinyurl.com/zwtgvrc
For more information, including a
comprehensive list of FAQs, please visit:
psnc.org.uk/hours
Name of holiday Date in 2016Day of
the weekCovered by the
Regulations?Can the pharmacy closewithout giving notice?
Good Friday 25th March 2016 Friday 3 3
Easter Sunday 27th March 2016 Sunday 3 3
Easter Monday* 28th March 2016 Monday 3 3
Early May Bank Holiday* 2nd May 2016 Monday 3 3
Spring Bank Holiday* 30th May 2016 Monday 3 3
Summer Bank Holiday* 29th August 2016 Monday 3 3
Christmas Day 25th December 2016 Sunday 3 3
Christmas Day (substitute day)*
27th December 2016 (substitute daydeclared bank holiday as Christmas Dayfalls on a Sunday this year)
Tuesday 3 3
Boxing Day* 26th December 2016 Monday 3 3
New Years’ Day 2017 1st January 2017 Sunday 7 7
New Years’ Day 2017(substitute day)*
2nd January 2017 Monday 3 3
*These dates are not specifically mentioned by name but because they are official “bank holidays” they will be covered by the Regulations
Frequently Asked Questions
6 Community Pharmacy News – January 2016
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CPPE Corner: Summary Care Records
Our first offering centres on our new e-learning programme –
Summary Care Records (SCR) in community pharmacy. Community
pharmacy access to SCR will begin early this year, allowing us as
pharmacy professionals to make better and more informed decisions
about patient care.
Providing key clinical information about patients from their GP
records, SCR has important information governance controls
regarding privacy of patients’ records (confidentiality) and permission
to view them (consent).
CPPE has produced this e-learning programme and associated
assessment covering the important aspects of accessing and using
SCR, presenting case studies and practice points so you can see how
access can enhance your own practice.
We also look at how to make good records following consultations,
development of a standard operating procedure and the role of the
privacy officer.
The assessment is a prerequisite for role-based access on your NHS
Smartcard. You can access the programme on our website at:
tinyurl.com/SCRcourse
The Benevolent Fund was first established 175 years ago by the Royal
Pharmaceutical Society and, since the charity's relaunch as Pharmacist
Support in 2008, it has provided over 7,000 individual acts of support.
Whilst celebrating this significant milestone, Pharmacist Support continues to provide relevant and effective support to those in the
profession through its Health Support Programme and the Listening Friends stress helpline.
However, as a charity, Pharmacist Support relies on the generosity of pharmacists and pharmacy organisations to be able to continue
their work. Find out about the way you can support their work or make a donation at: www.justgiving.com/pharmacistsupport/donate
For further information visit www.pharmacistsupport.org, email info@pharmacistsupport.org or call 0808 168 2233.
Latest courses from CPPEThe contraception e-learning programme guides
pharmacy professionals through common scenarios
encountered when delivering contraceptive services to
help them confidently provide advice to patients. Find
out more at: dld.bz/eefd2
Alcohol misuse: support and advice from the
pharmacy team aims to help pharmacy professionals
develop the knowledge and skills needed to provide an
alcohol identification and brief advice service. The
course looks at the impact of alcohol misuse on health,
personal relationships and wider society. Find out more
at: dld.bz/eg72h
Consulting with people with mental health problems
is a new e-learning programme which teaches pharmacy
professionals how to prepare and approach these
consultations so that people will get the most benefit
from them. Find out more at: dld.bz/ec8XU
Pharmacist Support – Your charity
Pharmacy and vulnerable groups eventOn 24th February, The King’s Fund are hosting a conference that aims to address the crucial role that pharmacy plays in
alleviating pressures on primary and secondary care, supporting higher quality patient care and improving efficiency by
reducing NHS costs.
The tailored conference sessions will provide you with a key opportunity to discuss and debate how imaginative commissioners
are increasingly getting real benefits from investing in pharmacists’ expertise. Speakers include Alistair Burt MP (Community
and Social Care Minister), Sandra Gidley (RPS Chair), and Gary Warner (Chair of PSNC’s Service Development Committee).
Find out more about the event at: kingsfund.org.uk/vulnerablegroups
Welcome to the Centre for Pharmacy Postgraduate
Education (CPPE)’s new feature in CPN, which will
appear here every month. We will focus on additions
to our learning portfolio which will benefit community
pharmacy professionals.
psnc.org.uk 7
funDing anD statistics contract anD it Dispensing anD supplypsnc’s work
In this section of Community Pharmacy News we have highlighted some keynotices for you and your team to be aware of in the coming weeks and months.
Pharmacy notice board
IG toolkit submissionThe deadline for submission of theinformation governance (IG) toolkit is 31stMarch 2016. Guidance on completing thetoolkit is available from: psnc.org.uk/ig
PSNC also recommends that communitypharmacy contractors use thisopportunity to comprehensively reviewIG processes. See our top tips at:dld.bz/ege8P
Views sought for public health surveyThe Royal Society for Public Health and Public HealthEngland are working together to understand the potentialopportunities and challenges for pharmacy in deliveringpublic health services, and they want your views.
They need pharmacy team members, commissioners andLPC Chief Officers to complete a survey, which shouldtake no longer than 10 minutes, by Friday 29th January2016.
Complete the online survey at: tinyurl.com/gwy579v
How many flu vaccinations have you been paid for ... which GP practice do yourprescriptions come from ... and how are you doing with EPS nominations?
Find out with THREE NEW KPIs at www.check34.com
Understand your NHS business better with Check34Not yet got an account? Email check34admin@psnc.org.uk for more information.
Updated specials guidanceThe Royal Pharmaceutical Society has published updated guidance on the procurement and supply ofspecials.
It aims to support pharmacists and their teams to work with prescribers, patients and carers toensure the safe and appropriate procurement and supply of specials and optimising patient treatment.Read and download the updated guidance at: dld.bz/eeM7F
PSNC regularly receives questions from LPCs and pharmacy
contractors about what is going on in the wider health and care
landscape beyond community pharmacy. For a more
comprehensive round-up, please visit: psnc.org.uk/hclbriefings
There are over 10,000 more hospitaladmissions a day than 10 years ago
Patients will order 15 millionrepeat prescriptions online
this financial year
NHS England has allocated£560 billion of funding to
deliver Five Year Forward View
Approximately half of CCGs will havedelegated responsibility for commissioningGP services from April 2016
Ask PSNCThe PSNC Dispensing and Supply Team give pharmacy teams support and
advice on a range of topics related to the Drug Tariff and reimbursement.
Questions asked in recent months have included:
1. How long is an NHS prescription valid for?
This depends on the type of prescription. The table below
summarises the length of validity of different types of NHS
prescription:
*from the ‘appropriate date’ (either the date the prescription was
signed or the date indicated as the start date)
2. I have a prescription for Lacosamide 100mg tablets. This is
not an item I regularly dispense and I cannot obtain these
without incurring additional expenses for postage and
packaging; can I claim out of pocket expenses (OOP)?
Yes, Lacosamide 100mg tablets are eligible for an OOP claim. This
product is in Part VIIIA of the Drug Tariff and is a Category C line.
OOP expenses can be claimed, where in exceptional
circumstances, the community pharmacy contractor has incurred
expenses in obtaining the eligible products (see chart below) and
where the product is not required to be frequently supplied by
the contractor.
The products on which OOP expenses can be claimed are as
follows:
* The ‘SP’ fixed fee for dispensing unlicensed specials and imports is
a separate arrangement (see Part IIIA of the Drug Tariff).
To ensure payment, contractors must endorse “OOP” (or “XP”
for electronic prescription submission) with details of the claim
being made (e.g. postage and packaging) along with the total
amount being claimed.
For more information please visit: psnc.org.uk/oop
3. I have a prescription for Benzylpenicillin 1.2g powder for
solution for injection vials, the prescriber has requested a
quantity of 5 but they are only available in packs of 25. This is
not an item I normally dispense and so I will not be able to use
the remaining balance; can I claim broken bulk (BB)?
Yes, Benzylpenicillin 1.2g powder for solution for injection vials
are eligible for a BB claim. This product is listed in Part VIIIA of
the Drug Tariff and is a Category A line with the smallest listed
pack size being over £50.
The products for which BB can be claimed are as follows:
* Unless claiming for ingredients used to prepare an unlicensed
special extemporaneously dispensed.
For a claim to be accepted, contractors must dispense from the
pack or combination of packs that minimises the residual
balance. Contractors should only claim BB where it is unlikely
that they will be able to dispense the remainder within the
following six months.
To ensure reimbursement, contractors must endorse BB and the
quantity dispensed over pack size used.
For more information please visit: psnc.org.uk/bb
Look out for more frequently asked questions next month…
If you would like more information on any of the topics covered,
the PSNC Dispensing and Supply Team will be happy to help
(0844 381 4180 or 0203 1220 810 or e-mail info@psnc.org.uk).
3 7
• Part VIIIA Category C• Readily available medicinal
products outside of PartVIIIA (including ACBS)
• Part IXB• Part IXC
• Part VIIIA Category A and M• All unlicensed specials and
imports*• Part IXA• Part IXR
3 7• Part VIIIA Category C• Part VIIIA Category A and M
products with smallest listedpack size of £50 or over
• Readily available medicinalproducts outside of Part VIIIA
• Part IXB• Part IXC• Ingredients used to prepare an
unlicensed special(extemporaneously dispensing)
• Special containers• Part VIIIA Category A
and M products withsmallest listed pack sizeof less than £50
• All unlicensed specialsand imports*
• Part IXA• Part IXR
Type of prescription 1st issueexpiry*
Subsequent issues expiry
FP10 (excludingrequests for Schedule1, 2, 3 or 4 CDs)
6 months 12 months for repeatableprescriptions.
FP10 for Schedule 1, 2or 3 CDs
28 days N/A (Cannot be prescribedon repeatableprescriptions.)
FP10 for Schedule 4CDs
28 days 12 months for repeatableprescriptions.
FP10MDA prescription 28 days In accordance withinstalment directions, aprescriber can request upto 14 days’ supply.
Dispensing anD supply services anD commissioning the healthcare lanDscape lpcs
8 Community Pharmacy News – January 2016
Dispensing Factsheet: The Drug Tariff PrefaceThe first section of the Drug Tariff is the Preface. This section
contains valuable information relevant to both the current and the
next edition.
The Preface should ideally be checked each month because it
provides important changes to the Drug Tariff such as:
• products entering or being removed from Part VIII;
• products changing between categories;
• changes to the brand used for pricing Category C lines;
• items entering or being deleted from the discount not
deducted (DND) list;
• items entering or being deleted from other Parts such as VIIIB,
IX and ACBS; and
• price changes.
This guide explains the importance of checking the Preface
monthly and the key things to look out for.
Why it is important to check the Preface each month
Changes in the Drug Tariff affect reimbursement.
It is important to note which lines are entering, changing category
or pack size in, or being removed from, the Drug tariff as this can
affect reimbursement and endorsement requirements. For
example, only particular categories of medicines are eligible for
certain payments such as OOP expenses. Prescriptions without
the appropriate endorsement can lead to incorrect or delayed
payment.
Removal and notice of removal of appliances from Part IX is also
very important to note, as appliances not listed in the Drug Tariff
will be disallowed.
Advance Notice
The Preface begins with changes which have been planned for the
following month’s edition of the Drug Tariff. These will not come
into effect until the first day of the following month; however,
they are useful to look at to get an idea of what will be entering or
is being removed from the Drug Tariff.
N.B. Not all changes will be listed because prior notice may not be
given for all items.
Current edition changes
This follows all the “Advance Notice” changes. This part provides
you with a quick summary of changes coming into effect for this
month’s prescriptions. The table below outlines key changes to
look out for:
Part VIIIA Part VIIIB Part IX
Ad
dit
ion
s
• Which pack size(s) are being added?• Which category is it going into? (some payments such
as OOP can only be claimed against certain categories)• Is it a special container or item requiring reconstitution?• Are any endorsements required?• Has the product moved from Part VIIIB?
• Which packsize(s) arebeing added?
• What is the product?• Who will supply it?• Which pack size(s) are being added?N.B. Only Drug Tariff listed pack sizes are allowedon an NHS prescription.
De
leti
on
s
• Are all pack sizes being removed?• Has it been discontinued?• Are any endorsements required?N.B. If there are no pack sizes left in the Drug Tariff, the item willneed to be endorsed fully (i.e. brand or manufacturer name, priceand pack size) in future.
• Has theproduct movedto Part VIIIA?
• Which month will it be deleted in?(there is usually a three month notice ofdeletion)
N.B. If you dispense a deleted product,prescriptions will be returned as disallowed andpayment will not be made for dispensing the item.
Oth
er
ch
an
ge
s
• Has its special container status changed?• Is it moving to a new category?• If Category C, which brand will be used for payment?N.B. Also be aware of the category of an item when claiming certainpayments (e.g. OOP expenses).
• Has the reimbursementprice changed?
• Is the product name changing?• Will there be a dual listing?N.B. A “dual listing” is a period of grace when bothold and new names will be passed for payment soprescribers have time to change their habits.
TOP TIPSRemember:
• Incorrect endorsement can lead to incorrect or delayed payment for items.
• Look out for additions or deletions to Part II of the Drug Tariff; these relate to the list of “Drugs for which discount is not
deducted”.
• Double check which section of the Preface you are looking at to be certain of the date in which the change becomes effective.
Are you looking in the “Advance Notice” section or the changes to current Drug Tariff section?
• There are sometimes other additions, deletions and alterations in the Preface that are not about Part VIII and Part IX items.
These might not be directly relevant to the day-to-day running of your pharmacy, but they may help you to keep abreast of
current NHS prescribing and NHS pharmacy services.
For the online version of the Drug Tariff, please visit: psnc.org.uk/drug-tariff-resources
psnc’s work funDing anD statistics contract anD itlpcs
10 Community Pharmacy News – January 2016
Dispensing anD supply services anD commissioning the healthcare lanDscape
Drug Tariff WatchBelow is a quick summary of the changes due to take place from 1st February 2016.
When pharmacy teams receive NHS prescriptions, they must check whether the items prescribed are allowed on the NHS before dispensing. If they
are not allowed, the pharmacy contractor may not be paid for them.
Pharmacy teams may wish to check PSNC’s ‘Dispensing on an FP10 database’ (available at: psnc.org.uk/FP10database) for more information on
whether an item can be dispensed on an FP10. Below is a list of some products that we have recently received queries about.
Product Is the item Does it Is it Can it be Additional listed in the have a ‘CE’ in the dispensed information Drug Tariff? mark? blacklist? on an FP10?
Please note: If the prescription is one of the following, pharmacy staff will need to check the relevant sections of the Drug Tariff/PSNC website:
• FP10CN or FP10PN (community nurse prescriber) – Part XVIIB.
• FP10D (dental prescriber) – Part XVIIA.
• FP10MDA (instalment dispensing) – psnc.org.uk/mda
Can it be dispensed on an FP10?
Dermalex Repair Scalp
Psoriasis gel
Lidocaine 5% medicated
plasters
Sani-Cloth 70
Sigvaris initial
No
Yes
No
No
n/a
No
n/a
n/a
Yes
No
Yes
Yes
No
Yes
No
No
This item is a medical device
(CE marked) and is not listed in
Part IX of the Drug Tariff.
This item is not a medical
device (CE marked) nor does it
appear in Part XVIIIA (the
‘blacklist’) of the Drug Tariff.
This item is a medical device
(CE marked) and is not listed in
Part IX of the Drug Tariff.
This item is a medical device
(CE marked) and is not listed in
Part IX of the Drug Tariff.
All details correct at time of printing.
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Distributedfor PSNC by:
Key: SC Special Container
Part VIIIA additions
• Ciprofloxacin 0.3% / Dexamethasone
0.1% ear drops SC (5ml), Category C -
Cilodex
• Diclofenac 140mg medicated plasters
(2), Category C - Voltarol
Part VIIIA amendments
• Amantadine 100mg capsules (56) is
changing to Category A
• Nefopam 30mg tablets (90) is changing
to Category A
Part VIIIA deletions
If a medicinal product has been removed
from Part VIIIA and has no other pack sizes
listed, it can continue to be dispensed, but
it will need to be endorsed fully (i.e. brand
or supplier name, the pack size from which
the item was dispensed and price paid) in
future.
• Dexibuprofen 300mg tablets (60),
Category C - Seractil
• Flexible collodion methylated (100ml),
Category A
• Haloperidol 5mg/1ml solution for
injection ampoules (10), Category C -
AMCo
• Kaolin mixture (200ml), Category A
• Kaolin mixture paediatric (100ml),
Category C - Thornton & Ross Ltd
Part IX deletions
It is important to take careful note of
removals from Part IX because if you
dispense a deleted product, prescriptions
will be returned as disallowed and
payment will not be made for dispensing
the item.
• Tegaderm Matrix - 5cm x 6cm
• Acticoat Absorbent - Square 5cm x 5cm
• Acticoat Absorbent - Rectangular 10cm
x 12.5cm
These changes were compiled usingthe Drug Tariff Preface.
Learn more about the Preface andits importance in our latest
Dispensing Factsheet on page 9.